alphadol 0.5mcg soft gelatin capsule - Alfacalcidol (0.5mcg) medicine

Alpha D3 0.5mcg Capsule: Complete Medicine Guide

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🏭 Panacea Biotec Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 16, 2026
⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for approved indications.
Reviewed by
SaathiMed Expert Panel | Oct 16, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Confusion or drowsiness
  • Excessive thirst or frequent urination
  • Irregular heartbeat or palpitations
  • Severe nausea or vomiting
  • Blood in urine or severe flank pain
  • Swelling of face, lips, or throat
  • Decreased urine output

If experiencing severe symptoms, call emergency services immediately.

What is alphadol 0.5mcg soft gelatin capsule used for?

This medicine contains alfacalcidol 0.5 mcg, a vitamin D analogue used to treat low calcium levels in chronic kidney disease, hypoparathyroidism, and bone disorders. It works by helping the body absorb calcium and build strong bones. It requires regular blood tests and a doctor's prescription.

  • Generic Name: Alfacalcidol
  • Manufacturer: Panacea Biotec Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 alphadol 0.5mcg soft gelatin capsule के बारे में (Hindi Summary)

उपयोग: यह दवा अल्फाकैल्सिडॉल 0.5 माइक्रोग्राम कैप्सूल है, जो विटामिन डी का एक विशेष रूप है। यह शरीर में कैल्शियम की मात्रा को संतुलित करने और हड्डियों को मजबूत बनाने में मदद करती है। इसका उपयोग मुख्य रूप से क्रोनिक किडनी रोग, हाइपोपैराथायरॉइडिज्म, रिकेट्स, ऑस्टियोमलेशिया और कुछ प्रकार के ऑस्टियोपोरोसिस के इलाज में किया जाता है। यह दवा डॉक्टर के पर्चे के बिना नहीं लेनी चाहिए और नियमित रूप से कैल्शियम की जांच करानी चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, कब्ज, दस्त, पेट में असुविधा, सिरदर्द और कमजोरी शामिल हैं। गंभीर दुष्प्रभावों में कैल्शियम का स्तर बहुत अधिक बढ़ना, गुर्दे की पथरी, और गुर्दे की क्षति शामिल हो सकती है। अगर आपको भ्रम, अत्यधिक प्यास, अनियमित दिल की धड़कन, या पेशाब में कमी महसूस हो, तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अपने आप से खुराक न बदलें। डॉक्टर समय-समय पर कैल्शियम, फॉस्फेट और किडनी की जांच करेंगे। बिना सलाह के अतिरिक्त कैल्शियम या विटामिन डी सप्लीमेंट न लें। पर्याप्त पानी पिएं। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। शराब से बचें। दवा को सूखी और ठंडी जगह पर रखें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 alphadol 0.5mcg soft gelatin capsule Uses & Benefits

[{"condition":"Chronic kidney disease with hypocalcemia","description":"This medicine helps correct low calcium levels in people whose kidneys cannot properly activate vitamin D.","evidence":"Well-established"},{"condition":"Hypoparathyroidism","description":"Used to maintain normal calcium levels when the parathyroid glands do not produce enough hormone.","evidence":"Well-established"},{"condition":"Rickets and osteomalacia","description":"Helps mineralize bones and correct bone softening caused by defective vitamin D activation.","evidence":"Well-established"},{"condition":"Osteoporosis in selected patients","description":"May be used in certain patients with osteoporosis, especially those with kidney or liver disease, to support bone health.","evidence":"Moderate"},{"condition":"Vitamin D deficiency in liver disease","description":"Used when the liver cannot convert plain vitamin D into its active form.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Psoriasis","description":"Sometimes used off-label for certain skin conditions, but this is not a standard use for the oral capsule.","evidence":"Limited"},{"condition":"Prevention of falls in elderly","description":"May be considered in some elderly patients with low calcium and vitamin D activation problems, but evidence is limited.","evidence":"Limited"}]

