NHS

9.6.4 Vitamin D

Alfacalcidol and calcitriol are preferred for patients with renal impairment who require vitamin D. Clinicians taking over shared care or prescribing for the first time should ensure that:

  • Calcium plasma levels are monitored regularly
  • Dosing frequency is appropriate- usually once daily but can be a weekly administration
  • The correct dose is prescribed/ supplied as there is sometimes confusion over micrograms and nanograms.

Adcal D3 and Calceos are for use where calcium is required in addition to vitamin D.  For advice on treating osteoporosis see chapter 6.6.

As an alternative to Adcal D3® where palatability is an issue

Pack
60 tablet (4 tubes of 15 tablets)
Treatment for Vitamin D Deficiency and Maintenance
Treatment

InVita D3 50,000unit capsules

InVita D3 50,000units/1ml oral solution

Fultium-D3 3,200unit capsules

Stexerol-D3 25,000unit tablets

Thorens 10,000units/ml oral drops

Maintenance - only to be prescribed in exceptional circumstances when patient is exempt from NHS self-care criteria

Stexerol-D3 1,000unit tablets

Fultium-D3 800unit capsules

Desunin 800unit tablets

Fultium-D3 2,740units/ml oral drops

Hospital Only Colecalciferol 300,000units/1ml solution for injection ampoules (unlicensed)

Colecalciferol 800unit tablets and capsules are available OTC

Pack
30 tablet (2 x 15 tablets)
90 tablet (6 x 15 tablets)
Pack
30 capsule (3 x 10 capsules)
90 capsule (9 x 10 capsules)
Pack
30 capsule (3 x 10 capsules)
90 capsule
Pack
25 ml
Pack
3 capsule
Pack
3 ampoule
Pack
28 tablet
Pack
12 tablet
Pack
10 ml
Pack
1 ampoule
  • First Line Drugs
  • Second Line Drugs
  • Specialist Initiated Drugs with Shared Care Guidelines
  • Specialist Only Drugs
  • Mixed Status