calcijet injection - Calcitriol (1mcg) medicine

Calcileap Injection: Complete Medicine Guide

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

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

If experiencing severe symptoms, call emergency services immediately.

What is calcijet injection used for?

This medicine is an injectable form of calcitriol, the active form of vitamin D3. It is used to treat low calcium levels and secondary hyperparathyroidism in patients with chronic kidney disease. It works by helping the body absorb calcium and reducing parathyroid hormone levels. It must be given by a healthcare professional and requires regular blood tests to monitor calcium levels.

  • Generic Name: Calcitriol
  • Manufacturer: LG Lifesciences
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 calcijet injection के बारे में (Hindi Summary)

उपयोग: यह दवा कैल्सिट्रियोल का इंजेक्शन है, जो विटामिन डी3 का सक्रिय रूप है। इसका उपयोग गुर्दे की बीमारी वाले रोगियों में कैल्शियम की कमी और पैराथायरॉइड हार्मोन के बढ़ने के इलाज के लिए किया जाता है। यह शरीर में कैल्शियम के अवशोषण को बढ़ाता है और हड्डियों को मजबूत बनाता है। यह इंजेक्शन डॉक्टर द्वारा मांसपेशी में लगाया जाता है। इसका उपयोग डॉक्टर की सलाह के बिना न करें।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, कब्ज, अधिक प्यास लगना, बार-बार पेशाब आना, मांसपेशियों में कमजोरी और थकान शामिल हैं। कभी-कभी रक्त में कैल्शियम का स्तर बहुत अधिक बढ़ सकता है, जिससे भ्रम, दिल की धड़कन अनियमित होना, और गुर्दे की पथरी जैसी गंभीर समस्याएं हो सकती हैं। अगर आपको ऐसे लक्षण दिखें तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: यह दवा केवल डॉक्टर या नर्स द्वारा ही लगाई जानी चाहिए। खुद से इंजेक्शन न लगाएं। इलाज के दौरान डॉक्टर नियमित रूप से रक्त में कैल्शियम और फॉस्फेट की जांच करेंगे। बिना डॉक्टर की सलाह के कैल्शियम या विटामिन डी की अतिरिक्त खुराक न लें। पर्याप्त पानी पिएं। अगर आपको मतली, उल्टी, कब्ज, या बार-बार पेशाब आने जैसे लक्षण हों तो डॉक्टर को बताएं।

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

💊 calcijet injection Uses & Benefits

[{"condition":"Secondary hyperparathyroidism in chronic kidney disease","description":"This medicine helps lower parathyroid hormone levels and improves calcium balance in patients with kidney failure who cannot activate vitamin D normally.","evidence":"Well-established"},{"condition":"Hypocalcemia in chronic kidney disease","description":"It raises serum calcium by increasing intestinal calcium absorption and mobilizing calcium from bone.","evidence":"Well-established"},{"condition":"Vitamin D-dependent rickets or osteomalacia","description":"Used when the body cannot convert vitamin D to its active form, helping to mineralize bone and correct low calcium.","evidence":"Well-established"},{"condition":"Hypoparathyroidism","description":"This medicine can help maintain normal calcium levels when the parathyroid glands do not produce enough hormone.","evidence":"Established"},{"condition":"Osteoporosis in patients with kidney disease","description":"It may be used as part of a bone-protection strategy, though it is not a first-line treatment for common postmenopausal osteoporosis.","evidence":"Limited"}]

Off-label uses: [{"condition":"Psoriasis","description":"Topical calcitriol is used for psoriasis, but the injectable form is not standard for this condition.","evidence":"Limited"},{"condition":"Prevention of corticosteroid-induced osteoporosis","description":"Sometimes used off-label, but other agents are preferred.","evidence":"Limited"}]

Primary treatment for: Secondary hyperparathyroidism in chronic kidney disease

Also treats: Hypocalcemia, Vitamin D-dependent rickets, Osteomalacia, Hypoparathyroidism

