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Alfacal (Calcitriol)

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Alfacal is in a class of medications called vitamin D analogs. Alfacal comes as a capsule and a solution (liquid) to take by mouth. It works by helping the body to use more of the calcium found in foods or supplements and regulating the body's production of parathyroid hormone.

Other names for this medication:
Actical, Alfacip, Alphadol, Arachitol, Calasto, Calbec, Calbory, Calbovic, Calcibest, Calcicare, Calcimet, Calcit, Calcitriol, Calcor, Caldikind, Calfa, Calosto, Calotec, Caltive, Devita, Dmcal, Estovon, Fovit, Ikmag, Kurecal, Lctrol, Minroset, Osteobel, Ostonex, Ostriol, Politrol, Primacal, Rockbon, Solbiocal, Sorvate, Statbone, Trolec, Vezocal, Vitalpha, Zaxial

Similar Products:
Bactrim, Ultram, Sustiva, Sildigra, Nimotop, Aygestin, Vasotec, Antabuse, Priligy, Cycline, Sortal, Stressban, Oxmazetol, Levothroid,

Also known as: Calcitriol


Vitamins are compounds that you must have for growth and health. They are needed in small amounts only and are available in the foods that you eat. Vitamin D is necessary for strong bones and teeth.

Lack of vitamin D may lead to a condition called rickets, especially in children, in which bones and teeth are weak. In adults it may cause a condition called osteomalacia, in which calcium is lost from bones so that they become weak. Your doctor may treat these problems by prescribing vitamin D for you. Vitamin D is also sometimes used to treat other diseases in which calcium is not used properly by the body.

Ergocalciferol is the form of vitamin D used in vitamin supplements.

Some conditions may increase your need for vitamin D. These include:

Alcoholism Intestine diseases Kidney disease Liver disease Overactivity of the parathyroid glands with kidney failure Pancreas disease Surgical removal of stomach

In addition, individuals and breast-fed infants who lack exposure to sunlight, as well as dark-skinned individuals, may be more likely to have a vitamin D deficiency. Increased need for vitamin D should be determined by your health care professional.

Alfacalcidol, calcifediol, calcitriol, and dihydrotachysterol are forms of vitamin D used to treat hypocalcemia (not enough calcium in the blood). Alfacalcidol, calcifediol, and calcitriol are also used to treat certain types of bone disease that may occur with kidney disease in patients who are undergoing kidney dialysis.

Claims that vitamin D is effective for treatment of arthritis and prevention of nearsightedness or nerve problems have not been proven. Some psoriasis patients may benefit from vitamin D supplements; however, controlled studies have not been performed.

Injectable vitamin D is given by or under the supervision of a health care professional. Some strengths of ergocalciferol and all strengths of alfacalcidol, calcifediol, calcitriol, and dihydrotachysterol are available only with your doctor's prescription. Other strengths of ergocalciferol are available without a prescription. However, it may be a good idea to check with your health care professional before taking vitamin D on your own. Taking large amounts over long periods may cause serious unwanted effects.


Generic Alfacal is available in capsules (0.25 mcg) and liquid form. Capsules must be swallowed whole. Do not crush or chew them. If you are prescribed the liquid form, use as directed. Follow dosing instructions closely. Do not take this medication with mineral oil or magnesium containing antacids which may reduce its effects. Foods rich in vitamin D include: fortified dairy products, eggs, sardines, cod liver oil, chicken livers and fresh-water fish. Vitamin D is also obtained from periodic exposure to the sun. It is important to maintain a well-balanced diet while taking this medication. Calcium supplements may be recommended in addition to this medication. If you want to achieve most effective results do not stop taking Generic Alfacal suddenly.


If you overdose Generic Alfacal and you don't feel good you should visit your doctor or health care provider immediately.


Keep out of the reach of children.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Do not keep outdated medicine or medicine no longer needed.

Side effects

The most common side effects associated with Alfacal are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Problems in children have not been reported with intake of normal daily recommended amounts. Some studies have shown that infants who are totally breast-fed, especially with dark-skinned mothers, and have little exposure to sunlight may be at risk of vitamin D deficiency. Your health care professional may prescribe a vitamin/mineral supplement that contains vitamin D. Some infants may be sensitive to even small amounts of alfacalcidol, calcifediol, calcitriol, dihydrotachysterol, or ergocalciferol. Also, children may show slowed growth when receiving large doses of alfacalcidol, calcifediol, calcitriol, dihydrotachysterol, or ergocalciferol for a long time.

Studies on doxercalciferol or paricalcitol have been done only in adult patients, and there is no specific information comparing the use of doxercalciferol or paricalcitol in children with use in other age groups.

