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Calcijex

Osteoporosis facts

  • Osteoporosis is a condition of increased susceptibility to fracture due to fragile bone.
  • Osteoporosis weakens bone and increases risk of bone fracture.
  • Bone mass (bone density) decreases after 35 years of age and decreases more rapidly in women after menopause.
  • Key risk factors for osteoporosis include genetics, lack of exercise, lack of calcium and vitamin D, personal history of fracture as an adult, cigarette smoking, excessive alcohol consumption, history of rheumatoid arthritis, low body weight, and family history of osteoporosis.
  • Patients with osteoporosis have no symptoms until bone fractures occur.
  • The diagnosis of osteoporosis can be suggested by X-rays and confirmed by tests to measure bone density.
  • Treatments for osteoporosis, in addition to prescription osteoporosis medications, include stopping use of alcohol and cigarettes, and assur...

Calcijex Injection

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SIDE EFFECTS

Adverse effects of Calcijex (calcitriol injection) are, in general, similar to those encountered with excessive vitamin D intake. The early and late signs and symptoms of vitamin D intoxication associated with hypercalcemia include:

Early

Weakness, headache, somnolence, nausea, vomiting, dry mouth, constipation, muscle pain, bone pain, metallic taste, anorexia, abdominal pain, and epigastric discomfort.

Late

Polyuria, polydipsia, anorexia, weight loss, nocturia, conjunctivitis (calcific), pancreatitis, photophobia, rhinorrhea, pruritus, hyperthermia, decreased libido, elevated BUN, albuminuria, hypercholesterolemia, elevated SGOT and SGPT, ectopic calcification, hypertension, cardiac arrhythmias, nephrocalcinosis, sensory disturbance, dehydration, apathy, and rarely, overt psychosis.

Occasional mild pain on injection has been observed.

Post-Marketing Experience

Rare cases of hypersensitivity reactions have been reported, including anaphylaxis.

DRUG INTERACTIONS

Concomitant use of magnesium-containing preparations should be used with caution or avoided since such use may lead to the development of hypermagnesemia.

Corticosteroids with glucocorticoid activity may counteract the bone and mineral metabolism effects of vitamin D analogues.

Cytochrome P450 enzyme-inducing anticonvulsants such as carbamazepine, phenobarbital, and phenytoin may reduce the effects of vitamin D because they increase vitamin D catabolism.

Last reviewed on RxList: 3/26/2012
This monograph has been modified to include the generic and brand name in many instances.

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