Table 3.
Indications for Considering the Use of rhPTH(1-84) in Hypoparathyroidisma
1. Poor control of the serum calcium (serum corrected calcium (<7.5 mg.dL) or clinical symptomatology |
2. Oral calcium supplementation > 2.5 g/d or 1,25-(OH)D > 1.5 mcg/d or 1-alpha vitamin D > 3.0 mcg/d |
3. Hypercalciuria, nephrolithiasis, nephrocalcinosis, reduced creatinine clearance or eGFR (<60 mL/min) or increased stone risk by urinary biochemical analysis |
4. Hyperphosphatemia or calcium-phosphate product > 55 mg2/dL2 (4.4 mmol2/L2) |
5. Gastrointestinal dysfunction resulting from intrinsic disease or after bariatric surgery |
6. Reduced quality of life |
aBased on data derived from reference 96.