alphadol 1mcg soft gelatin capsule - Alfacalcidol (1mcg) medicine

Alphadol 1mcg Soft Gelatin Capsule: Complete Medicine Guide

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🏭 Panacea Biotec Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 22, 2026
⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: Well-established for approved indications.
Reviewed by
SaathiMed Expert Panel | Sep 22, 2026

When to Call Your Doctor IMMEDIATELY

  • Severe nausea, vomiting, or abdominal pain
  • Increased thirst and frequent urination
  • Confusion or drowsiness
  • Irregular heartbeat or palpitations
  • Blood in urine or severe flank pain
  • Swelling of face, lips, or throat
  • Yellowing of skin or eyes

If experiencing severe symptoms, call emergency services immediately.

What is alphadol 1mcg soft gelatin capsule used for?

This medicine contains alfacalcidol, a vitamin D analogue used to treat low calcium levels and bone diseases. It works by being converted to active vitamin D in the liver, helping the body absorb calcium and build strong bones.

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

🇮🇳 alphadol 1mcg soft gelatin capsule के बारे में (Hindi Summary)

उपयोग: यह दवा अल्फाकैल्सिडॉल नामक सक्रिय तत्व युक्त सॉफ्ट जिलेटिन कैप्सूल है। यह विटामिन डी का एक एनालॉग है जो शरीर में कैल्शियम के स्तर को बढ़ाने और हड्डियों को मजबूत बनाने में मदद करता है। इसका उपयोग मुख्य रूप से खून में कैल्शियम की कमी (हाइपोकैल्सीमिया), गुर्दे की बीमारी से जुड़ी हड्डियों की समस्या (रीनल ऑस्टियोडिस्ट्रॉफी), रिकेट्स, ऑस्टियोमलेशिया और ऑस्टियोपोरोसिस के इलाज में किया जाता है। यह दवा लीवर में सक्रिय विटामिन डी में बदल जाती है, जो आंतों से कैल्शियम और फॉस्फेट के अवशोषण को बढ़ाती है और हड्डियों के स्वास्थ्य को बेहतर बनाती है। यह दवा डॉक्टर के पर्चे पर ही मिलती है और इसे डॉक्टर के बताए अनुसार ही लेना चाहिए।

साइड इफेक्ट्स: आमतौर पर यह दवा सही मात्रा में लेने पर अच्छी तरह सहन की जाती है। कुछ लोगों में मतली, उल्टी, कब्ज, दस्त, पेट दर्द, सूखा मुँह, सिरदर्द और कमजोरी जैसे हल्के दुष्प्रभाव हो सकते हैं। कैल्शियम बढ़ने के कारण प्यास लगना, बार-बार पेशाब आना, भूख न लगना और भ्रम जैसे लक्षण भी हो सकते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर आपको लगातार मतली, उल्टी, या मानसिक बदलाव महसूस हों तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को हमेशा डॉक्टर के बताए अनुसार ही लें। अपनी मर्जी से मात्रा न बढ़ाएं या घटाएं। डॉक्टर समय-समय पर खून में कैल्शियम, फॉस्फेट और गुर्दे की कार्यप्रणाली की जांच करेंगे। अगर आपको किडनी स्टोन, हृदय रोग या सारकॉइडोसिस है तो डॉक्टर को बताएं। बिना सलाह के अतिरिक्त विटामिन डी या कैल्शियम सप्लीमेंट न लें। खूब पानी पिएं। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। दवा को मूल डिब्बे में कमरे के तापमान पर रखें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 alphadol 1mcg soft gelatin capsule Uses & Benefits

[{"condition":"Hypocalcaemia","description":"Used to treat and prevent low calcium levels in the blood, especially in patients with chronic kidney disease or hypoparathyroidism.","evidence":"Well-established"},{"condition":"Renal osteodystrophy","description":"Helps manage bone disease in people with chronic kidney disease by improving calcium and phosphate balance.","evidence":"Well-established"},{"condition":"Osteomalacia and rickets","description":"Used to treat softening of bones due to vitamin D deficiency or impaired metabolism.","evidence":"Well-established"},{"condition":"Osteoporosis","description":"Sometimes prescribed as an adjunct to other treatments to support bone health, especially in patients with kidney or liver issues.","evidence":"Moderate"},{"condition":"Hypoparathyroidism","description":"Helps maintain normal calcium levels in people with underactive parathyroid glands.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Psoriasis","description":"Topical or oral vitamin D analogues are sometimes used for psoriasis, but this oral form is not standard.","evidence":"Limited"},{"condition":"Prevention of falls in elderly","description":"Vitamin D analogues may help improve muscle function and reduce falls, but evidence for alfacalcidol specifically is limited.","evidence":"Limited"}]