Primary treatment for: Hypocalcemia in chronic kidney disease

Also treats: Hypoparathyroidism, Rickets, Osteomalacia, Osteoporosis

📋 Drug Information

Generic Name(s)Alfacalcidol
Brand NameAlphadol
ManufacturerPanacea Biotec Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassVITAMINS MINERALS NUTRIENTS
Action ClassVitamins
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine at the same time each day to maintain steady levels.
2
Always take it with food if it upsets your stomach.
3
Get your blood calcium and kidney function tested regularly as advised.
4
Do not take extra calcium or vitamin D supplements without consulting your doctor.
5
Stay well hydrated to reduce the risk of kidney stones.
6
Report any confusion, excessive thirst, or irregular heartbeat immediately.
7
Do not stop this medicine suddenly without your doctor's advice.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Low calcium levels
This medicine is commonly prescribed for this.
Likely Use
✅
Bone pain
May help if caused by vitamin D deficiency or kidney disease.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionAlfacalcidol is well absorbed from the gastrointestinal tract after oral administration.
DistributionIt is distributed to the liver, bone, kidney, and other tissues where vitamin D receptors are present.
Protein BindingCalcitriol, the active form, is highly bound to vitamin D binding protein and albumin.
MetabolismAlfacalcidol is metabolized in the liver to calcitriol, which is further metabolized to less active metabolites.
Half-LifeThe elimination half-life of calcitriol is approximately 5 to 8 hours, but the biological effect lasts longer.
ExcretionMetabolites are excreted mainly in bile and feces, with a small amount in urine.
BioavailabilityBioavailability is generally good, but exact values vary. Not established from the available information.
Onset of ActionEffects on calcium absorption begin within hours, but clinical improvement may take days to weeks.
Peak Plasma TimePeak plasma levels of calcitriol are reached within 2 to 6 hours after oral administration.
Duration of ActionThe biological effect lasts for several days, depending on calcium balance and dose.

How It Works

Alfacalcidol is a prodrug that is converted in the liver to calcitriol, the active form of vitamin D. Calcitriol binds to vitamin D receptors in the intestine, bone, kidney, and parathyroid glands. This binding increases calcium absorption from the gut, reduces parathyroid hormone secretion, and helps regulate bone mineralization. The overall effect is to raise serum calcium and phosphate levels and support healthy bone structure.

Mechanism Steps

1
Liver activation: Alfacalcidol is converted in the liver to calcitriol, the active hormone.
2
Vitamin D receptor binding: Calcitriol binds to vitamin D receptors in the intestine, bone, kidney, and parathyroid glands.
3
Increased calcium absorption: This binding increases calcium absorption from the gastrointestinal tract.
4
Parathyroid hormone suppression: Calcitriol reduces parathyroid hormone secretion, which helps control calcium balance.
5
Bone mineralization: The overall effect supports normal bone mineralization and strength.

💡 How to Take alphadol 0.5mcg soft gelatin capsule

Strength: Alfacalcidol 0.5 mcg immediate-release capsule

1Take this medicine exactly as prescribed by your doctor.
2Swallow the capsule whole with a glass of water.
3Take it at the same time each day, with or without food.
4Do not crush, chew, or open the capsule.
5If you miss a dose, follow the missed dose instructions.
6Do not take extra doses to make up for a missed one.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 0.5 mcg once daily, but the exact dose depends on the condition being treated, your calcium levels, and kidney function. Your doctor may adjust the dose based on regular blood tests. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine. Dose should be individualized and calcium levels monitored closely.
Renal ImpairmentUse with caution in patients with kidney disease. Dose adjustment may be needed based on kidney function and calcium levels.
Hepatic ImpairmentNo specific dose adjustment is established, but liver function should be monitored. Use with caution.
Maximum Daily DoseThe maximum daily dose is determined by your doctor based on your condition and response. Do not exceed the prescribed dose.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
High-calcium foods
Moderate intake
Excessive calcium may increase risk of hypercalcemia.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of alphadol 0.5mcg soft gelatin capsule

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food and consult your doctor if it persists.
Constipation (Common (5-10%))
Increase fluid and fiber intake; consult doctor if severe.
Headache (Common (5-10%))
Usually resolves; consult doctor if persistent.
Weakness (Common (5-10%))
Report to your doctor if it interferes with daily activities.

