---
title: Buy Alfacalcidol 0.25mcg/0.5mcg Capsules Online
description: Alfacalcidol capsules treat vitamin D deficiency and metabolic bone disorders. Order 0.25mcg or 0.5mcg from our trusted online pharmacy.
type: product
language: en 
url: https://liabilis.com/order-alfacalcidol-online-en.html
availability: in_stock
shipping:
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    price: 10.00
    currency: USD
    area: Worldwide
    time: 14-21 days
  - type: Tracked Express
    price: 30.00
    currency: USD
    area: Worldwide
    tracking: true
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price_min: 43.69
price_max: 157.69
currency: USD
offers:
  - name: 0.25mcg x 30 caps
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  - name: 0.5mcg x 120 caps
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  - name: 0.5mcg x 180 caps
    price: 157.69
---

# Buy Alfacalcidol 0.25mcg/0.5mcg Capsules Online

Alfacalcidol is an active vitamin D analog used to treat conditions related to calcium and phosphate metabolism, including renal osteodystrophy and hypocalcemia. It promotes calcium absorption from the gut and supports bone mineralization. This medication is essential for patients with kidney disease or parathyroid disorders requiring vitamin D supplementation. Our pharmacy offers reliable access to Alfacalcidol in 0.25mcg and 0.5mcg capsule form.

## Pricing and Options

| Dosage | Pack Size | Price (USD) | Price Per Pill | Status |
| :--- | :--- | :--- | :--- | :--- |
| **0.25mcg** | 30 caps | **$43.69** | $1.45 | In Stock |
| **0.25mcg** | 60 caps | **$68.99** | $1.15 | In Stock |
| **0.25mcg** | 90 caps | **$78.84** | $0.87 | In Stock |
| **0.25mcg** | 120 caps | **$93.09** | $0.78 | In Stock |
| **0.25mcg** | 180 caps | **$130.99** | $0.73 | In Stock |
| **0.5mcg** | 30 caps | **$46.54** | $1.55 | In Stock |
| **0.5mcg** | 60 caps | **$70.29** | $1.17 | In Stock |
| **0.5mcg** | 90 caps | **$98.99** | $1.10 | In Stock |
| **0.5mcg** | 120 caps | **$114.94** | $0.96 | In Stock |
| **0.5mcg** | 180 caps | **$157.69** | $0.87 | In Stock |


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## Introduction 

Alfacalcidol is a synthetic analogue of vitamin D used to correct calcium-phosphate imbalances in adults. Its active ingredient is **Alfacalcidol**, supplied as hard **capsules** in strengths of **.25 µg** **.5 µg**. The medication belongs to the therapeutic class of vitamin D analogues (1-α-hydroxyvitamin D₃). It is primarily prescribed for conditions that involve deficient conversion of vitamin D to its active form, such as renal osteodystrophy, hypocalcaemia secondary to hypoparathyroidism, and certain forms of osteoporosis.

---

## Quick Reference Facts 

```
**Active Ingredient**
: Alfacalcidol 

**Form**
: cap .25 µg | .5 µg 

**Primary Uses**
: • Renal osteodystrophy 
 • Hypocalcaemia due to hypoparathyroidism 
 • Osteoporosis (selected cases) 
``` 

---

## What is AlfacalcAlfacalcidol is the generic name for a 1-α-hydroxylated vitamin D₃ derivative. It is classified as a vitamin D analogue that bypasses the renal 1-α-hydroxylation step required for conversion of native vitamin D to its biologically active form, calcitriol. The drug is manufactured by international pharmaceutical companies and is marketed worldwide under a variety of brand names, including **Calcijex** and **Alfaré** 

Because this article addresses the generic version, Alfacalcidol is the generic form of medications containing the active compound Alfacalcidol. It offers the same therapeutic effect as branded products while typically costing less and being interchangeable on a milligram-to-milligram basis.

---

## How Alfacalcidol Works 

Alfacalcidol is absorbed from the gastrointestinal tract and undergoes rapid 25-hydroxylation in the liver, producing **calcitriol (1,25-dihydroxyvitamin D₃)**, the hormonally active form of vitamin D. Calcitriol binds to the nuclear vitamin D receptor (VDR) in target cells, regulating gene transcription intestinal calcium and phosphate absorption, enhances renal calcium reabsorption, and modulates bone remodeling by stimulating osteoblast activity and suppressing parathyroid hormone (PTH) secretion. 

