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The eMC  

Last Updated 29 Jun 2012

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Rocaltrol 250nanogram capsules

Rocaltrol (Roh-cal-trol) is a medicine which is used in osteodystrophy and osteoporosis. Rocaltrol contains calcitriol. It is supplied by Roche Products Limited.

The information in this Medicine Guide for Rocaltrol varies according to the condition being treated and the particular preparation used.

There are 2 preparations of Rocaltrol available. If Rocaltrol 250nanogram capsules is not the preparation you are looking for, please select from the drop down list below.

Select your preparation (type) of Rocaltrol

Rocaltrol 250nanogram capsules

Information specific to Rocaltrol 250nanogram capsules when used in osteoporosis

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Your medicine

Rocaltrol is a type of vitamin D. Vitamin D is used in the processes which look after the growth and maintenance of bones. Rocaltrol also helps calcium to be absorbed more effectively from the intestines. Calcium is necessary for proper growth and maintenance of bones. Rocaltrol is used to treat post-menopausal osteoporosis or osteodystrophy in people who have certain types of kidney problems.

Other information about Rocaltrol:

Do not share your medicine with other people. It may not be suitable for them and may harm them.

The pharmacy label on your medicine tells you how much medicine you should take. It also tells you how often you should take your medicine. This is the dose that you and your prescriber have agreed you should take. You should not change the dose of your medicine unless you are told to do so by your prescriber.

If you feel that the medicine is making you unwell or you do not think it is working, then talk to your prescriber.

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When to take your medicine

Some medicines work best if they are taken at a specific time of day. Getting the most from your medicine can also be affected by what you eat, when you eat and the times at which you take other medicines. Make sure you follow any specific instructions given to you by your prescriber or that are in the Patient Information Leaflet that comes with this medicine.

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How to take your medicine

Some medicines have specific instructions about how to take them. This is because they work better when taken correctly. These instructions can include getting the right dose and special instructions for preparing the medicine.

In the case of Rocaltrol:

  • swallow the medicine whole with a glass of water
  • it is important that you avoid becoming dehydrated during treatment with Rocaltrol

If you are having problems taking this medicine, you should talk to your prescriber or pharmacist. They may be able to give you advice on other ways to take your medicine or other medicines that are easier for you to take.

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Taking too much of your medicine

Taking extra doses of some medicines can be harmful. In some cases even one extra dose can cause you problems. If you take extra doses of your medicine, you must get medical advice immediately. You may need a test to assess the effect of taking extra doses. This is because the effects of taking too much medicine are very complex so it is very important that you seek medical advice.

Contact your prescriber, pharmacist, specialist clinic or NHS Direct on 0845 46 47 for advice.

Make sure you take all of your medicine containers with you if you are advised to go to hospital.

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Stopping your medicine

Suddenly stopping your medicine may cause your original condition to return. This is why you must speak to your prescriber if you are having any problems taking your medicine.

If you are not having any problems taking this medicine then do not stop taking it, even if you feel better, unless advised to do so by your prescriber.

If you are in any doubt, contact your prescriber, pharmacist, specialist clinic or NHS Direct on 0845 46 47.

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Looking after your medicine

The instructions on how you should keep your medicine are on the pharmacy label. You should keep your medicine in the original container. This will help to keep your medicine in the best condition and also allow you to check the instructions. Do not take the medicine if the packaging appears to have been tampered with or if the medicine shows any signs of damage. Make sure that the medicine is out of the sight and reach of children.

In the case of Rocaltrol:

  • do not store in temperatures above 25°C
  • store the medicine in the outer carton to protect it from light and moisture

You must not take the medicine after the expiry date shown on the packaging. If you have any unused medicine, return it to your pharmacist who will dispose of it safely.

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Whether this medicine is suitable for you

Rocaltrol is not suitable for everyone and some people should never use it. Other people should only use it with special care. It is important that the person prescribing this medicine knows your full medical history.

Your prescriber may only prescribe this medicine with special care or may not prescribe it at all if you:

As part of the process of assessing suitability to take this medicine a prescriber may also arrange tests:

  • to determine whether or not the medicine is suitable and whether it must be prescribed with extra care
  • to check that this medicine is not having any undesired effects

Over time it is possible that Rocaltrol can become unsuitable for some people, or they may become unsuitable for it. If at any time it appears that Rocaltrol has become unsuitable, it is important that the prescriber is contacted immediately.

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Side-effects

A medicine is only made available to the public if the clinical trials have shown that the benefits of taking the medicine outweigh the risks.

Once a medicine has been licensed, information on the medicine's effects, both intended and unintended, is continuously recorded and updated.

Some side-effects may be serious while others may only be a mild inconvenience.

Everyone's reaction to a medicine is different. It is difficult to predict which side-effects you will have from taking a particular medicine, or whether you will have any side-effects at all. The important thing is to tell your prescriber or pharmacist if you are having problems with your medicine.

