Skip to main content
. 2018 Oct 5;7(12):R304–R315. doi: 10.1530/EC-18-0184

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