🚨 Serious Side Effects

Hypercalcemia (Uncommon (1-2%))
Seek medical attention if you experience confusion, excessive thirst, or irregular heartbeat.
Kidney stones (Rare (<0.1%))
Report severe back or flank pain, blood in urine, or painful urination immediately.
Kidney damage (Rare (<0.1%))
Regular monitoring of kidney function is essential; report decreased urine output.
Severe allergic reaction (Rare (<0.1%))
Seek emergency care for swelling of face, lips, throat, or difficulty breathing.

⚠️ Rare Side Effects

Calcium deposits in soft tissues
Increased blood phosphate levels
Mood changes
Drowsiness
Irregular heartbeat

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Thiazide diuretics Major
Digoxin Major
Calcium supplements Major
Corticosteroids Moderate
Cholestyramine Moderate
Antacids with magnesium Moderate
Orlistat Minor
Mineral oil Minor

🚨 Major Interactions

  • Thiazide diuretics
  • Digoxin
  • Calcium supplements

⚡ Moderate Interactions

  • Corticosteroids
  • Antacids containing magnesium
  • Cholestyramine

🍷 Alcohol Interaction

Alcohol may affect calcium balance and liver function, so it is best to avoid or limit alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypercalcemia","Hypervitaminosis D","Known hypersensitivity to alfacalcidol or any ingredient","Calcium-containing kidney stones without medical supervision"]

⚠️ Warnings & Precautions

["Monitor calcium levels regularly to avoid hypercalcemia.","Use with caution in patients with kidney disease.","Avoid concurrent use of high-dose calcium or vitamin D supplements unless prescribed.","Inform your doctor if you have a history of kidney stones.","Not recommended for children without specialist supervision."]

🤱 Lactation Safety

It is not known whether alfacalcidol passes into breast milk in significant amounts. Consult your doctor before breastfeeding while taking this medicine.

💊 Overdose Management

Overdose can cause severe hypercalcemia. Symptoms include nausea, vomiting, confusion, and irregular heartbeat. Seek immediate medical attention. Treatment may include stopping the medicine, hydration, and medications to lower calcium levels.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor, usually once daily with or without food, but preferably at the same time each day. Do not change the dose on your own, because both too little and too much can be harmful. Your doctor will check your blood calcium, phosphate, and kidney function before and during treatment. Avoid taking extra vitamin D or calcium supplements unless your doctor specifically tells you to. Drink enough water to stay well hydrated, especially if you have a history of kidney stones. Tell your doctor if you are pregnant, planning pregnancy, or breastfeeding. Avoid alcohol, as it can affect calcium balance and liver function. Keep all follow-up appointments and laboratory tests, even if you feel well. Store this medicine in its original container at room temperature, away from moisture and direct sunlight. Do not share this medicine with anyone else, even if they have similar symptoms.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more prone to hypercalcemia and kidney problems. Dose should be carefully adjusted and monitored.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before taking this medicine. It may be continued if clearly needed, but dose adjustments and monitoring are essential.

🏥 Post-Surgery Considerations

After surgery, inform your surgeon and anesthesiologist that you are taking this medicine. Calcium levels may need monitoring during recovery.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine. No specific precautions are usually needed, but maintain good oral hygiene.

