Hectorol

Generic Name: doxercalciferol (dox-ehr-kal-SIFF-eh-role)
Brand Name: Hectorol

Hectorol is used for:

Lowering elevated parathyroid hormone levels in patients undergoing kidney dialysis.

Hectorol is a synthetic form of vitamin D. It works by promoting the proper absorption and use of calcium and phosphate by the body, as well as normal bone development and maintenance. It also helps regulate parathyroid hormone levels and is involved in magnesium metabolism.

Do NOT use Hectorol if:

  • you are allergic to any ingredient in Hectorol
  • you have a tendency toward high calcium levels or evidence of vitamin D overdose (eg, weakness, headache, drowsiness, nausea, vomiting, dry mouth, constipation, muscle pain, bone pain, metallic taste, loss of appetite)
  • you have high levels of calcium, phosphate, or vitamin D in your blood

Contact your doctor or health care provider right away if any of these apply to you.

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Before using Hectorol:

Some medical conditions may interact with Hectorol. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have hardening of the arteries, heart problems, liver disease, or if you are on kidney dialysis

Some MEDICINES MAY INTERACT with Hectorol. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Magnesium-containing antacids because the risk of high blood magnesium levels may be increased
  • Erythromycin or ketoconazole because the effectiveness of Hectorol may be decreased
  • Digoxin because the risk of its side effects may be increased by Hectorol
  • Glutethimide or phenobarbital because they may increase the risk of Hectorol's side effects

This may not be a complete list of all interactions that may occur. Ask your health care provider if Hectorol may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Hectorol:

Use Hectorol as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • An extra patient leaflet is available with Hectorol. Talk to your pharmacist if you have questions about this information.
  • Hectorol is usually given as an injection at your doctor's office, hospital, or clinic. If you will be using Hectorol at home, a health care provider will teach you how to use it. Be sure you understand how to use Hectorol. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.
  • Do not use Hectorol if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.
  • Do not take an antacid that has magnesium in it while you are using Hectorol.
  • Use Hectorol regularly to receive the most benefit from it.
  • Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.
  • If you miss a dose of Hectorol, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Hectorol.

Important safety information:

  • Hectorol may cause dizziness or drowsiness. These effects may be worse if you take it with alcohol or certain medicines. Use Hectorol with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Check with your doctor before taking any medicine, including vitamins, containing vitamin D while you are taking Hectorol.
  • Follow the diet and exercise program given to you by your health care provider.
  • Lab tests, including calcium, phosphate, alkaline phosphate, and parathyroid hormone blood levels or urine calcium levels, may be performed while you use Hectorol. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Hectorol should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Hectorol while you are pregnant. It is not known if Hectorol is found in breast milk. Do not breast-feed while taking Hectorol.

Possible side effects of Hectorol:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Abscess; difficulty sleeping; joint pain; stomach upset; weight gain.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); constipation; dizziness; drowsiness; dry mouth; excessive thirst; excessive urination; headache; irregular heartbeat; itching; loss of appetite; metallic taste; muscle or bone pain; nausea; seizures; shortness of breath; slow heartbeat; swelling; vomiting; weakness.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include constipation; drowsiness; dry mouth, gums, or eyes; excessive thirst; excessive urination; fever; severe or persistent headache, dizziness, or blurred vision; irregular heartbeat; loss of appetite; metallic taste; mood or mental changes; nausea; ringing in the ears; seizures; sensitivity to light; severe stomach or back pain with nausea and vomiting; unusual tiredness or weakness; weight loss.

Proper storage of Hectorol:

Store Hectorol at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Keep Hectorol out of the reach of children and away from pets.

General information:

  • If you have any questions about Hectorol, please talk with your doctor, pharmacist, or other health care provider.
  • Hectorol is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take Hectorol or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about Hectorol. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Hectorol. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using Hectorol.

Issue Date: April 2, 2014
Database Edition 14.2.1.001
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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