Without a Prescription

Rocaltrol is a synthetic form of vitamin D used to treat people on dialysis who have hypocalcemia (abnormally low blood calcium levels) and resulting bone damage.
Rocaltrol is prescribed for hyperparathyroidism (increased functioning of the parathyroid glands) and resulting bone disorders in people with kidney disease who are not yet on dialysis.
Rocaltrol is prescribed to treat low blood calcium levels in people who have hypoparathyroidism (decreased functioning of the parathyroid glands).
When functioning correctly, these glands help control the level of calcium in the blood.


Rocaltrol is contraindicated if you have any of the following conditions:
- if you have an allergic reaction to Rocaltrol;
- if you have high blood levels of calcium;
- if you have vitamin D poisoning;


Do not take Rocaltrol with any of the following drugs:
- VitaminD pills;
- Thiazide water pills such as Dyazide and HydroDIURIL;
- Steroidmedications such as prednisone;
- Phenytoin (Dilantin);
- Phenobarbital;
- Ketoconazole (Nizoral);
- Digitalis (Lanoxin);
- Cholestyramine (Questran);
- Calciumsupplements;
- Antacids containing magnesium, such as Maalox;

Side Effects

Rocaltrol side effects that you should report to your health care professional or doctor as soon as possible:
- Abdominal pain;
- Abnormal heart beats;
- Abnormal thirst;
- Allergy to active ingredients;
- Apathy;
- Arrested growth;
- Balance problems involving the inner ear;
- Bone pain;
- Constipation;
- Decreased sex drive;
- Dehydration;
- Dehydration;
- Disturbances of the gut such as diarrhoea, constipation, nausea, vomiting or abdominal pain;
- Dry mouth;
- Elevated blood cholesterol levels;
- Excessive urination;
- Extreme sleepiness;
- Extremely high body temperature;
- Headache;
- Headache;
- High blood calcium level;
- High blood phosphate content;
- High blood pressure;
- High calcium levels in the urine;
- Hives;
- Increased production of urine;
- Indifference/apathy;
- Inflamed eyes;
- Intolerance to light;
- Irregular heartbeat;
- Itchy skin;
- Kidney problems;
- Loss of appetite;
- Mental disturbances;
- Metallic taste;
- Muscle pain;
- Nausea;
- Nighttime urination;
- Paralysis or inactivity of the intestine that stops the movement of material through the gut;
- Runny nose;
- Sensory disturbances;
- Skin eruptions;
- Sleepiness;
- Sweating;
- Swelling of mouth and lips;
- Thirst;
- Urinary tract infections;
- Vomiting;
- Wasting of muscles or other tissues;
- Weakness;
- Weight loss;
- Yellowish skin;



For Children not yet on Dialysis

For children less than 3 years old, the daily starting dose is 10 to 15 nanograms per 2.2 pounds of body weight.

The recommended starting dose for children 3 years and older is 0.25 microgram a day, increased to 0.5 microgram if necessary.

For Low Calcium Levels Due to Hypoparathyroidism

For most children 6 years and older, doses ranging from 0.5 to 2 micrograms per day are effective.

The starting dose is 0.25 microgram, taken in the morning.

Doses have not been established for hypoparathyroidism in infants under 1 year, or for pseudohypoparathyroidism (a special form of the disorder) in children under 6.

Children from 1 to 5 years old are usually given 0.25 to 0.75 microgram a day.


For People on Dialysis

The suggested beginning dose is 0.25 microgram daily.

Your doctor may increase the dose by 0.25 microgram daily at 4 to 8 week intervals if needed.

Most people on dialysis require a dose of 0.5 to 1 microgram a day.

People with normal or only slightly low blood calcium levels may find it helpful to take 0.25 microgram every other day.

For Low Calcium Levels Due to Hypoparathyroidism

The suggested beginning dose is 0.25 microgram daily, taken in the morning.

Your doctor may increase the dose at 2 to 4 week intervals.

For most adults, regular doses ranging from 0.5 to 2 micrograms daily are effective.

For People Not Yet on Dialysis

The recommended starting dose is 0.25 microgram a day, increased to 0.5 microgram if necessary.
Without Prescription (2017)