Primary treatment for: Hypocalcaemia

Also treats: Renal osteodystrophy, Osteomalacia, Rickets, Osteoporosis, Hypoparathyroidism

📋 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 between 15°C and 30°C. Protect from moisture and direct sunlight. Keep in the original container.
Shelf Life24 months from the date of manufacture, or as printed on the pack.
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
Always take this medicine with food to enhance absorption and reduce stomach upset.
2
Regular blood tests for calcium, phosphate, and kidney function are essential while on this medicine.
3
Do not take additional vitamin D or calcium supplements unless your doctor prescribes them.
4
Stay well hydrated to help prevent kidney stones.
5
Inform your doctor immediately if you experience symptoms of high calcium such as increased thirst, frequent urination, or confusion.
6
Avoid alcohol as it may affect liver metabolism of this medicine.
7
Do not stop this medicine abruptly without consulting your doctor.

🔍 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 be used to treat bone disease.
Likely Use
Fever
This medicine is not a fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionAlfacalcidol is rapidly absorbed from the gastrointestinal tract after oral administration. It is a prodrug and is quickly converted to calcitriol in the liver. The exact bioavailability is not well established from available information, but it is considered to be well absorbed.
DistributionAfter conversion to calcitriol, it is distributed to target tissues such as the intestine, bone, kidney, and parathyroid glands. It is transported in the blood bound to vitamin D binding protein. The volume of distribution is not well established from available information.
Protein BindingCalcitriol, the active metabolite, is highly bound to vitamin D binding protein and albumin in the blood. The exact percentage is not established from the available information.
MetabolismAlfacalcidol is metabolized in the liver to calcitriol (1,25-dihydroxyvitamin D3) by the enzyme 25-hydroxylase. Calcitriol is further metabolized in the kidney and other tissues to less active metabolites, including calcitroic acid.
Half-LifeThe elimination half-life of calcitriol is approximately 5 to 8 hours, but the biological effects last longer. The half-life of alfacalcidol itself is not well established from available information.
ExcretionCalcitriol and its metabolites are excreted mainly in the bile and feces, with a small amount excreted in the urine. The exact proportions are not established from the available information.
BioavailabilityThe bioavailability of alfacalcidol is not well established from available information, but it is rapidly absorbed and converted to calcitriol.
Onset of ActionThe onset of action for increasing serum calcium levels is typically within a few days to weeks, depending on the dose and individual response. For bone effects, it may take several weeks to months.
Peak Plasma TimePeak plasma levels of calcitriol after oral alfacalcidol are reached within 2 to 6 hours. The exact time may vary.
Duration of ActionThe effects on calcium absorption last for several days, but the biological half-life of calcitriol is about 5 to 8 hours. The duration of action for bone effects is longer, requiring weeks to months of therapy.

How It Works

Alfacalcidol is a prodrug that is converted in the liver to calcitriol, the biologically active form of vitamin D. Calcitriol binds to the vitamin D receptor in the nucleus of target cells, particularly in the intestine, bone, kidney, and parathyroid glands. This binding regulates the expression of genes involved in calcium and phosphate transport. In the intestine, it increases the absorption of calcium and phosphate. In bone, it promotes normal bone formation and mineralization. In the kidney, it reduces calcium excretion and may increase phosphate reabsorption. In the parathyroid glands, it suppresses parathyroid hormone secretion, which helps reduce bone turnover in chronic kidney disease.

Mechanism Steps

1
Absorption and liver conversion: After oral intake, alfacalcidol is absorbed and rapidly converted in the liver to calcitriol, the active form of vitamin D.
2
Vitamin D receptor binding: Calcitriol binds to the vitamin D receptor (VDR) in target tissues such as the intestine, bone, kidney, and parathyroid glands.
3
Gene regulation: The calcitriol-VDR complex enters the nucleus and regulates the expression of genes involved in calcium and phosphate transport.
4
Increased calcium absorption: In the intestine, this leads to increased absorption of dietary calcium and phosphate into the bloodstream.
5
Bone and kidney effects: In bone, it promotes mineralization; in the kidney, it reduces calcium loss and helps maintain normal blood levels.
6
Parathyroid suppression: It suppresses parathyroid hormone secretion, reducing bone turnover and helping manage renal osteodystrophy.

💡 How to Take alphadol 1mcg soft gelatin capsule

Strength: Soft gelatin capsule containing 1 mcg of alfacalcidol.