💚 Lifestyle Tips for Better Results

🏃
Maintain a balanced diet with adequate calcium and vitamin D as advised.
🥗
Stay physically active with low-impact exercises like walking or swimming.
😴
Avoid smoking and limit alcohol intake.
💧
Drink plenty of water to stay hydrated.
🧘
Get regular sunlight exposure as recommended by your doctor.
🌞
Keep all follow-up appointments and lab tests.

🏋️ Exercise Considerations

Moderate exercise is generally safe, but if you have bone pain or weakness, avoid high-impact activities until your condition improves. Consult your doctor before starting any new exercise routine.

🥗 Diet Recommendations

Include calcium-rich foods like milk, yogurt, and leafy greens in moderation.
Avoid excessive calcium supplements unless prescribed.
Stay well hydrated.
Limit processed foods and excess salt.

💼 Impact on Daily Work & Life

This medicine usually does not affect your ability to drive or operate machinery. However, if you experience dizziness or weakness, avoid these activities until you feel better.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. Stopping suddenly can cause calcium levels to drop. Your doctor will decide when and how to stop based on your condition and blood tests.

📅 Long-Term Use Effects

Long-term use requires regular monitoring of calcium, phosphate, and kidney function. Uncontrolled high calcium levels can lead to kidney stones, kidney damage, and calcium deposits in soft tissues. With proper monitoring, long-term use can be safe and beneficial for bone health.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Calcitriol

Another active vitamin D analogue that may be used instead.

Evidence: Well-established
Cholecalciferol

Plain vitamin D supplement, but may not be effective in kidney or liver disease.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are known. Continue routine vaccinations as advised by your doctor.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store it at room temperature and protect it from moisture and direct sunlight. If traveling across time zones, take your dose at the same time each day as prescribed; you may adjust gradually. Keep enough supply for your entire trip. Check customs regulations for prescription medicines before traveling internationally.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 58-year-old man with chronic kidney disease and low calcium levels
He was prescribed this medicine 0.5 mcg once daily. After 4 weeks, his calcium levels improved and he felt less weak. He regularly monitored his calcium and kidney function. He learned to take the medicine with food to avoid nausea.
💡 Lesson: Regular monitoring and adherence to the prescribed dose are key to safe and effective treatment.
👤 A 45-year-old woman with hypoparathyroidism after thyroid surgery
She started this medicine and noticed improvement in tingling and muscle cramps within 2 weeks. She was advised to avoid extra calcium supplements and to drink plenty of water. She kept all follow-up appointments.
💡 Lesson: This medicine can significantly improve symptoms when taken as prescribed and monitored properly.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Improvement in calcium levels may be seen within days to weeks, but full benefits for bones may take months. Regular monitoring is required.

Q: Can I take this medicine with other vitamins?

A: Do not take extra vitamin D or calcium supplements unless your doctor approves, as it may cause high calcium levels.

Q: Is this medicine safe for my kidneys?

A: It is used in kidney disease but requires careful monitoring. High doses can harm kidneys, so follow your doctor's instructions.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for alphadol 0.5mcg soft gelatin capsule

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Alpha d3 is just a vitamin supplement and can be taken by anyone.
    Fact: It is a prescription medicine that requires monitoring and should only be taken under medical supervision.
  • Myth: More alpha d3 means stronger bones.
    Fact: Taking too much can cause high calcium levels, which is dangerous.

🔄 Alternative Options

Generic Alternatives

  • Alfacalcidol 0.5 mcg capsule

Brand Alternatives

  • Alpha D3 0.5mcg Capsule

📊 Comparison with Similar Medicines

[{"medicine":"Alfacalcidol","active_ingredient":"Alfacalcidol","strength":"0.5 mcg","form":"Capsule","route":"Oral","key_difference":"Prodrug converted to calcitriol in liver."},{"medicine":"Calcitriol","active_ingredient":"Calcitriol","strength":"0.25 mcg","form":"Capsule","route":"Oral","key_difference":"Active form of vitamin D, no liver conversion needed."}]

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