Hypocalcemia medical therapy

Hypocalcemia Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]

Overview

Cause, severity and the presence of symptoms decide the treatment of hypocalcemia.

Medical Therapy

• Two ampules of intravenous calcium gluconate 10% is given slowly in a period of 10 minutes, or if the hypocalcemia is severe, calcium chloride is given instead.
• Maintenance doses of both calcium and vitamin-D (often as 1,25-(OH)₂-D₃, i.e. calcitriol)) are often necessary to prevent further decline.

Contraindicated medications

Hypocalcemia is considered an absolute contraindication to the use of the following medications:

• Alendronate
• Ibandronic acid
• Cinacalcet
• Denosumab