Consider giving IM ergocalciferol 300,000 IU two injections spaced by 3 months if there are concerns regarding absorption (e.g. in malabsorption). Usually between 1000-2000 IU colecalciferol per day depending on weight, e.g. Holland and Barrett Vitamin D3 25 microgram tablets, 1-2 tablets a day, or colecalciferol (Dekristol) 20,000 IU capsules, one capsule every 2 weeks. Higher doses may be required e.g. if the patient is taking drugs that accelerate Vitamin D metabolism or if there are concerns regarding absorption. Maintenance should be continued so long as risk factors for Vitamin D deficiency are present. D3 is generally preferred as D2 may be less potent than D3, unit for unit. If the patient is being given supplementation for osteoporosis and osteopenia, they should also receive 1000 mg of supplemental calcium daily, as calcium and vitamin D supplementation is effective in reducing the risk of hip fracture. Vitamin D alone is not effective in reducing hip fractures.
Calcium supplements alone appear to be associated with a higher risk of heart attack and stroke and are therefore not recommended. Pregnant and lactating women should be given calcium and 400 IU Vitamin D daily. Up to 10000 IU per day is not toxic when given for up to 5 months. Measure 25-hydroxyvitamin D, PTH, calcium after 3 months and 6-monthly thereafter to ensure that hypercalcaemia does not occur. Aim for 25-hydroxyvitamin D 'replete' level, with calcium and PTH levels within reference ranges. If in doubt, please refer to secondary care for advice. Prices of vitamin D:Vitamin D costs 2014doi: 10.1097/JCP.0b013e31828f619a.Mozaffari-Khosravi H1, Nabizade L, Yassini-Ardakani SM, Hadinedoushan H, Barzegar K.Author information1Department of Nutrition, Faculty of Health, Faculty of Medicine, Yazd Diabetes Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.AbstractThe correlation between vitamin D deficiency and depression has recently been put forward and resulted in controversial findings.
The present study was conducted to find out the effect of 2 single injections of 150,000 and 300,000 IU of vitamin D on improving the depression in depressed patients with vitamin D deficiency.This clinical trial study was carried out during 2011-2012 in Yazd, Islamic Republic of Iran. A total of 120 patients who had a Beck Depression Inventory II score of 17+ and were affected with vitamin D deficiency were randomly assigned to 3 groups of 40. They included G300, G150, and NTG. G300 and G150 received an intramuscular single dose of 300,000 and 150,000 IU of vitamin D, respectively, and the NTG group received nothing. After 3 months of intervention, the depression state, serum vitamin D, calcium, phosphorus, and parathormone were measured.The median of serum vitamin D after intervention were 60.2, 54.6, and 28.2 nmol/L (P < 0.001) for the G300, G150, and NTG, respectively. Percentages of vitamin D deficiency after intervention were 18, 20, and 91.2 for the groups, respectively. The serum calcium mean showed a statistically significant increase in just the 2 test groups receiving vitamin D.
There was only significant difference in mean of Beck Depression Inventory II test score between G300 and NTG (P = 0.003).The results of the study revealed that first, the correction of vitamin D deficiency improved the depression state, and second, a single injection dose of 300,000 IU of vitamin D was safe and more effective than a 150,000-IU dose.PMID: 23609390 DOI: 10.1097/JCP.0b013e31828f619a [Indexed for MEDLINE] Publication typesComparative StudyRandomized Controlled TrialResearch Support, Non-U.S. Gov'tMeSH termsAdultCalcium/bloodDepression/drug therapy*Depression/etiologyDose-Response Relationship, DrugFemaleHumansInjections, IntramuscularIranMaleMiddle AgedParathyroid Hormone/bloodPhosphorus/bloodPsychiatric Status Rating ScalesTreatment OutcomeVitamin D/administration & dosageVitamin D/therapeutic use*Vitamin D Deficiency/drug therapy*Vitamins/administration & dosageVitamins/bloodVitamins/therapeutic use*Young AdultSubstancesParathyroid HormoneVitaminsVitamin DPhosphorusCalciumFull Text SourcesLippincott Williams & WilkinsOvid Technologies, Inc.MedicalDepression - Genetic AllianceDepression - MedlinePlus Health InformationVitamin D - MedlinePlus Health InformationVitamins -
MedlinePlus Health InformationMiscellaneousCALCIUM, ELEMENTAL - Hazardous Substances Data BankPHOSPHORUS, ELEMENTAL - Hazardous Substances Data BankClick below to see answered questions from other visitors to this page... Taking 50,000 ius vitamin d3 and Still Deficient I have been taking 50,000 ius of vitamin d3 for over a year and I'm still vitamin d deficient. I believe it is at 13. I have been diagnosed with fibromyalgia … Lyme and vitamin d3 I have had a very tough year , west nile first off and then tested positive for Lyme. Some of the naturalpaths and Drs. I have seen have warned against … Liposomal Vitamin D Therapy A new popular fad of liposomal vitamins is really picking up leeway in the natural health arena. And since i am very vitamin D Deficient, it was suggested … Taking Vitamin D in First Trimester of Pregnancy I have been prescribed HuxD3 for a vitamin D deficiency at a dosage of 100,000 iu for 2 days and then a maintenance dose of 20,000 iu a week for another …
Pain Getting Worse with Vitamin D Deficiency Treatment My D levels are at 19. I am on the 50,000iu/wk for 12 weeks. I have been on it for 6 weeks and was feeling better until 2 weeks ago. The pain and stiffness … Appropriate Vitamin D dose in pregnancy I am 3 months pregnant and my blood test (done a week ago) has shown that my Vitamin D3 level is 15. I am surprised by this as I have been taking 500 IU … Vitamin d3 dose my vitamin d level was 5.7 ng/ml before 2 months of treatment and today it's to 28 ng/ml (after 2 months). I take 4 capsules (each 1000 IU)daily so i … 24,000UI Vitamin D3 daily and still deficient! (Short bowel syndrome child) My daughter Stella is 2 years old and has a severe case of short bowel syndrome (only 20 cm small bowel at birth). After a life-saving surgery and lots … re: doctor says more than 2000 vit d can be harmful for me My rheumatologist urged me to stop taking 10,000 vit d3 daily, because my Calcium levels are normal.