1Take this medicine exactly as prescribed by your doctor.
2Swallow the capsule whole with a glass of water.
3Take it with food to improve absorption and reduce stomach upset.
4Do not crush, chew, or open the capsule.
5Take it at the same time each day to maintain consistent levels.
6If you miss a dose, follow the missed dose instructions.
7Do not take extra doses to make up for a missed one.

Dosage Information

Adult DosageThe usual adult dose of this medicine is individualized by a qualified clinician based on the condition being treated, your age, kidney and liver function, and response to therapy. For hypocalcaemia and metabolic bone disease, a common starting dose is 0.5 to 1 mcg once daily, but your doctor may adjust this. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not change the dose without medical advice.
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, especially regarding calcium levels. Doses should be individualized by a clinician, and monitoring should be more frequent.
Renal ImpairmentIn patients with chronic kidney disease, this medicine is often used but requires careful monitoring of calcium and phosphate levels. Dose adjustment may be necessary. Consult your nephrologist for personalized dosing.
Hepatic ImpairmentIn patients with liver disease, conversion of alfacalcidol to its active form may be impaired. Dose adjustment and close monitoring are recommended. Consult your hepatologist.
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
Enhances absorption and reduces stomach upset.
High-fibre foods
Separate by 2 hours
Fibre may reduce absorption.

⏰ 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 1mcg soft gelatin capsule

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food to reduce nausea. If it persists, consult your doctor.
Constipation (Common (5-10%))
Increase fluid and fibre intake. Consult doctor if severe.
Headache (Common (5-10%))
Usually resolves. If persistent or severe, seek medical advice.
Weakness (Common (5-10%))
Rest and stay hydrated. Report if it interferes with daily activities.
Dry mouth (Common (5-10%))
Sip water frequently. Consult doctor if it continues.

🚨 Serious Side Effects

Hypercalcaemia (Uncommon (0.1-1%))
Seek immediate medical attention if you experience increased thirst, frequent urination, confusion, or irregular heartbeat.
Kidney stones (Rare (<0.1%))
Report severe back or flank pain, blood in urine, or painful urination to your doctor immediately.
Severe allergic reaction (Rare (<0.1%))
Seek emergency help if you notice rash, swelling of face or throat, or difficulty breathing.

⚠️ Rare Side Effects

Calcinosis
Report any abnormal calcium deposits or tissue hardening to your doctor.
Arrhythmias
Seek immediate medical attention if you feel palpitations or chest discomfort.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Thiazide diuretics Major
Digoxin Major
Calcium supplements Major
Corticosteroids Moderate
Magnesium-containing antacids Moderate
Cholestyramine 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 liver function and vitamin D metabolism. It is advisable to limit or avoid alcohol while taking this medicine, especially if you have liver disease. Consult your doctor for personalized advice.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypercalcaemia (high blood calcium)","Hypervitaminosis D (excess vitamin D)","Known allergy to alfacalcidol or any component of the capsule","Severe renal impairment without monitoring","Hyperphosphataemia (high phosphate levels)"]

⚠️ Warnings & Precautions

["Monitor serum calcium and phosphate regularly to avoid hypercalcaemia.","Use with caution in patients with kidney stones or a history of kidney stones.","Avoid concurrent use of other vitamin D supplements unless prescribed.","Use with caution in patients with heart disease, especially those on digoxin.","Inform your doctor if you have sarcoidosis or other granulomatous diseases.","Do not exceed the prescribed dose.","Elderly patients may be more sensitive to the effects of this medicine.","Pregnant and breastfeeding women should consult their doctor before use."]

🤱 Lactation Safety

It is not known whether alfacalcidol passes into breast milk. It should be used with caution during breastfeeding, and only if prescribed by a doctor. Monitor the infant for signs of hypercalcaemia if used.

💊 Overdose Management

Overdose can cause hypercalcaemia, which may present as nausea, vomiting, increased thirst, frequent urination, confusion, and irregular heartbeat. If you suspect an overdose, stop the medicine and seek immediate medical attention. Treatment may include stopping the drug, hydration, and medications to lower calcium levels. In severe cases, hospitalization may be required.

⏰ 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 take a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Always take this medicine exactly as prescribed by your doctor. Do not take more or less than the recommended dose. Your doctor will likely check your blood calcium, phosphate, and kidney function regularly while you are on this medicine. Inform your doctor if you have a history of kidney stones, heart disease, or sarcoidosis. Avoid taking extra vitamin D or calcium supplements unless your doctor specifically tells you to. Drink plenty of water to help prevent kidney stones. If you are pregnant, planning pregnancy, or breastfeeding, talk to your doctor before using this medicine. Keep all appointments for blood tests. 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 sensitive to the effects of this medicine, especially regarding calcium levels. Doses should be individualized, and monitoring should be more frequent. Falls risk should be assessed.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before taking this medicine. It should be used during pregnancy only if clearly needed. Your doctor will weigh the benefits and risks.