📋 Drug Information

Generic Name(s)Calcitriol
Brand NameCalcirol 600000IU Injection
ManufacturerLG Lifesciences
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassVITAMINS MINERALS NUTRIENTS
Action ClassVitamins
Route of AdministrationIntramuscular injection. This medicine must be administered by a healthcare professional
StorageStore in a refrigerator at 2°C to 8°C (36°F to 46°F). Do not freeze. Protect from light. Keep in the original carton until use.
Shelf LifeThe shelf life is typically 24 months from the date of manufacture. Check the expiry date on the packaging.
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 check serum calcium and phosphate levels before and after starting this medicine.
2
Adjust the dose slowly based on parathyroid hormone and calcium levels to avoid hypercalcemia.
3
Avoid concomitant use of thiazide diuretics and calcium supplements unless absolutely necessary.
4
Instruct patients to report symptoms of hypercalcemia such as nausea, vomiting, or increased thirst immediately.
5
Monitor kidney function regularly, especially in patients with chronic kidney disease.
6
Consider alternative vitamin D analogs if hypercalcemia persists despite dose reduction.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Bone pain
This medicine is used to treat bone disease in kidney failure.
Likely Use
✅
Muscle weakness
May be due to low calcium or high parathyroid hormone.
Likely Use
❌
Fever
This medicine is not used for fever.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is given by intramuscular injection, so it bypasses the digestive system. After injection, calcitriol is absorbed from the muscle into the bloodstream. The exact rate and extent of absorption from the intramuscular site are not well established from the available information.
DistributionCalcitriol is distributed widely in the body, with highest concentrations in the liver, kidneys, and intestines. It crosses the placenta and is excreted in breast milk. The exact volume of distribution for the intramuscular form is not established from the available information.
Protein BindingCalcitriol is approximately 99.9% bound to plasma proteins, mainly to vitamin D-binding protein and albumin.
MetabolismCalcitriol is metabolized in the liver and intestines. It undergoes hydroxylation and oxidation to form several metabolites, including calcitroic acid, which is less active. Some metabolism also occurs in target tissues.
Half-LifeThe elimination half-life of calcitriol is approximately 5 to 8 hours in healthy individuals, but it may be longer in patients with kidney or liver disease.
ExcretionCalcitriol and its metabolites are excreted mainly in the bile and feces, with a smaller amount eliminated in the urine.
BioavailabilityThe bioavailability of intramuscular calcitriol is not well established from the available information. When given by intravenous injection, calcitriol is completely available, but intramuscular absorption may be slower and less predictable.
Onset of ActionThe onset of action after intramuscular injection is not well established. When given intravenously, effects on parathyroid hormone can be seen within hours, but the intramuscular route may take longer.
Peak Plasma TimeThe time to peak plasma concentration after intramuscular injection is not established from the available information.
Duration of ActionThe duration of action of this medicine is not well established for the intramuscular route. The effects on calcium and parathyroid hormone typically last for several days, but individual variation is significant.

How It Works

This medicine is the active form of vitamin D3. It binds to the vitamin D receptor inside target cells, forming a complex that enters the nucleus and regulates the expression of genes involved in calcium and phosphate transport. In the intestine, it increases the production of calcium-binding proteins that carry calcium from the gut into the blood. In bone, it helps mobilize calcium when needed and supports normal bone remodeling. In the kidney, it reduces calcium loss in urine. In the parathyroid glands, it directly suppresses parathyroid hormone production, which is helpful in secondary hyperparathyroidism. Overall, this medicine restores calcium balance and reduces the harmful effects of high parathyroid hormone levels.