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Development of the interRAI Pressure Ulcer Risk Scale (PURS) for use in long-term care and home care settings. Therapeutic-preventive aid in obliterative arterial diseases of the extremities in ambulatory practice. This technique has the potential to be utilized in all solid tumors. CD4 and CD8 cytotoxic T lymphocytes that infiltrate the allograft could play a role in the development of GVD. In contrast to TIR illumination, photobleaching of PP during epi-illumination was characterized by slow monoexponential fluorescence decrease after 1 h or 24 h incubation. Body size has a pervasive effect on animal functioning and life history with size dependent changes in performance and physiology throughout ontogeny being common in many ectothermic vertebrates. Almost all forms of contextual information influenced decision-making, with medical findings leading to the highest shift scores. Pneumonia complicated by hemorrhage nephritis and acute renal insufficiency. We have, however, not been able to detect any absorption of amino acids from the caeca, indicating that nitrogen recycling via the amino acid route does not occur. To describe a new technique for handling Descemet stripping automated endothelial keratoplasty (DSAEK) specimens intraoperatively and during processing.


Dots in the illusory area appear less densely packed and may be perceived as concentrically organized. Recent research indicates they have no appreciable psychopathology and are as educated and economically well-off as surrounding populations. The optoelectronic recordings, however, indicated a possible correlation between irregular lateral excursion and the severity and location of the lesions, with a tendency for fewer and less severe lesions on the preferred chewing side. vinelandii chromosome at the nifY locus by homologous recombination. These results suggest that geldanamycin exerts an immunosuppressive effect partly through destabilizing Raf-1, and raise a new strategy for the prevention of inflammatory diseases. After a specific inhibitor of NF-kappaB, PDTC was applied, the symptoms and pathological lesions of EAE rat brain were mitigated markedly. We investigated correlations between cortisol, ACTH, and cytokines, and between blood pressure and blood hormone levels early after stroke in seven stroke patients. A follow-up after 13 months showed that there was an improvement in four of the five familial atmospheres, a change of drinking habits in three of five alcoholics, and an amelioration in neurotic and psychosomatic symptoms in three of the five spouses. Recently, we discovered that transcription factors LIM homeobox (LHX) 6 and LHX8, which are key regulators of oral development, repressed the expression of the genes encoding forkhead box transcription factors, Foxp1 and Foxp2, in the oral region. Lack of effect of chronic kidney disease on clopidogrel response with high loading and maintenance doses of clopidogrel after Acute Coronary Syndrome.

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Conservative treatment of femoral shaft fractures in patients with total hip arthroplasty. Interleukin 2 exerts autocrine stimulation on murine T-cell leukaemia growth. With our review, we want to evaluate the effects of thiazolidinediones plus metformin combination in diabetic patients on the body weight. Three cocaine-treated groups were injected SC with either 40, 60, or 80 mg/kg/day of cocaine from postnatal day (PND) 4 through 9. The reflectance and incidence angles are measured simultaneously with a position-sensitive photodiode. Evidence for a dissociable activity similar to but distinct from TFIIS. Long term effect of switching to darunavir/ritonavir in HIV infected patients previously on protease inhibitor therapy. The findings also give reason to doubt the value of the secretin test. An acyl-CoA synthase (acoas) gene adjacent to the mycocerosic acid synthase (mas) locus is necessary for mycocerosyl lipid synthesis in Mycobacterium tuberculosis var.

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Induction of superoxide dismutase activity after the infection was less pronounced than changes in O2-. A photoswitchable DNA-binding protein based on a truncated GCN4-photoactive yellow protein chimera. A 3-Year Retrospective Evaluation of the Clinical Performance of Fiber Posts. Characterization of the binding and chiral separation of D- and L-tryptophan on a high-performance immobilized human serum albumin column. Cerebral blood flow and cranial magnetic resonance imaging in eclampsia and severe preeclampsia.

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The development of a plant-based production route highlights the tremendous potential that higher plants offer as cheap and renewable resources for the production of insect semiochemicals, through the wide array of secondary metabolites that they can generate. Treatment of non-tuberculous lung diseases with intravenous injection of penicillin. I explore how skin stem cells maintain tissue homeostasis and repair wounds and how they regulate the delicate balance between proliferation and differentiation. In Vitro Analysis of Ribonucleoprotein Complex Remodeling and Disassembly. In the present study, changes in autopsy rates for deaths due to stroke are examined and compared with changes in autopsy rates for all deaths. Elevated BMI and increasing degrees of obesity may be risk factors for both Vit D deficiency and secondary hyperparathyroidism. Yet there is usually little or no information on the effectiveness of attempting to quarantine humans that is not of an anecdotal or conjectural nature.

