What medicine to take for high calcium blood
Hypercalcemia is a common electrolyte disorder that may be caused by a variety of reasons, such as hyperparathyroidism, malignant tumors, vitamin D poisoning, etc. The choice of drugs for treating hypercalcemia should be determined based on the cause and blood calcium level. The following is a summary and analysis of the treatment of hypercalcemia drugs in the popular topics across the network in the past 10 days.
1. Common causes of hypercalcemia
The causes of hypercalcemia are diverse, and the following are several common causes:
| Causes | Percentage | Common manifestations |
|---|---|---|
| Primary hyperparathyroidism | 50% | Bone pain, kidney stones, fatigue |
| Malignant tumors | 30% | Weight loss, anemia, metastatic bone pain |
| Vitamin D poisoning | 10% | Nausea, vomiting, urination |
| Others (such as drugs, hyperthyroidism, etc.) | 10% | Different according to the specific cause |
2. Drug treatment for hypercalcemia
Drugs for treating hypercalcemia mainly include the following categories:
| Drug Type | Representative medicine | Mechanism of action | Applicable groups |
|---|---|---|---|
| Bisphosphonate | Zoledronic acid, Pamidronic acid | Inhibit osteoclast activity and reduce bone resorption | Malignant tumor-related hypercalcemia |
| Calcitonin | Salmon Calcitonin | Rapidly reduce blood calcium and inhibit bone resorption | Acute hypercalcemia |
| Glucocorticoid | Prednisone | Inhibiting vitamin D activity and reducing intestinal calcium absorption | Vitamin D poisoning or granulomatous disease |
| Diuretics | furosemide | Promote calcium excretion | Used in combination with normal saline for those with excessive capacity load |
3. Precautions for drug treatment
1.Bisphosphonate: Pay attention to renal function and avoid being used in patients with severe renal insufficiency. Common side effects include fever, muscle pain, etc.
2.Calcitonin: Fast onset but short-term effect, and is usually used for the initial treatment of acute hypercalcemia.
3.Glucocorticoid: Long-term use requires vigilance for side effects such as infection and osteoporosis.
4.Diuretics: It should be used in combination with normal saline to avoid dehydration and aggravate hypercalcemia.
4. Non-drug treatment measures
In addition to drug treatment, patients with hypercalcemia should also pay attention to the following non-drug measures:
| measure | Specific content |
|---|---|
| Replenishing fluid | Intravenous infusion of normal saline to correct dehydration |
| Low calcium diet | Avoid high-calcium foods such as dairy products and soy products |
| Cause treatment | Such as surgical removal of parathyroid adenoma, anti-tumor treatment, etc. |
V. Prognosis of hypercalcemia
The prognosis of hypercalcemia depends on the cause and timeliness of treatment. Patients with primary hyperparathyroidism have good prognosis after surgery, while malignant tumor-related hypercalcemia often suggests a poor prognosis.
In short, drug treatment for hypercalcemia needs to be individualized, and appropriate drugs are selected according to the cause and severity. Patients should be treated properly under the guidance of a doctor and monitor their blood calcium levels regularly.
check the details
check the details
en