Mechanism Steps

1
Binding to vitamin D receptor: This medicine enters target cells and binds tightly to the vitamin D receptor, which is present in the intestine, bone, kidney, and parathyroid glands.
2
Receptor activation and gene regulation: The calcitriol-receptor complex moves into the cell nucleus and attaches to specific DNA sequences, turning on or off genes that control calcium transport and cell growth.
3
Increased intestinal calcium absorption: In the gut, this medicine increases the production of calcium-binding proteins, which help move calcium from food into the bloodstream.
4
Reduced parathyroid hormone release: In the parathyroid glands, this medicine directly suppresses the production and release of parathyroid hormone, which is often elevated in kidney disease.
5
Bone and kidney effects: In bone, it supports normal mineralization and helps mobilize calcium when needed. In the kidney, it reduces calcium excretion so that more calcium stays in the body.

💡 How to Take calcijet injection

Strength: 1 mcg per injection (1 microgram)

1This medicine is given by a healthcare professional as an intramuscular injection.
2You do not need to do anything to prepare for the injection other than inform your doctor of any allergies or medications.
3The injection is usually given in the upper arm or thigh muscle.
4After the injection, you may be asked to wait for a short time to monitor for any immediate reactions.
5Follow your doctor's instructions for follow-up blood tests.

Dosage Information

Adult DosageThe dose of this medicine must be individualized by a qualified clinician based on the indication, the patient's calcium and parathyroid hormone levels, kidney function, and response to treatment. For secondary hyperparathyroidism in chronic kidney disease, a typical starting dose might be 0.5 mcg to 1 mcg given intramuscularly two to three times per week, but this varies widely. Your doctor will adjust the dose based on regular blood tests. Never self-administer this injection.
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 hypercalcemia. Doses should be carefully adjusted, and calcium levels monitored more frequently.
Renal ImpairmentPatients with kidney disease require careful monitoring of calcium and phosphate levels. The dose should be individualized based on kidney function and response. This medicine is often used in chronic kidney disease, but close supervision is necessary.
Hepatic ImpairmentPatients with liver disease may have impaired metabolism of calcitriol. Dose adjustment may be necessary, and monitoring of calcium levels is recommended.
Maximum Daily DoseThe maximum daily dose is not fixed and must be determined by a clinician based on individual response and calcium levels. Exceeding the prescribed dose can cause severe hypercalcemia.

Dosage Timeline

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

🍽️ Food Timing Guide

High-calcium foods
Moderate intake
Excessive calcium can increase risk of hypercalcemia.
Grapefruit
No known interaction
Grapefruit does not affect calcitriol.

⏰ What to Do If You Miss a Dose

📌 You miss a scheduled injection
→ Contact your healthcare provider as soon as possible.
💡 Do not attempt to self-administer a double dose.
📌 You are unsure about the next dose
→ Call your clinic for guidance.
💡 Follow the new schedule provided by your doctor.

⚠️ Side Effects of calcijet injection

✅ Common Side Effects

Nausea (Common (5-10%))
Try to take it with food if oral, but since this is an injection, report to your doctor if it persists.
Constipation (Common (5-10%))
Increase fluid and fiber intake. Consult your doctor if it continues.
Increased thirst (Common (5-10%))
Drink water as needed. Report if excessive.
Increased urination (Common (5-10%))
Monitor fluid intake. Inform your doctor if it interferes with daily life.
Muscle weakness (Uncommon (1-5%))
Report to your doctor, as it may be a sign of high calcium.

🚨 Serious Side Effects

Severe hypercalcemia (Rare (<0.1%))
Seek immediate medical attention if you experience confusion, severe nausea, vomiting, or irregular heartbeat.
Kidney stones (Rare (<0.1%))
Report severe back or flank pain, blood in urine, or painful urination immediately.
Cardiac arrhythmias (Rare (<0.1%))
Call emergency services if you feel palpitations, chest pain, or shortness of breath.
Anaphylaxis (Very rare (<0.01%))
Seek emergency help if you develop rash, swelling of face or throat, or difficulty breathing.