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Structure and principles of organization of the vascular system in bony fishes. Liquid scintillation spectrometry measured levels of both glucose and the reference substance antipyrine. Cell are most susceptible to mutation during genome replication and we propose a model for testicular tumorigenesis which is consistent with the available data on male germ cell proliferation and with the data on testicular tumor incidence. Bacterially produced fusion proteins containing constant domains two (CH2) and three (CH3) of rat IgE directly linked to the glutathione-S-transferase (GST) protein from Schistosoma japonicum or to the maltose binding protein of Esherichia coli were used as the active components of the allergy vaccine. Knowledge about crime victims should be included in medical and nursing education.

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Understanding the thyrotropin receptor function-structure relationship. To test the accuracy of the Omron T9P automated BP recorder in pregnant women, using mercury sphygmomanometry as the gold standard. Humoral indices of the resistance of guinea pigs in brucellosis infections. The approach enables inexperienced users to confidently make full use of sophisticated modeling techniques by offering only sensible options, hiding parameter settings, and controlling program invocation and macro execution. Lobbying by Big Pharma, bottlenecks for clinical research, and loosening of ethical standards in Brazil. Split vaccine has been used as seasonal influenza vaccine and 2009 pandemic monovalent vaccine in Japan. The effect of serum and plasma from haemodialysis patients on human mononuclear phagocytes cultured in vitro.

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All patients tested showed a clear delayed reaction to Pigment Red 181 or the tattoo ink, or both, after prick testing. Relationship between blood type and predicted differences in production of Holstein sires in artificial insemination. Diazepam (Valium) (7.5 mg) and buspirone (Buspar) (7.5 mg), which differ in their psycho-pharmacological profiles, were used. This surgical technique seems to have its place with the enlargement techniques of the acetabulum as long as remolding of the head and acetabulum is required. LDL apheresis with dextran sulfate and angiotension receptor antagonist (Losartan).

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Novel, immunologically related milk proteins able to perform this function have been isolated from caprine, bovine and human milk, based on their ability to inhibit milk constituent synthesis in mammary tissue and cell cultures, and to decrease temporarily milk secretion when added to milk stored in the mammary gland. an increased amount of IgE was produced by cells from non-atopic individuals in the presence of serum from atopics. Thus, transient signals mediate V(H) gene activation and inactivation during development. Association of Safe Disposal of Child Feces and Reported Diarrhea in Indonesia: Need for Stronger Focus on a Neglected Risk. The one-third rate of disability for this Canadian cohort of patients with FM is in line with other reports from the western world. The pathomechanisms of these syndromes are thought to be immune-mediated, because the etiologic microbe cannot be directly demonstrated, and because the pathological findings are highly similar to those found in experimental allergic encephalomyelitis and neuritis. An isoform of the rod photoreceptor cyclic nucleotide-gated channel beta subunit expressed in olfactory neurons. Disrupted in schizophrenia 1 (DISC1), a genetic risk factor for multiple serious psychiatric diseases including schizophrenia, bipolar disorder and autism, is a key regulator of multiple neuronal functions linked to both normal development and disease processes. Two newborn infants with middle cerebral artery infarct presenting with seizures.

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Thirty patients underwent 25-gauge PPV and 48 patients underwent 20-gauge PPV from May 1993 to July 2008. Here, we investigated modulations of composition of individual phospholipid (PL) classes, with a particular emphasis on cardiolipins (CLs), in colon cells treated with DHA, sodium butyrate (NaBt), or their combination (DHA/NaBt), and we evaluated possible associations between lipid changes and cell fate after fatty acid treatment. Thirty patients who met the study entry criteria underwent one to three hepatic artery chemoembolizations. Effect of patent ductus arteriosus on Doppler-derived right ventricular systolic time intervals. To determine whether body weight, age, or sex was associated with ultrasonographically determined adrenal gland thickness (AT) in dogs with non-adrenal gland illness. As compared with the non-exposed children, those with PAE showed more deficits on caregiver ratings of responsibility, hyperactivity, internalizing problems and overall social skills, as well as respite worker ratings of hyperactivity. First-trimester C-reactive protein and subsequent gestational diabetes. 0.8 Gy/hr was less effective than 1.3 Gy/hr but more effective than 6.0 Gy/hr. Effects of an Individual Breast-feeding Promotion Program for Married Immigrant Women.

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Case report: an unexpected intravenous pyelogram appearance in an azotemic patient. The intent of this study was to determine, using a rat model, the conditions under which retention of sickle erythrocytes in choroid occur and if that retention can be inhibited. Depudecin significantly inhibited the intracellular multiplication of N. pylori is one of the best approaches to study the correlations between H. To develop a gE CT-specific blocking ELISA test that is necessary to distinguish the BoHV-1 tmv vaccinated calves from the wild-type (wt) virus-infected calves, a mouse monoclonal antibody (mAb) 2H8F3 was generated by using the Escherichia coli expressed gE CT residues 452-575. Data collection tool employed was a standard questionnaire consisting of closed-ended questions. Hyaluronic acid studies of local myxedema and of the stroma of skin cancer. Carvedilol has a good metabolic profile and seems to improve insulin sensitivity.