The bypass of the renal hydroxylation step makes alfacalcidol particularly useful in patients with chronic kidney disease, where the enzymatic conversion is impaired. Clinical onset of calcium-phosphate correction is usually observed within a few days, and the effect persists as long as the drug is administered daily. The metabolite is eliminated primarily via bile and urine, with a half-life of approximately 8 hours for the active calcitriol formed.

---

## Conditions Treated with Alfacalcidol 

- **Renal Osteodystrophy** 
 • In chronic kidney disease, reduced renal 1-α-hydroxylation limits calcitriol production, leading to secondary hyperparathyroidism and bone demineralisation. Alfacalcidol supplies active vitamin D, normalising calcium-phosphate balance and mitigating bone loss. 

- **Hypocalcaemia due to Hypoparathyroidism** 
 • Low PTH levels diminish calcium mobilisation from bone and renal reabsorption. Alfacalcidol raises serum calcium by enhancing intestinal absorption, providing a reliable alternative when calcium supplements alone are insufficient. 

- **Selected Osteoporosis Cases** 
 • Certain post-menopausal or glucocorticoid-induced osteoporosis patients benefit from additional active vitamin D, which calcium availability for bone mineralisation and modestly reduce fracture risk when combined with anti-resorptive agents. 

---

## Is Alfacalcidol the Right Medication for You? 

Alfacalcidol is appropriate for adults whose calcium-phosphate metabolism is impaired due to (1) chronic kidney disease stages 3-5, (2) documented hypoparathyroidism, or (3) clinicians’ assessment of a need for supplemental active vitamin D in osteoporosis management. It is especially recommended when laboratory tests show low serum calcium, elevated PTH, or inadequate calcitriol levels despite adequate vitamin D intake. 

Contraindications include **hypercalcemia, hyperphosphatemia, vitamin D intoxication, granulomatous diseases (e.g., sarcoidosis)**, and known hypersensitivity to the drug or any excipients. Patients with severe renal impairment who are already on dialysis should be monitored closely, as excess active vitamin D may precipitate vascular calcifications. 

---

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---

## Use: Dosing, Missed Dose, Overdose 

- **Standard Dosing** 
 • Initial therapy often starts at **.25 µg once daily**, titrated upward to **.5 µg** based on serum calcium and phosphate levels. Some clinicians may increase to **1 µg** in refractory cases, but this exceeds the strengths offered in this capsule formulation. 

- **Missed Dose** 
 • If a dose is missed and it is less than 24 hours since the scheduled time, take the tablet as soon as you remember. If it is close to the time of the next dose, skip the missed tablet and resume the regular schedule. Do not double-dose. 

- **Suspected Overdose** 
 • Overdose may present with symptoms of hypercalcemia (nausea vomiting, polyuria, weakness, cardiac arrhythmia). Seek immediate medical attention. Treatment typically involves intravenous hydration, diuretics, and, in severe cases, bisphosphonates. 

- **Practical Precautions** 
 • Take the capsule with food to improve absorption. 
 • Avoid excessive calcium-rich supplements unless instructed by a clinician. 
 • Alcohol can worsen hypercalcemia; limit intake. 
 • Operating heavy machinery is safe unless you experience dizziness or fatigue from altered calcium levels. 

---

## Safety Information 

### ⚠️ Who Should Not Take Alfacalcidol 

- Patients with documented **hypercalcemia** or **hyperphosphatemia**. 
- Individuals with **vitamin D intoxication** or a history of severe hypersensitivity to the drug. 
- Those suffering from **granulomatous disorders** (e.g., sarcoidosis, tuberculosis) where extra-renal conversion of vitamin D can cause uncontrolled calcium rise. 

### Common Side Effects 

- **Mild hypercalcemia** (elevated calcium without symptoms) - usually detected on routine labs. 
- **Gastrointestinal discomfort** (nausea, abdominal cramps). 
- **Headache** or **fatigue** - often transient during dose adjustments. 

### Serious Side Effects (Seek Immediate Medical Help) 

- **Severe hypercalcemia** (vomiting, polyuria, dehydration, cardiac arrhythmia). 
- **Kidney stones** or **renal colic** due to calcium deposition. 
- **Allergic reactions** (rash, swelling, difficulty breathing). 

### Drug & Food Interactions 

- **Thiazide diuretics** - may amplify calcium retention, increasing hypercalcemia risk. 
- **Calcium supplements or high-calcium diets** - combined effect can overshoot target calcium levels. 
- **Cholesterol-binding resins (e.g., cholestyramine)** - may reduce alfacalcidol absorption; separate administration by at least 4 hours. 
- **Digitalis (digoxin)** - heightened calcium can potentiate digoxin toxicity; monitor serum levels. 

