Is it safe for a pregnant patient at 20 weeks gestation with severe vitamin D deficiency (5 ng/mL) to supplement with weekly calcitriol sachets and 600,000 IU of vitamin D while already taking twice-daily Gemcal, and does this regimen pose any risk of toxicity or harm to the mother or the developing fetus? | Apollo Pharmacy

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Is it safe for a pregnant patient at 20 weeks gestation with severe vitamin D deficiency (5 ng/mL) to supplement with weekly calcitriol sachets and 600,000 IU of vitamin D while already taking twice-daily Gemcal, and does this regimen pose any risk of toxicity or harm to the mother or the developing fetus?

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Is it safe for a pregnant patient at 20 weeks gestation with severe vitamin D deficiency (5 ng/mL) to supplement with weekly calcitriol sachets and 600,000 IU of vitamin D while already taking twice-daily Gemcal, and does this regimen pose any risk of toxicity or harm to the mother or the developing fetus?

Asked by Female, 25 · 23 days ago

Veda Maddala

M Pharmacy

23 days ago

Your vitamin D level of 5 ng/mL is indeed very low and needs correcting, but this specific combination poses a risk of vitamin D toxicity. Combining weekly calcitriol sachets, twice-daily Gemcal (which already contains active calcitriol), and a massive 600,000 IU dose of vitamin D can cause dangerously high calcium levels, which can harm you and your baby. Please do not start this regimen. I highly recommend consulting your obstetrician to prescribe a safer, monitored daily or weekly cholecalciferol (vitamin D3) supplement to gently and safely bring your levels back to normal.

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Is it safe for a pregnant patient at 20 weeks gestation with severe vitamin D deficiency (5 ng/mL) to supplement with weekly calcitriol sachets and 600,000 IU of vitamin D while already taking twice-daily Gemcal, and does this regimen pose any risk of toxicity or harm to the mother or the developing fetus?

Answered 23 days ago

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