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Indications

REMS

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

CV: HF exacerbation, QT interval prolongation, ARRHYTHMIA, hypotension, TORSADES DE POINTES.

F and E: HYPOCALCEMIA.

GI: nausea, vomiting.

Metab: adynamic bone disease.

Neuro: SEIZURES.

Interactions

Drug-Drug:

Availability

(Generic available)

Route/Dosage

Secondary Hyperparathyroidism in Patients with Chronic Kidney Disease on Dialysis

Parathyroid Carcinoma or Primary Hyperparathyroidism

US Brand Names

Sensipar

Action

Therapeutic Effects:

Classifications

Therapeutic Classification: hypocalcemics

Pharmacologic Classification: calcimimetic agents

Pharmacokinetics

Absorption: Well absorbed following oral administration; absorption is enhanced by food and further enhanced by a high-fat meal.

Distribution: Extensively distributed to tissues.

Protein Binding: 93–97%.

Metabolism/Excretion: Primarily metabolized by the liver via the CYP3A4, CYP2D6, and CYP1A2 isoenzymes; 80% excreted in urine as metabolites, 15% in feces.

Half-life: 30–40 hr.

Time/Action Profile

(effect on PTH levels)

ROUTEONSETPEAKDURATION
POrapid2–6 hr6–12 hr

Patient/Family Teaching

Pronunciation

sin-a-KAL-set audio

Code

NDC Code*