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Magnesium-containing preparationsegantacidsmay cause hypermagnesemia and should therefore not be taken during therapy with Rocaltrolcalcitriolby patients on chronic renal dialysis.
Oral Rocaltrolcalcitriolmay normalize plasma ionized calcium in some uremic patientsyet fail to suppress parathyroid hyperfunctionIn these individuals with autonomous parathyroid hyperfunctionoral Rocaltrolcalcitriolmay be useful to maintain normocalcemiabut has not been shown to be adequate treatment for hyperparathyroidism.
Rocaltrol capsules contain sorbitolPatients with rare hereditary problems of fructose intolerance should not take Rocaltrol capsules.
Heart arrhythmiasCalcitriol increases the amount of calcium in the bloodstreamToo much calcium can interfere with the regular rhythm of the heartIf you have irregular heartbeatarrhythmiadiscuss with your doctor how this medication may affect your medical conditionhow your medical condition may affect the dosing and effectiveness of this medicationand whether any special monitoring is needed.
An abrupt increase in calcium intake as a result of changes in diete.gincreased consumption of dairy productsor uncontrolled intake of calcium preparations may trigger hypercalcaemiaPatients and their families should be advised that strict adherence to the prescribed diet is mandatory and they should be instructed on how to recognise the symptoms of hypercalcaemia.
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