My physician says my Calcium will raise and cause … Proper Vitamin D Dosage After Taking Prescription I am so excited about finding this website - thank you so much! I am placing an order today for Vitamin D3 - here is my situation. My Vitamin D level … what type of doctors treat low vitamin D My vitamin D level was 14.2 and my dr. put me on 50,000 mg. vitamin d for 12 weeks. After taking it, my levels did not go up but actually went down a … Low Vitamin D Levels for Three Years I have been on 50,000 units of Vitamin D for over 3 years and my doctor said it is still low (35). She told me the range was 30-100, and since mine was … Should I take vitamin d? I have been having blurred vision, nausea and feeling fatigue for a couple of weeks. I had a ct scan and everything was fine. My dr did a vitamin d test … Taking Vitamin D3 once a week or once per day It occurred to me to ask you if I would be able, for example, to take like 5000iu or 10,000iu once a week or taking like 1000iu or 2000iu per day is the …
Am I Being Given Enough Vitamin D? I have been diagnosed with a level of 15nmol. My neurosurgeon checked the level after a year of disc and muscular pains (including a cervical disc replacement), … Vitamin D Deficiency Symptoms persisting although levels are high I got re-test blood test results today. After about 2 months of supplementing 10k Vit D3 daily plus taking chelated Magnesium, Calcium, Zinc and frequent … Vitamin D Therapy Takes a Long Time Hi there! I've been on d3 therapy for 3 months now, and I must let you know that the pain lasts for between 3-6 months and I've heard of it taking up to … Reversing Vitamin D deficiency on my own I am 50 year old woman with a history of rheumatoid arthritis, peptic ulcer and fibromyalgia. I saw a doctor last week and my vitamin D level was 14. Just Finished my Vitamin D Treatment I'm 28 years old,I've been suffering off and on last year,with pain,fatigue,dizziness,and sever muscles weakness,then I found out I have the Big D. Deficiency.
Vitamin D Deficiency - treatment dosage advice I recently went to my doctor because I had almost constant pain in my bones/muscles. The pain levels had been slowly building for a number of years and … I'm on 50,000 iu of vitamin d and i don't feel better how long could that take? my doc says I'm vitamin d deficient and prescribed me 50,000 iu of vitamin d twice a week for 12 weeks I have been so ill and can't function in my normal … Vitamin D and Bone Density Scans.. Vitamin D level was 19 - took 5000 iu of Vitamin D daily for 11 weeks. Retested and D level is 21. Doc wants me to take bone density scan. Vitamin D deficiency Experts? I am a 62 year old Caucasian female who has suffered from severe chronic PAIN for over 30 years. My doc ordered a Vitamin D test from California & the … 17 years old with Vitamin D Deficiency I am 17 and I used to get really tired, so my doctor ran me through lots of tests and found nothing. I then went to another doctor who first thing said …
I'm on Vitamin D and I'm Still Feeling Bad.. I went to the doctor, because I've been having lots of muscle cramps, bone pain and becoming very weak. They tool some blood tests and said I had very, … How soon before I will feel well from vitamin D deficiency I have been on mega doses of Vitamin D for about 7 weeks now. I am feeling better but definitely I don't have my energy back. How soon will I feel … No Response From Vitamin D Treatment I was diagnosed with vitamin D deficiency in March 2008 and have since been taking increasing doses of vitamin D3. I am now up to 4000 units daily. Is 500 IU of Vitamin D Enough to Treat Vitamin D Deficiency? My mother had her Vitamin D levels tested recently and they were at 25.7 ng/ml. She had been diagnosed with fibromyalgia several years ago and I had questioned … Vitamin D Deficiency Treatment Duration I am taking 1600 IU of vitamin d daily. How long will it take to bring it to normal and feel better knowing that I have severe Vitamin d deficiency?