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Hyperintense globus pallidus on T1-weighted MRI is present in most patients with advanced liver disease. To generate a robust and reproducible fermentation process of 1,3-propanediol, we designed and optimized an automatically feeding strategy of glycerol based on fermentation kinetics. As the cost of new technology for hip implants escalates, financial managers are finding an increasing amount of the DRG payment is spent on the technology itself and not nursing care, maintenance, or overhead. I7 scores correlated negatively with activity in the left orbitofrontal cortex, amygdala and precuneus, and bilaterally in the cingulate cortices during response inhibition for the entire sample. Distinct outcome measures such as in-hospital and 30-day mortality have been used to evaluate pancreatectomy results. To determine whether medical students were prepared to assess risk and counsel patients about prevention of HIV infection, and whether HIV-related experience produced better knowledge and counseling skills. Ultrasound biomicroscopy was used to examine 15 patients with retinal detachment within amiloride mg 1 week before and after surgery. A SWOT (Strengths, Weaknesses, Opportunities and Threats) analysis performed in 2009 highlighted a number of problems with the process. Genetic approaches have been used to investigate increasingly complex biological systems. Characteristics of a long term in vitro persistent infection with human coronavirus 229E.

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Moreover, separation in sub-micron regime requires the gap size of DLD systems to be reduced which exponentially increases the device resistance, resulting in greatly reduced throughput. Bacteriophages (phages) specifically infect bacteria and are the most abundant biological entities on Earth. The voltammograms of nifedipine on pH, concentration and scan rate have been carefully examined. Mechanisms governing the activation and trafficking of yeast G protein-coupled receptors. Diffuse pigmented villonodular synovitis in a college football player. Our results show that miR-130b-3p was downregulated in IPF lungs.

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The midline glial cells are required amaryl dosing for correct formation of the axonal pattern in the embryonic ventral nerve cord of Drosophila. By contrast, in the pair-fed controls the plasma levels of triglycerides and particularly of total free amino acids and glucose decreased over the whole experimental period, whereas total protein and cholesterol were unchanged. Prolonged tissue damage or injury often leads to chronic pain states such that noxious stimuli evoke hyperalgesia and innocuous tactile stimuli evoke pain (allodynia). The specificity and sensitivity assays were performed for each pair of primers and for the combined four primer pairs in the multiplex PCR. Simple micro-detection method of volatile fatty acids (C1-C6) produced by anaerobic gram-negative bacilli.

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A study of tarnish induced by Streptococcus sobrinus serotype g on Co-Cr, Ni-Cr and casting titanium alloys. It was concluded that hypoglycemia promoted changes in hepatic responsiveness to adrenergic agonists. Histological examination revealed ulcerated mucosal granulation-like tissue with myofibroblastic spindle cell proliferation in a storiform pattern. The mode of vascular formation was found to be identical in all these blood vessels, arising first in loco as isolated solid masses or cords protonix 40 mg tablet composed of so-called angioblasts. In our hospital this has been achieved by training a team of in-house personnel to emergently prepare, apply, and temporarily manage cardiopulmonary bypass until personnel with greater specialty training arrive. In 5 patients, erythroderma was the presenting sign of psoriasis. Many structures involved in different types of learning have now been identified. Surfing the web during pandemic flu: availability of World Health Organization recommendations on prevention. A unique feature of preimplantation development is the drastic genome-wide changes occurring to nuclear architecture. A sub-sample of 228 consultations, belonging to a larger study of 1,904 general medical consultations (total: 98,768 consultations).

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However, it is likely that other factors, such as the time it takes to proceed through the multistep neoplastic process, and the combined influence of age-associated increased susceptibility to carcinogen and decreased DNA repair are more important. The Dynamic Changes of the Plasma Membrane Proteins and the Protective Roles of Nitric Oxide in Rice Subjected to Heavy Metal Cadmium Stress. Here we show that this process is highly regulated by phosphorylation of AP-1 subunits. Our finding of chronic encephalitis with CMV positivity and hemimegalencephaly in the same patient raises questions about the role of CMV in the etiopathogenesis of the NMD. Static water contact angle, and atomic force microscopy (AFM) were used to investigate the wettability and surface topography of the modified silicon surfaces. The doxycycline gel was able to afford periodontal surface preservation, with flatter grooves. Carcinoma ex-pleomorphic adenoma derived from recurrent pleomorphic adenoma shows important difference by array CGH compared to recurrent pleomorphic adenoma without malignant transformation. The bursts in the cervical VR preceded those in the lumbar VR at E14.5, but the latter came to precede the former by E16.5. Genetic Diversity and Local Connectivity in the Mediterranean Red Gorgonian Coral after Mass Mortality Events. Body mass index: a comparison between self-reported and measured height and weight.

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