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. 2025 Aug 26;44:310. doi: 10.1186/s41043-025-00885-4

Table 4.

Starting and maintenance doses of inorganic phosphate and active vitamin D analogs in hypophosphatemic rickets [3035]

Newborn or before the
development of clinical
or radiological signs of rickets
Evidence of clinical or radiological signs of rickets

Starting

Doses

Alfacalcidol,25-40ng/kg/day (0.8-1ug/day), once/day.

Inorganic phosphate salts,

20–40 mg/kg/day, 4 to 6 intakes/daily

Alfacalcidol, 40–80 ng/kg/day (1-1.5 ug/kg) once/day.

Calcitriol, 20–40 ng/kg/day, 2–3 times/day

Inorganic phosphate salts, 40–60 mg/kg/day,

4 to 6 intakes/daily

Maintenance

doses

Alfacalcidol,25–40 ng/kg/day (1–2 ug/day), once/day; calcitriol,20–30 ng/kg/day.

2–3 times/day.

inorganic phosphate salts,

20–60 mg/kg/day. 4 to 6 intakes/ day