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Rocaltrol vs. Fosrenol

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Calcitriol (Rocaltrol) and lanthanum (Fosrenol) are both medications used to manage conditions related to kidney disease, but they work in different ways. Calcitriol is a vitamin D analog that helps raise blood calcium levels, making it useful for treating low calcium in people with kidney and parathyroid problems. Lanthanum, on the other hand, is a phosphate binder that lowers phosphorus levels in people with advanced kidney disease. While calcitriol is available in both capsule and liquid forms and can be taken once daily, lanthanum is taken as a chewable tablet or powder with meals, typically three times a day. Both medications are available as a generic, which can be more affordable, but lanthanum can be more expensive. Common side effects of calcitriol include muscle weakness and upset stomach, while lanthanum may cause nausea and belly pain. Calcitriol can interact with many medications, such as certain antacids and diuretics, while lanthanum can block the absorption of other medications, requiring careful timing of doses.

Calcitriol

(Rocaltrol)

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Lanthanum

(Fosrenol)

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Summary for Rocaltrol

Prescription only

Calcitriol (Rocaltrol) is a form of vitamin D that's used to raise blood calcium levels; it's commonly used in people with kidney and parathyroid hormone problems. Side effects of calcitriol (Rocaltrol) are similar to the effects you can get when you take too much vitamin D, which includes muscle weakness, feeling tired or sleepy, or upset stomach. Calcitriol (Rocaltrol) comes as capsules and a liquid that you take by mouth. It's available as a brand-name and generic medication.

Indications for Rocaltrol

Pros and Cons for Rocaltrol

Pros

Cons

  • Need to get blood tests done often to check your calcium levels
  • Best to keep the amount of calcium you eat consistent (eat the same amount each day) while you're taking calcitriol (Rocaltrol)
  • Can interact with a lot of medications, such as certain antacids, steroids, and diuretics

Common Side Effects for Rocaltrol

Early signs of high calcium levels:

  • Headache
  • Weakness
  • Feeling tired or sleepy
  • Upset stomach or stomach pain
  • Nausea
  • Vomiting
  • Constipation
  • Loss of appetite
  • Muscle pain
  • Bone pain
  • Dry mouth
  • Metallic taste

Warnings for Rocaltrol

  • Overdose
  • Interactions with other medications

Summary for Fosrenol

Prescription only

Lanthanum (Fosrenol) works well to lower phosphorus levels in the blood without affecting calcium levels in people with advanced kidney disease, but it can be expensive and you need to take it with meals.

Indications for Fosrenol

  • High blood phosphate levels in advanced kidney disease

Pros and Cons for Fosrenol

Pros

  • Works as well as other phosphate binders to lower blood phosphate levels
  • Easy to take since lanthanum (Fosrenol) comes in powder form, and the tablet form can be crushed or chewed
  • Calcium-free, which means lanthanum (Fosrenol) doesn't come with the risk of high calcium levels like some other phosphate binders

Cons

  • Like other phosphate binders, lanthanum (Fosrenol) must be taken with meals.
  • More expensive than other phosphate binders
  • Not a good option for people with certain bowel disorders, serious liver disease, or who have trouble chewing or crushing tablets (tablet form only)

Common Side Effects for Fosrenol

  • Nausea (11%)
  • Vomiting (9%)
  • Belly pain (5%)

Warnings for Fosrenol

  • Blockage of your digestive tract
  • Interference with X-rays

Prices with our coupons for Rocaltrol vs. Fosrenol

Price Card Drug Icon
Calcitriol90 capsules / 0.25mcg
$29.06$31.70
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Lanthanum90 chewable tablets / 1000mg
$154.28$1,000.05
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