---

## Off-Label and Investigational Uses of Alfacalcidol 

- **Premature Osteopenia** - Small clinical studies suggest alfacalcidol may improve bone mineral density in preterm infants when administered under strict monitoring. 
- **Autoimmune Diseases** - Early-phase research has explored vitamin D analogues for modulating immune responses in multiple sclerosis and rheumatoid arthritis, but evidence remains limited. 
- **Secondary Hyperparathyroidism in Dialysis** - Although not universally approved, many nephrology protocols incorporate alfacalcidol to suppress PTH in patients on hemodialysis. 

*Off-label use should only be considered under the direct supervision of a qualified healthcare provider.* 

---

## Storage & Handling 

- Store capsules at **20-25 °C (68-77 °F)**, protected from light and moisture. 
- Keep the container tightly closed and away from children. 
- Do not freeze. 
- Use within **24 months** of the printed expiry date; discard any tablets that appear discoloured or damaged. 
- Dispose of unused medication according to local pharmacy take-back programs or hazardous waste guidelines. 

---

## Frequently Asked Questions 

**Practical Use & Lifestyle** 

- **Can I travel internationally with Alfacalcidol?** 
 Travel is safe provided you keep the medication in its original container, carry a copy of the prescription if required, and store it at room temperature away from direct sunlight. 

- **Should I avoid any specific foods while taking Alfacalcidol?** 
 Extremely high-calcium foods (e.g., large quantities of dairy) may raise serum calcium excessively; moderate intake is advisable. 

- **Is it okay to take Alfacalcidol on an empty stomach?** 
 Absorption is slightly better with meals, so it is recommended to ingest the capsule with food. 

**Product & Formulation Details** 

- **What do Alfacalcidol capsules look like?** 
 The .25 µg capsules are typically white, film-coated tablets, while the .5 µg strength may appear pink; however, appearance can vary by manufacturer. 

- **Are there any inactive ingredients that could cause allergies?** 
 Common excipients include lactose, microcrystalline cellulose, and magnesium stearate. Patients with known sensitivities should verify the full ingredient list with their pharmacist. 

**Regulatory & Safety Nuances** 

- **Will Alfacalcidol appear on a standard drug test for athletes?** 
 Routine anti-doping panels do not screen for vitamin D analogues, but athletes competing under strict regulations should disclose use to their medical team. 

- **Can elderly patients safely use Alfacalcidol?** 
 Elderly individuals are at higher risk for hypercalcemia; dose titration and regular monitoring of calcium and renal function are essential. 

**Scientific & Clinical Curiosity** 

- **How does Alfacalcidol differ from Calcifediol?** 
 Alfacalcidol is a 1-α-hydroxy derivative that becomes active after hepatic 25-hydroxylation, whereas calcifediol (25-hydroxyvitamin D₃) requires only renal 1-α-hydroxylation. The metabolic affect their suitability in different renal conditions. 

- **What major clinical trials have evaluated Alfacalcidol?** 
 Large-scale studies, such as the *PRIMO* and *ADVANCE* trials, assessed its impact on bone turnover and calcium-phosphate balance in chronic kidney disease; results demonstrated modest improvements in PTH suppression compared with placebo. 

---

## Glossary 

**1-α-Hydxyvitamin D** 
: The chemical name for alfacalcidol, a vitamin D analogue that is hydroxylated at the 1-α position, allowing it to be activated in the liver. 

**Hypercalcemia** 
: An abnormally high concentration of calcium in the blood, which can cause neurological, gastrointestinal, and cardiac disturbances. 

**Parathyroid Hormone (PTH)** 
: A hormone secreted by the parathyroid glands that regulates calcium and phosphorus metabolism; elevated levels often indicate secondary hyperparathyroidism. 

---

## Disclaimer 

The information provided about **Alfacalcidol** is intended for general educational purposes only and does not substitute professional medical consultation. All therapeutic decisions, including considerations of off-label applications, should be undertaken under the guidance of a qualified healthcare provider. Readers are presumed to be competent adults capable of making informed health choices. [our online pharmacy](https://liabilis.com/order-alfacalcidol-online-en.html) makes Alfacalcidol available to individuals who may encounter limited access through conventional pharmacies, insurance-based dispensing, or who seek cost-effective generic alternatives. Prior to initiating, altering, or discontinuing any medication, you should discuss your specific situation with a medical professional.