⚠️ Rare Side Effects

Pancreatitis
Seek immediate care for severe abdominal pain radiating to the back.
Soft tissue calcification
Report any unusual pain, redness, or swelling in joints or muscles.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Thiazide diuretics Major
Digoxin Major
Calcium supplements Major
Vitamin D supplements Major
Corticosteroids Moderate
Ketoconazole Moderate
Cholestyramine Moderate
Magnesium-containing antacids Minor
Orlistat Minor
Phenytoin Moderate

🚨 Major Interactions

  • Thiazide diuretics
  • Digoxin
  • Calcium-containing supplements
  • Vitamin D supplements

⚡ Moderate Interactions

  • Corticosteroids
  • Ketoconazole
  • Cholestyramine

🍷 Alcohol Interaction

Alcohol may worsen bone loss and increase the risk of falls. It is advisable to limit alcohol consumption while receiving this medicine, especially if you have kidney disease or osteoporosis.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypercalcemia (high blood calcium)","Vitamin D toxicity","Known hypersensitivity to calcitriol or any component of the injection","Evidence of digitalis toxicity"]

⚠️ Warnings & Precautions

["This medicine can cause hypercalcemia; monitor calcium levels closely.","Avoid concurrent use of other vitamin D supplements or calcium supplements unless prescribed.","Use with caution in patients with kidney stones or a history of kidney stones.","Patients with heart disease should be monitored for arrhythmias.","This medicine should be used with caution in patients with sarcoidosis or other granulomatous diseases, as they may have increased sensitivity to vitamin D.","Do not use this medicine if you have high calcium levels or vitamin D toxicity.","Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding.","This medicine may impair your ability to drive or operate machinery if you experience dizziness or drowsiness."]

🤱 Lactation Safety

Calcitriol is excreted in human breast milk. Because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the medicine, taking into account the importance of the medicine to the mother.

💊 Overdose Management

Overdose of this medicine can cause severe hypercalcemia, which may be life-threatening. Symptoms include nausea, vomiting, confusion, weakness, and irregular heartbeat. Treatment includes immediate discontinuation of the medicine, hydration with intravenous fluids, and possibly medications such as corticosteroids or bisphosphonates to lower calcium levels. Hemodialysis may be considered in severe cases. Seek emergency medical attention immediately if overdose is suspected.

⏰ Missed Dose

If you miss a scheduled injection, contact your healthcare provider as soon as possible. Do not attempt to self-administer a double dose. Your doctor will advise you on the next steps based on your treatment schedule.

Additional Safety Advice

General Safety

This medicine must be given only by a qualified healthcare professional. Do not attempt to self-administer this injection. Your doctor will check your blood calcium, phosphate, and parathyroid hormone levels before and during treatment. Tell your doctor if you have ever had kidney stones, heart disease, sarcoidosis, or any condition that raises your calcium levels. Avoid taking extra vitamin D or calcium supplements unless your doctor specifically tells you to. Drink plenty of water to help prevent kidney stones. Report any symptoms of high calcium such as nausea, vomiting, constipation, increased thirst, or frequent urination immediately. If you miss a scheduled injection, contact your clinic for advice; do not try to catch up on your own. Keep all follow-up appointments for blood tests. Inform any other doctor treating you that you are receiving this medicine, especially before surgery or dental work.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more prone to hypercalcemia and its complications. Doses should be started low and increased gradually with close monitoring.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor. This medicine is Category C and should be used during pregnancy only if clearly needed. Discuss risks and benefits.

🏥 Post-Surgery Considerations

After surgery, inform your surgeon and anesthesiologist that you are receiving this medicine. It may affect calcium levels during recovery.

🦷 Dental Procedures

Inform your dentist that you are on this medicine. It may affect bone healing and calcium levels. Your dentist may consult with your doctor before procedures.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce stress on bones and joints.
🥗
Engage in regular low-impact exercise like walking or swimming.
😴
Ensure adequate hydration by drinking plenty of water.
💧
Avoid smoking and limit alcohol consumption.
🧘
Get regular check-ups for kidney function and bone health.
🌞
Follow a balanced diet rich in calcium and vitamin D as advised by your doctor.

