Table 3.
Table summarising characteristics of available formulations of vitamin D, adjusted based on (30, 85).
| Formulation | Native/active | Recommended daily dose | On-/offset of action | Indications | Side effects | Costs |
|---|---|---|---|---|---|---|
| Unhydroxylated, inactive form of vitamin D3CholecalciferolCalciol | Native | 400–4000 IU and up to 25,000–100,000 IU by hypoparathyroidismus (85) | Onset: 10–14 daysOffset: 14–75 days | Vitamin D deficiency, osteoporosis therapy and prevention, hypoparathyroidism, prevention of rickets | Hypercalcemia (rare) | Inexpensive |
| Unhydroxylated, inactive form of vitamin D2ErgocalciferolVitamin D2 | Native | 400–4000 IU and up to 25,000–100,000 IU by hypoparathyroidismus | Onset: 10–14 daysOffset: 14–75 days | Vitamin D deficiency, osteoporosis therapy and prevention, hypoparathyroidism, prevention of rickets | Hypercalcemia (rare) | Inexpensive |
| Hydroxylated, active form of vitamin D1,25(OH)2DCalcitriol1,25-Dihydroxyvitamin D31,25-Dihydroxycholecalciferol | Active | 0.25–1.0 μg | Onset: 1–2 daysOffset: 2–3 days | Secondary hyperparathyroidism in advanced CKD, hypoparathyroidism, pseudohypoparathyroidism, not in vitamin D deficiency | Hypercalcemia/hyperphosphatemia is not uncommon (dose dependent), hypercalciuria, nephrocalcinosis | Expensive |
| Analog: alfacalcidol | Active | 0.5–3.0 μg | Onset: 1–2 daysOffset: 5–7 days | Secondary hyperparathyroidism in advanced CKD, hypoparathyroidism, pseudohypoparathyroidism, not in vitamin D deficiency | ||
| Other active vitamin D analogs:Paricalcitol, doxercalciferol (vitamin D2 analogs)Falecalcitriol, maxacalcitol (vitamin D3 analogs) | Active | Secondary hyperparathyroidism in advanced chronic kidney disease | Hypercalcemia may occur, but less frequent compared with ‘older’ active analogs | Very expensive |
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