A 35-year-old member asked:
What would be a good treatment for secondary hyperparathyroidism?
3 doctor answers • 5 doctors weighed in
Dr. S. Smiley Thakuranswered
Nephrology and Dialysis 31 years experience
Vit D analogue: Not regular vitamin d. You need calcitiriol, zemplar, or Hectorol which are already partially activated and don't require the kidney's final hydroxylation step to make them work.
4.9k viewsReviewed >2 years ago
Dr. Jack Rubinanswered
Nephrology and Dialysis 48 years experience
Hyperparathyroid Tx: There are 2 major ways to treat second hyperparathyroidism (shpt). One is with vit d analouges, zemplar or hectorol. The problem with them is that they also increase levels of calcium (c) and phosphorous (p). If these are high, you can use sensipar (s) which will lower PTH levels with no increase in c or p levels. If your PTH level is > 500, you will probably need s to lower it effectively.
4.9k viewsReviewed >2 years ago
Dr. Yash Khannaanswered
Family Medicine 57 years experience
Treat the cause: Secondary hyperparathyroidism is seen in Chronic Kidney Failure.If you treat the kidney failure the hyperparathyroidism will improve
Other causes are Chronic Pancreatitis,Small Bowel Disease and post Bariatric Surgery
Treat the cause low calcium with Calcium and Vitamin D Supplement
3.4k viewsReviewed >2 years ago
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Last updated Nov 27, 2017
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