🏋️ Exercise Considerations

Exercise is generally safe, but if you have bone pain or muscle weakness, avoid high-impact activities. Consult your doctor before starting any new exercise regimen.

🥗 Diet Recommendations

Include calcium-rich foods like milk, yogurt, and leafy greens in moderation.
Ensure adequate vitamin D from sunlight or supplements as advised.
Limit foods high in phosphorus if you have kidney disease.
Stay well hydrated.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness in some people. If affected, avoid driving or operating heavy machinery until you know how it affects you. Otherwise, it should not interfere with your daily activities.

🛑 When to Stop This Medicine

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

📅 Long-Term Use Effects

Long-term use of this medicine requires regular monitoring of calcium, phosphate, and parathyroid hormone levels. Prolonged hypercalcemia can lead to kidney stones, kidney damage, and soft tissue calcification. Your doctor will adjust the dose to maintain safe levels. Regular follow-up is essential.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Oral calcitriol

Oral forms are available and may be used if appropriate.

Evidence: Well-established
Other vitamin D analogs

Paricalcitol or doxercalciferol may be alternatives.

Evidence: Well-established
Cinacalcet

A calcimimetic that lowers parathyroid hormone, used in some patients.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are known. However, inform your doctor before any vaccination.

📦 Storage Guide

✅ DO

Store in refrigerator at 2°C to 8°C

❌ DON'T

Do not freeze

✅ DO

Keep in original carton to protect from light

❌ DON'T

Do not transfer to another container

✅ DO

Check expiry date before use

❌ DON'T

Do not use if expired

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with the prescription label. Keep it refrigerated during travel using a cool pack. Carry a copy of your prescription. If traveling across time zones, consult your doctor about adjusting the injection schedule. Declare it at customs if required. Do not expose to extreme temperatures.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 58-year-old man with chronic kidney disease stage 4
He was started on this medicine for secondary hyperparathyroidism. After a few weeks, his parathyroid hormone levels decreased, and he felt less bone pain. He had regular blood tests to monitor calcium. He learned to report any new symptoms promptly.
💡 Lesson: Regular monitoring and dose adjustment are key to safe and effective treatment.
👤 A 45-year-old woman with hypoparathyroidism after thyroid surgery
She received this medicine to maintain normal calcium levels. She experienced mild nausea initially, which resolved after dose adjustment. She now leads an active life with regular follow-ups.
💡 Lesson: Side effects can often be managed with dose adjustments under medical supervision.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: The effects on parathyroid hormone and calcium may be seen within days to weeks, but the full benefit takes longer. Your doctor will monitor your levels regularly.

Q: Can I take this medicine at home?

A: No, this medicine must be given by a healthcare professional.

Q: What should I avoid while on this medicine?

A: Avoid extra calcium and vitamin D supplements unless prescribed. Limit alcohol.

🤔 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 calcijet injection

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine is a general vitamin D supplement.
    Fact: This medicine is the active form of vitamin D and is much more potent than regular vitamin D supplements. It should only be used under medical supervision.
  • Myth: You can self-administer this injection at home.
    Fact: This medicine must be given by a healthcare professional. Self-administration is not recommended.
  • Myth: More is better for bone health.
    Fact: Taking too much can cause dangerous high calcium levels. The dose must be carefully adjusted by a doctor.

🔄 Alternative Options

Generic Alternatives

  • Calcitriol injection (generic)

Brand Alternatives

  • Calcijex
  • Rocaltrol
  • Zemplar

📊 Comparison with Similar Medicines

[{"medicine":"Calcitriol","class":"Active vitamin D analog","route":"Intramuscular, intravenous, oral","common_use":"Secondary hyperparathyroidism, hypocalcemia"},{"medicine":"Alfacalcidol","class":"Vitamin D analog","route":"Oral, intravenous","common_use":"Similar to calcitriol"},{"medicine":"Paricalcitol","class":"Vitamin D analog","route":"Intravenous, oral","common_use":"Secondary hyperparathyroidism"}]

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