Good morning,
that's really useful
and I agree far more prevalent lately.
thanks
sue
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On Mon, 7/1/19, Karen Coomer <[log in to unmask]> wrote:
Subject: [OCC-HEALTH] New - Vitamin D guidelines
To: [log in to unmask]
Date: Monday, 7 January, 2019, 11:01
Happy new year to allI thought I would post the
latest guidelines on Vitamin D from the Osteoporosis Society
as Vit D deficiency is cropping up again and again in case
management and more wider health promotion in workplaces.
Highlights are below:Vitamin D levels do not need to be
checked routinely, and can take 3-6 months to reach a steady
state after treatment has started recheck vitamin D levels 6
months after a loading regimen of vitamin D has been given.
If levels are still sub-optimal, compliance with medication
should be discussed. Alternatively, consider referral to an
appropriate specialist.recommended daily intake of vitamin
D in the UK is around 400IU (10mcg) for an adult, 280IU
(7mcg) for children aged 6 months to 3 years and 340IU
(8.5mcg) per day for infants under 6 months.WARNING: NUT/SOYA ALLERGIES -
vitamin D preparations such dekristol and Fultium D3
contain peanut oil; Drisdol, Calceos and Adcal D3 contain
soybean oil. For full details of excipients, refer to
individual SPCsvitamin D supplementation is
contraindicated in patients with hypercalcaemia or
metastatic calcification relative contraindications
include primary hyperparathyroidism, renal stones and severe
hypercalciuria patients with
mild to moderate renal failure or known to have mild
hypercalciuria should be supervised carefully when taking
vitamin D In patients with a history of renal stones,
urinary calcium excretion should be measured to exclude
hypercalciuria, a problem which requires specialist
referral the following should be borne in
mind: supplements should be taken with food to aid
absorption, calcium/vitamin D combinations should not be
used as sources of vitamin D for the above regimens, given
the resulting high dosing of calcium, maintenance regimens
may be considered 1 month after loading with doses
equivalent to 800 to 2000 IU daily (occasionally up to 4,000
IU daily), given either daily or intermittently at a higher
equivalent dose.specialist supervision in vitamin D
supplementation need to be considered if a patient has
tuberculosis or sarcoidosis as patients with granulomatous
disease are at risk of hypercalcaemia. Karen
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