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• Calcitrol - active form of Vitamin D. A hormone produced by healthy kidneys.
• Having less calcium triggers the parathyroid gland to release PTH. PTH controls calcium and phosphorus levels in the blood.
• In time the parathyroid glands grow so large they can't shut off. - secondary parathyroidism
• Phosphate binders to remove excess phosphorus
• PhosLo® - calcium acetate
• Renagel® - sevelarner HC1
• To increase serum calcium and decrease PTH
• Zemplar® (paracalcitol)
• Hectorol® (doxercaleiferol)
• Calcijex® (calcitriol)
• To reduce PTH, serum calcium, and phosphorus
Your Role In Secondary Hyperparathyroidism Management
• Listen well and report symptoms that patients tell you they have
• Reinforce what the doctor, nurses, and dietitian teach patients.
• Tell the nurse if patients report problems with the drugs they take to treat the disease.
• Urge patients to take medications as prescribed and to follow their diets.