Very common: More than 1 in 10 people who take Rocaltrol:

Common: More than 1 in 100 people who take Rocaltrol:

Uncommon: More than 1 in 1000 people who take Rocaltrol:

  • abnormal laboratory test results
  • loss of appetite
  • vomiting

The frequency of these side-effects is unknown:

If you feel unwell or if you have concerns about a side-effect, you will need to seek advice. If you feel very ill, get medical help straight away. Contact your prescriber, pharmacist, nurse or call NHS Direct on 0845 46 47.

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Taking other medicines

If you are taking more than one medicine they may interact with each other. At times your prescriber may decide to use medicines that interact, in other cases this may not be appropriate.

The decision to use medicines that interact depends on your specific circumstances. Your prescriber may decide to use medicines that interact, if it is believed that the benefits of taking the medicines together outweigh the risks. In such cases, it may be necessary to alter your dose or monitor you more closely.

Tell your prescriber the names of all the medicines that you are taking so that they can consider all possible interactions. This includes all the medicines which have been prescribed by your GP, hospital doctor, dentist, nurse, health visitor, midwife or pharmacist. You must also tell your prescriber about medicines which you have bought over the counter without prescriptions.

The following medicines may interact with Rocaltrol:

The following types of medicine may interact with Rocaltrol:

If you are taking Rocaltrol and one of the above medicines or types of medicines, make sure your prescriber knows about it.

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Complementary preparations and vitamins

Medicines can interact with complementary preparations and vitamins.

Make sure you tell your prescriber the names of all the complementary preparations and vitamins that you are taking or are planning to take.

Your prescriber can then decide whether it is appropriate for you to take combinations that are known to interact.

In the case of Rocaltrol:

If you have been prescribed Rocaltrol you should only take something on the above list on the specific advice of your prescriber or pharmacist.

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Driving and operating machinery

When taking any medicine you should be aware that it might interfere with your ability to drive or operate machinery safely.

Like all medicines Rocaltrol can cause side effects. You should see how this medicine affects you and then judge if you are safe to drive or operate machinery. If you are in any doubt, talk to your prescriber.

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Diet

Medicines can interact with certain foods. In some cases, this may be harmful and your prescriber may advise you to avoid certain foods.

In the case of Rocaltrol:

  • for Rocaltrol to work properly, it is very important that you have enough calcium every day. After finding out your daily calcium intake, your prescriber or dietician will be able to tell you whether you need extra calcium. Calcium levels can be increased by taking calcium supplements or by eating foods that have a lot of calcium in them, such as dairy products. You must follow the advice of your prescriber or dietician to get the best from Rocaltrol. You must also avoid eating foods that have vitamin D in them because this may affect your calcium levels

If your diet includes any of the above, speak to your prescriber or pharmacist for further advice.

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Alcohol

Alcohol can interact with certain medicines.

In the case of Rocaltrol:

  • there are no known interactions between alcohol and Rocaltrol
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Family planning and pregnancy

Most medicines, in some way, can affect the development of a baby in the womb. The effect on the baby differs between medicines and also depends on the stage of pregnancy that you have reached when you take the medicine.

In the case of Rocaltrol:

  • you should only take this medicine during pregnancy if your doctor thinks that you need it

You need to discuss your specific circumstances with your doctor to weigh up the overall risks and benefits of taking this medicine. You and your doctor can make a decision about whether you are going to take this medicine during pregnancy.

If the decision is that you should not have Rocaltrol, then you should discuss whether there is an alternative medicine that you could take during pregnancy.

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Breast-feeding

Certain medicines can pass into breast milk and may reach your baby through breast-feeding.

In the case of Rocaltrol:

  • you should only take this medicine while breast-feeding if your doctor thinks you need it

Before you have your baby you should discuss breast-feeding with your doctor or midwife. They will help you decide what is best for you and your baby based on the benefits and risks associated with this medicine. You should only breast-feed your baby while taking this medicine on the advice of your doctor or midwife.

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Ingredients of your medicine

Medicines contain active ingredients. They may also contain other, additional ingredients that help ensure the stability, safety and effectiveness of the medicine. They are also added to improve the medicine's taste and appearance and to make it easier to take. Some may be used to prolong the life of the medicine.

You should check that you are able to take the ingredients in your medicine, especially if you have any allergies.

Rocaltrol contains a natural colouring agent which may discolour the capsule. This does not affect the quality of the medicine.

Rocaltrol contains:

  • butylhydroxyanisole
  • butylhydroxytoluene
  • dry substance of karion 83 (70%)
  • glycerol
  • hydrogenated hydrolysed starch
  • mannitol
  • medium chain triglycerides
  • red iron oxide (E172)
  • sorbitol
  • titanium dioxide (E171)
  • yellow iron oxide (E172)

If you are not able to take any of the ingredients in your medicine, talk to your prescriber or pharmacist to see if they can suggest an alternative medicine. If you have reacted badly to Rocaltrol before, do not take Rocaltrol. Talk to your prescriber, pharmacist or nurse as soon as possible.

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Rocaltrol, Version 5, last updated 29 Jun 2012