• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you only. Do not pass it on to others. It may harm them even if their signs of illness are the same as yours.
• If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

1. What Rocaltrol is and what it is used for
2. What you need to know before you take Rocaltrol
3. How to take Rocaltrol
4. Possible side effects
5. How to store Rocaltrol
6. Contents of the pack and other information

if you are allergic (hypersensitive) to:

• Calcitriol or any of the other ingredients of this medicine (listed in section 6).
• Other ‘vitamin D metabolite’ medicines (used to treat bone disease). These include alfacalcidol and colecalciferol.

Do not take Rocaltrol if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking Rocaltrol.

• You have high levels of calcium in your blood (hypercalcaemia).
• You have extra deposits of calcium in your body (metastatic calcification).
• You are unwell because of high levels of vitamin D in your body.

Do not take Rocaltrol if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking Rocaltrol.

Talk to your doctor or pharmacist before taking Rocaltrol if:

• You are finding it difficult to move about (for example, after an operation).
• You have kidney problems (the doctor may need to monitor the phosphate levels in your blood and diet).

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. This includes medicines that you buy without a prescription and herbal medicines. This is because Rocaltrol can affect the way some medicines work. Also some other medicines can affect the way Rocaltrol works.

In particular, tell your doctor or pharmacist if you are taking any of the following medicines:

• Other medicines containing vitamin D.
• Diuretics, also called ‘water tablets’ (used to treat high blood pressure). These include bendroflumethiazide, chlortalidone and indapamide.
• Medicines like digoxin or digitoxin (used to treat heart disease).
• Medicines containing magnesium, such as antacids (used to treat indigestion).
• Steroid medicines, such as hydrocortisone, prednisolone and dexamethasone.
• Cholestyramine, or other ‘ion-exchange resins’ (used to treat high levels of cholesterol in your blood).
• Phosphate (the doctor may need to monitor phosphate levels in your blood).

Also tell your doctor or pharmacist if you have taken a medicine containing vitamin D over the last few months that has long-lasting effects. These medicines include ergocalciferol and colecalciferol.

• Do not take any vitamin or food supplements that contain vitamin D while you are taking Rocaltrol.
• Do not eat food which has vitamin D added (food which is ‘fortified’ with vitamin D) while you are taking Rocaltrol.
• It is very important to keep to any diet that your doctor has given to you.
• If you change how much calcium or vitamin D you have in your diet this can increase the risk of side effects (for example, if you eat more dairy products like milk and cheese, or take vitamins without your doctor knowing).
• Drink plenty of fluids (such as water) as it is important not to become dehydrated. This does not apply if you have kidney problems.

• Talk to your doctor before taking Rocaltrol if you are pregnant, think you are pregnant, or plan to get pregnant. Your doctor will then decide if you should take Rocaltrol.
• You can take Rocaltrol if you are breast-feeding. However, your doctor will take blood samples from you and your child to check that there are no unwanted effects.

Rocaltrol is not likely to affect you being able to drive or use any tools or machines.

Rocaltrol contains sorbitol, which is a type of sugar. If you have been told by your doctor that you cannot tolerate or digest some sugars (have an intolerance to some sugars), talk to your doctor before taking this medicine.

• The usual starting dose for adults and elderly people is one 0.25 microgram capsule once a day.
• After 2 to 4 weeks your doctor may start increasing your dose slowly by 0.25 microgram at a time.
• Eventually, depending on your blood test results, your doctor may need to adjust your dose again. He or she may ask you to take Rocaltrol two or three times a week instead of every day. The maximum dose each week is 12 micrograms.

• The usual dose for adult and elderly women is one 0.25 microgram capsule twice a day.

• If you take more Rocaltrol than you should, talk to a doctor or go to a hospital straight away. Take the medicine pack with you.
• If you take too many capsules, you may get too much calcium in your blood (hypercalcaemia). The signs include loss of appetite, weight loss, feeling sick, being sick, constipation, headache and feeling sluggish, drowsy or weak.

• If you forget to take a dose, skip the missed dose. Then take your next dose as normal.
• Do not take a double dose (two doses at the same time) to make up for a forgotten dose.

Do not stop taking Rocaltrol without talking to your doctor. This is because weakness of your bones needs long term treatment.

If someone else takes your Rocaltrol capsules by mistake, they should talk to a doctor or go to a hospital straight away.

• The signs include loss of appetite, weight loss, feeling sick, being sick, headache and feeling sluggish, drowsy or weak.
• Very high levels of calcium in your blood may lead to high temperature (fever), feeling thirsty, dehydration, passing more water than normal, wetting the bed, constipation, stomach pain, blockage of the bowel and an uneven heart beat. There may be infections in the bladder and normal growth may stop.
• Occasionally, mental problems may occur. Also there may be deposits of calcium in areas other than your bone (for example, in your kidneys as ‘kidney stones’). Your doctor may change your dose of Rocaltrol if this happens.

• Changes in how well your kidney is working (shown by blood tests).

• The signs can include itchy skin, skin rashes and reddening of the skin (which may be severe).

If any of the side effects become serious or troublesome, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.

By reporting side effects you can help provide more information on the safety of this medicine.

Rocaltrol Capsules come in two different strengths.

The active substance in ‘Rocaltrol 0.25 microgram Capsules’ is calcitriol. Each capsule contains 0.25 microgram (a quarter of a microgram) of calcitriol.

The active substance in ‘Rocaltrol 0.5 microgram Capsules’ is calcitriol. Each capsule contains 0.5 microgram (half a microgram) of calcitriol.

Other ingredients in both strength capsules are butylhydroxyanisole, butylhydroxytoluene, medium-chain triglycerides, gelatin, glycerol, sorbitol, mannitol, hydrogenated hydrolysed starch, titanium dioxide (E171), red iron oxide (E172) and yellow iron oxide (E172).

Rocaltrol 0.25 microgram Capsules are brown-orange to red-orange in colour at one end and white to grey-yellow or grey-orange in colour at the other.

Rocaltrol 0.5 microgram Capsules are brown-orange to red-orange in colour at both ends.

Rocaltrol capsules are supplied in blister packs containing 100 capsules.