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Rocaltrol vs. Renagel

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

Key takeaways

Calcitriol (Rocaltrol) and sevelamer hydrochloride (Renagel) are both medications used to manage conditions related to kidney health, but they work in different ways and treat different issues. Calcitriol is a vitamin D analog that helps raise blood calcium levels, making it useful for people with low calcium due to kidney or parathyroid problems. Sevelamer hydrochloride, on the other hand, is a phosphate binder used to lower high phosphate levels in adults with chronic kidney disease on dialysis. Calcitriol is available in capsules and liquid form, while sevelamer hydrochloride comes as tablets taken with meals. Calcitriol can cause side effects like muscle weakness and upset stomach, and it interacts with many medications, such as certain antacids and diuretics. Sevelamer hydrochloride may cause nausea, vomiting, and digestive issues, and it can lower the absorption of vitamins D, E, K, and folic acid. Both medications are available as a generic.

Calcitriol

(Rocaltrol)

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Sevelamer hydrochloride

(Renagel)

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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 Renagel

Prescription only

Sevelamer hydrochloride, commonly known by its brand name Renagel, helps treat high phosphate levels in the blood (hyperphosphatemia) in adults with chronic kidney disease (CKD) who are receiving dialysis. This medication is a phosphate binder. It attaches to phosphate in food so it's not absorbed into your blood. Sevelamer hydrochloride (Renagel) comes as tablets that are taken by mouth three times per day with meals. Common side effects include nausea, vomiting, and diarrhea. This medication is available as a generic.

Indications for Renagel

Pros and Cons for Renagel

Pros

  • Works well to lower phosphate levels
  • Taken by mouth
  • No effect on your calcium levels because it doesn't contain calcium

Cons

  • Not a good choice for people who have trouble swallowing because you can't crush the tablet and there isn't a liquid available
  • Need to take three times per day with food
  • Can lower the levels of certain vitamins and minerals in the body

Common Side Effects for Renagel

  • Vomiting (22%)
  • Nausea (20%)
  • Diarrhea (19%)
  • Indigestion (16%)
  • Stomach pain (9%)
  • Gas (8%)
  • Constipation (8%)

Warnings for Renagel

  • Problems with the digestive tract, such as blockage or damage
  • Low levels of vitamin D, E, and K and folic acid

Prices with our coupons for Rocaltrol vs. Renagel

Price Card Drug Icon
Calcitriol90 capsules / 0.25mcg
$29.06$31.70
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Sevelamer Hydrochloride90 tablets / 800mg
$68.18$596.25
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