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Patients with normal renal function who are taking Rocaltrol should over the counter testosterone cream. avoid dehydrationAdequate fluid intake should be maintained.

Rocaltrolcalcitriolis indicated in the management of hypocalcemia and the resultant metabolic bone disease in patients undergoing chronic renal dialysisIn these patientsRocaltrolcalcitrioladministration enhances calcium absorptionreduces serum alkaline phosphatase levelsand may reduce elevated parathyroid hormone levels and the histological manifestations of osteitis fibrosa cystica and defective mineralization.

Calcitriol increases inorganic phosphate levels in serumWhile this is desirable in patients with hypophosphatemiacaution is called for in patients with renal failure because of the danger of ectopic calcificationA non-aluminum phosphate-binding compound and a low-phosphate diet should be used to control serum phosphorus levels in patients undergoing dialysis.

In patients with normal renal functionchronic hypercalcemia may be associated with an increase in serum creatininesee PRECAUTIONSGeneral

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