Product image of Medirazin (Alfacalcidol) supplied by GNH India

Medirazin

Active Ingredient:
Alfacalcidol
Origin:
EU

Medirazin (Alfacalcidol)

Alfacalcidol, the active ingredient in Medirazin, is a vitamin D analog presented as an oral dosage form for oral use. It is used to manage calcium metabolism disorders such as renal osteodystrophy, hypocalcemia due to hypoparathyroidism, and osteoporosis.

GNH India supplies Medirazin as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides reliable logistics for global distribution. Clients benefit from comprehensive regulatory support and consistent product availability across multiple markets.

Manufacturer / TM Owner

Zentiva, K.S.

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Indications & Clinical Uses

Alfacalcidol is a vitamin D analog that influences calcium and phosphate metabolism in bone and mineral disorders.

  • Renal osteodystrophy: helps normalize calcium and phosphate levels and improves bone mineralisation.
  • Hypocalcemia due to hypoparathyroidism: increases intestinal calcium absorption to raise serum calcium.
  • Osteoporosis: supports bone remodelling and may reduce fracture risk when used as part of therapy.

How It Works

  • Alfacalcidol is converted in the liver to calcitriol, the active form of vitamin D3. Calcitriol binds to the vitamin D receptor in intestinal cells, enhancing transcription of calcium‑binding proteins and thereby increasing absorption of calcium and phosphate from the gut. It also modulates osteoblast and osteoclast activity, contributing to balanced bone remodelling.

Side Effects

Alfacalcidol may be associated with several adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Hypercalcemia: elevated blood calcium causing nausea, fatigue or polyuria.
  • Hyperphosphatemia: increased serum phosphate levels.
  • Gastrointestinal discomfort: nausea, vomiting or abdominal pain.
  • Headache: mild to moderate headache.

Serious or Rare Side Effects

  • Nephrolithiasis: kidney stone formation due to calcium excess.
  • Hypercalcemic crisis: severe hypercalcemia with cardiac arrhythmias.
  • Allergic reactions: rash, pruritus or anaphylaxis.

Precautions & Warnings

When prescribing Alfacalcidol, clinicians should consider several safety measures.

  • Monitor serum calcium: regular testing to avoid hypercalcemia.
  • Assess renal function: adjust use in patients with impaired kidney function.
  • Evaluate vitamin D status: avoid concurrent high‑dose vitamin D supplements.
  • Use cautiously in elderly: increased risk of hypercalcemia.
  • Pregnancy and lactation: safety not established; avoid unless benefits outweigh risks.
  • Store at ambient temperature below 25°C: keep in the original pack, protect from moisture and light.

Avoid Interactions

Alfacalcidol can interact with other medicines, requiring attention to avoid clinically significant effects.

Major Interactions (Avoid)

  • Thiazide diuretics: may increase risk of hypercalcemia.
  • Calcium supplements: additive effect on calcium levels.
  • Vitamin D analogues (e.g., calcitriol): can cause excessive calcium.

Moderate Interactions (Monitor Closely)

  • Antacids containing aluminum or magnesium: may reduce absorption.
  • Corticosteroids: may counteract vitamin D effects on bone.
  • Loop diuretics: may affect calcium excretion.

Frequently Asked Questions

Medirazin contains Alfacalcidol, a vitamin D analog prescribed for disorders of calcium metabolism. It is indicated for renal osteodystrophy, hypocalcemia caused by hypoparathyroidism, and osteoporosis, where it helps restore normal calcium and phosphate balance and supports bone health.

Alfacalcidol is converted in the liver to calcitriol, the active form of vitamin D3. Calcitriol binds to vitamin D receptors in the intestinal lining, stimulating the synthesis of calcium‑binding proteins and increasing absorption of calcium and phosphate. It also influences bone cells to promote balanced remodeling.

The dosage of Medirazin is individualized. A qualified prescriber determines the appropriate strength and frequency based on the patient’s specific condition, laboratory values, and response to therapy. No standard dose is provided here.

Safety data for Alfacalcidol in pregnancy and lactation are limited. The product is classified as pregnancy category unknown, and it should only be used if the potential benefit justifies any possible risk to the fetus or infant. Consultation with a healthcare professional is essential.

To order Medirazin, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Alfacalcidol is a synthetic analogue that requires hepatic conversion to calcitriol, whereas calcitriol is the active form administered directly. Alfacalcidol may offer more convenient dosing in patients with mild liver function, but both agents share similar efficacy in raising calcium levels and carry comparable safety profiles.

Medirazin should be stored at ambient temperature below 25°C. Keep the product in its original packaging, protect it from moisture and direct light, and ensure the container is tightly closed to maintain stability throughout its shelf life.

Medirazin is taken orally, usually with or without food as directed by the prescribing clinician. Swallow the tablet whole with a glass of water and follow any specific instructions regarding timing relative to meals or other medications.

The most serious risks include hypercalcemia, which can cause cardiac arrhythmias, renal impairment or nephrolithiasis, and rare cases of severe allergic reactions. Patients should be monitored regularly for serum calcium and phosphate levels, and any symptoms such as muscle weakness, confusion or severe abdominal pain should prompt immediate medical evaluation.

Medirazin is contraindicated in individuals with known hypersensitivity to Alfacalcidol or any excipients, and in patients with severe hypercalcemia or active hyperparathyroidism. Caution is also advised for those with severe renal impairment, sarcoidosis, or granulomatous diseases, where vitamin D metabolism may be altered.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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