DRUG | SUPPLIED | DOSE | COMMENTS |
---|---|---|---|
VITAMIN D (Paeds) (D-Visol = cholecalciferol = Vitamin D3, BabyD drops = cholecalciferol = Vitamin D3) Mechanism of action: Vitamin supplement Ref: 1, 44, 64, 91, 309, 310 Last update: 2022-09-13 |
tablet: 400 IU, 1000 IU solution: 400 IU/mL (D-Vi-Sol) 400 IU/drop (BabyD drops) [for NICU, Women's Hosp only] Ergocalciferol (vitamin D2) is no longer stocked at BCCH. |
Supplement for infants and children: 400 to 800 IU PO daily ** see comments Severe Vitamin D Deficiency: (in otherwise healthy infants, children and adolescents): 2000 units PO daily x 6-8 weeks to achieve adequate serum 25(OH)D levels, followed by maintenance dosing of 400-1000 units PO daily Note: Dosing differs for Vitamin D deficiency associated with chronic kidney disease. Consult guidelines Cystic Fibrosis: <12 months: 400-500 IU PO daily. If deficient: 800-1000 IU PO daily Maximum 2000 IU/day 1-10 years: 800-1000 IU PO daily. If deficient: 1600-3000 IU PO daily Maximum 4000 IU/day >10 years: 800-2000 IU PO daily. If deficient: 1600-6000 IU PO daily. Maximum 10,000 IU/day |
**daily supplement is for fully breast fed term healthy infants until they derive enough Vitamin D from other sources of food. **800 IU recommended Oct to April if North of 55th parallel (Edmonton, Prince Rupert) OR if risk factors for vitamin D deficiency (fat malabsorption, chronic anti-seizure medications, obesity). 10 mcg cholecalciferol = 400 IU. Consider dietary intake and relevant lab values (iPTH, 25(OH)-Vitamin D level, bone mineral status) when evaluating appropriate Vitamin D dosage. Standard Prescription: vitamin D__units PO daily |