🏥 Post-Surgery Considerations

If you are undergoing surgery, inform your surgeon and anesthesiologist about this medicine. It may affect calcium levels and interact with other medications used during surgery.

🦷 Dental Procedures

Inform your dentist about this medicine before any dental procedure. It is generally safe, but your dentist may need to know in case of any complications.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce stress on bones and joints.
🥗
Engage in regular weight-bearing exercises like walking to strengthen bones.
😴
Ensure adequate sun exposure for natural vitamin D synthesis, but avoid excessive sun.
💧
Include calcium-rich foods in your diet as advised by your doctor.
🧘
Avoid smoking and limit alcohol intake.
🌞
Stay hydrated to help prevent kidney stones.

🏋️ Exercise Considerations

Moderate exercise is generally safe, but if you have bone disease or are at risk of fractures, avoid high-impact activities. Consult your doctor before starting any new exercise routine.

🥗 Diet Recommendations

Include calcium-rich foods like dairy, leafy greens, and fortified cereals as advised.
Maintain adequate protein intake for bone health.
Limit foods high in oxalates if you are prone to kidney stones.
Stay well hydrated.

💼 Impact on Daily Work & Life

This medicine is unlikely to affect your ability to work or drive. However, if you experience dizziness or confusion due to high calcium levels, avoid driving or operating machinery until you feel better.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. Your doctor will decide when to stop based on your calcium levels, bone health, and overall condition. Abrupt discontinuation may lead to worsening of your condition.

📅 Long-Term Use Effects

Long-term use of this medicine requires regular monitoring of calcium, phosphate, and kidney function. Prolonged high calcium levels can lead to kidney stones, kidney damage, and heart rhythm problems. Your doctor will periodically assess the need for continued therapy and adjust the dose. Do not stop or change the dose without medical advice.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Calcitriol

Another active vitamin D analogue that does not require liver conversion.

Evidence: Well-established
Cholecalciferol

Vitamin D3 supplement that requires kidney and liver conversion.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are established. However, inform your doctor about this medicine before receiving any vaccine.

📦 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, continue taking it at your usual times, but consult your doctor if you need to adjust the schedule. Keep enough supply for your entire trip. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 58-year-old man with chronic kidney disease and bone pain
He was prescribed this medicine by his nephrologist. After a few weeks, his bone pain reduced and blood tests showed improved calcium levels. He learned to take it with meals and kept up with regular monitoring.
💡 Lesson: Consistent use and regular monitoring are key to managing bone disease in kidney patients.
👤 A 35-year-old woman with hypoparathyroidism
She experienced tingling in her hands and muscle cramps. Her doctor started her on this medicine. Within a month, her symptoms improved and calcium levels normalized. She was advised to avoid extra calcium supplements without medical advice.
💡 Lesson: This medicine can effectively control symptoms of low calcium when taken as prescribed and monitored properly.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: It may take a few days to weeks to see improvement in calcium levels, and several weeks to months for bone effects.

Q: Can I take calcium supplements with this medicine?

A: Only if your doctor prescribes them. Taking extra calcium can lead to dangerously high calcium levels.

Q: Is this medicine safe for my kidneys?

A: It can be used in kidney disease but requires careful monitoring. Your doctor will adjust the dose and monitor your kidney function.

🤔 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?

🛑 Myths vs. Facts

  • Myth: This medicine is a calcium supplement.
    Fact: No, it is a vitamin D analogue that helps your body absorb calcium, but it is not calcium itself.
  • Myth: You can take extra doses for faster results.
    Fact: Taking more than prescribed can cause dangerous high calcium levels. Always follow your doctor's advice.

🔄 Alternative Options

Generic Alternatives

  • Alfacalcidol 1 mcg soft gelatin capsule

Brand Alternatives

  • Alphadol 1mcg Soft Gelatin Capsule

📊 Comparison with Similar Medicines

[{"medicine":"Alfacalcidol","class":"Vitamin D analogue","use":"Hypocalcaemia, bone disease","note":"Requires liver conversion"},{"medicine":"Calcitriol","class":"Active vitamin D","use":"Hypocalcaemia, bone disease","note":"No liver conversion needed"},{"medicine":"Cholecalciferol","class":"Vitamin D3","use":"Vitamin D deficiency","note":"Requires kidney and liver conversion"}]

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