HomeNDC LookupIngredientsErgocalciferol › 69452-0151-20
Ergocalciferol 1.25 mg Capsule, Liquid Filled, 100-count — NDC 69452-0151-20 package photo

Ergocalciferol 1.25 mg Capsule, Liquid Filled, 100-count

by Bionpharma Inc. · 100 CAPSULE, LIQUID FILLED in 1 BOTTLE, PLASTIC (69452-151-20)
NDC 69452-0151-20
🏷️ FDA NDC (as labeled) 69452-151-20 billing pads the product segment with a zero
Rx only Generic On market Non-controlled
🗂️ Data synced Jul 24, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

🆔 Identity & classification

FDA NDC (as labeled) 69452-151-20
Product NDC 69452-151
11-digit billing NDC 69452015120
NCPDP billing unit EA — each (per item)
RxCUI 1367410
UNII VS041H42XC
UPC 0369452151204
Application # ANDA080704
SPL Set ID 2a8d73d6-9991-401b-ab8b-81f22e5a0695
Established class (EPC) Provitamin D2 Compound
Chemical class Ergocalciferols
DEA schedule Non-controlled
Marketing category ANDA
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2016-06-15
Route ORAL
Dosage form CAPSULE, LIQUID FILLED
Substance ERGOCALCIFEROL
GPI-14 77202030000110
GPI class Vitamin D (Ergocalciferol)
GCN Seq No 002169
GCN 94422
HICL code 000995
Ingredient (HICL) Ergocalciferol (Vitamin D2)
HIC1 code C
Therapeutic class — broad (HIC1) Electrolyte Balance/Metabolism/Nutrition
HIC2 code C6
Therapeutic class — intermediate (HIC2) Vitamins
HIC3 code C6D
Therapeutic class — specific (HIC3) Vitamin D Preparations
AHFS code 88:16.00.00
AHFS class Vitamin D
FDB label name VITAMIN D2 1.25MG(50,000 UNIT)
FDB brand name Vitamin D2
Legend status F — Federal legend — prescription drug or device
TE code (Orange Book) AA · RLD · RS
Why two NDCs? The FDA registers this code as 69452-151-20 — a 5-3-2 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the product segment → 69452-0151-20. Same drug, same package — only the format differs.
Where does this data come from?
Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.

🏷️ RxNorm drug class

This medicine belongs to the Provitamin D2 Compound class.

Pharmacologic class Provitamin D2 Compound
Drug family (ATC) Vitamin D and analogues
Where does this data come from?
Therapeutic classes from RxNorm RxClass (U.S. National Library of Medicine) — Established Pharmacologic Class (FDA), ATC drug family (WHO) and mechanism of action, matched by this product’s RxCUI.

🏭 Manufacturer & labeler

LabelerBionpharma Inc.
Application holderBIONPHARMA INC
FDA applicationANDA080704 (ANDA)
Labeler code69452
First marketedJun 2016
Product typeHuman Prescription Drug
Portfolio163 products on file
The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

🩺 Clinical

Label name VITAMIN D2 1.25MG(50,000 UNIT) Ingredient Ergocalciferol (Vitamin D2)
📖 What it is MedlinePlus · NLM

Ergocalciferol is used in the treatment of hypoparathyroidism (condition in which the body does not produce enough parathyroid hormone), refractory rickets (softening and weakening of bones that does not respond to treatment), and familial hypophosphatemia (rickets or osteomalacia caused by an inherited condition with a decreased ability to break down vitamin D in the body). Ergocalciferol is in a class of medications called vitamin D analogs. It works by helping the body to use more of the calcium found in foods or supplements.

Read the full MedlinePlus article ↗
📗 Our plain-language guide HelloPharmacist
  • It's the same type of vitamin D (vitamin D2), but at much higher doses. The over-the-counter supplements you see on store shelves are for general wellness, while this prescription...
  • Is this the same vitamin D I can buy at the pharmacy without a prescription?
  • Because the line between a helpful dose and a harmful one is very narrow with ergocalciferol. Too much vitamin D raises your calcium levels to dangerous heights, which can damage y...
  • Why does my doctor keep ordering blood tests while I'm on this medication?
📖 Read our full Ergocalciferol guide →
Where does this data come from?
Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.

💊 What it looks like

Color green
ShapeOval
ImprintPA140
Size13 mm
ScoringNot scored
One label can cover several strengths, so colors may be combined — always confirm a loose pill against the dispensed prescription label or a pharmacist.
Where does this data come from?
Physical description (imprint, shape, color, scoring, coating) from this product’s FDA Structured Product Labeling (SPL), mirrored from DailyMed / openFDA.

🧪 Inactive Ingredients / Excipients

Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.

💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.

  • UNII 35SW5USQ3G
    A synthetic yellow dye used to color medicines. It helps make tablets, capsules, and liquids visually distinct so patients can easily identify their medication.
  • UNII H3R47K3TBD
    FD&C Blue No. 1 is a synthetic blue dye approved for use in foods and medicines. It serves as a colorant to give the medication its distinctive appearance and help with product identification.
  • UNII 2G86QN327L
    Gelatin is a protein derived from animal collagen, commonly used in medicines as a gelling agent and capsule material. It helps create soft or hard capsule shells that hold and release medication, and can also thicken liquid formulations.
  • UNII PDC6A3C0OX
    Glycerin is a clear, thick liquid derived from plant oils or fats. It acts as a humectant to retain moisture, a sweetener, and a solvent in medications.
  • UNII 241ATL177A
    Soybean oil is a natural plant oil derived from soybean seeds. It's used in medicines as a solvent and carrier to help dissolve or suspend active ingredients and improve how the body absorbs them.
  • UNII 059QF0KO0R
    Water is a liquid solvent that dissolves and mixes ingredients together in liquid medicines, syrups, and injections. It helps distribute the active drug evenly throughout the product.

6 inactive ingredients listed in the exact product block matched to this NDC.

Where does this data come from?
Data sourced from official FDA Structured Product Labeling (SPL) via DailyMedingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.

Inactive ingredient FAQ

Are inactive ingredients the same for every manufacturer?
No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.
Why might an inactive ingredient be missing?
Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.
Can inactive ingredients matter?
Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.

💲 Pricing

A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.

Price systemPer eaPer package
Retail pharmacies payNADAC · weekly $0.114 $11.36 / 100 capsules
Medicaid paysCMS SDUD · 12 mo $1.25 $125.34 / 100 capsules
Medicare drug plans payPart D · quarterly No Part D plan price is available for this NDC in our data.
NADAC price history (per ea) — tap or hover for the price & month
Dec 2021 Jul 2022 Dec 2025 Aug 2026 $0.144 $0.109
▼ Down 15% over the last 24 months.
Where does this data come from?
NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.

🔁 Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Ergocalciferol 1.25 mg 13668-0757-01 Torrent 100 capsules $0.114 AA Availability likely
Ergocalciferol Capsules, 1.25 mg 42806-0547-01 Epic 100 capsules $0.114 AA Availability likely
Vitamin D 1.25 mg 50268-0297-15 AvPAK 50 capsules $0.114 AA Availability likely
Ergocalciferol 1.25 mg 62135-0439-90 Chartwell 90 capsules $0.114 AA Availability likely
Vitamin D 1.25 mg 64380-0737-06 Strides 100 capsules $0.114 AA Availability likely
Ergocalciferol 1.25 mgthis 69452-0151-20 Bionpharma 100 capsules $0.114 AA Availability likely
Ergocalciferol 1.25 mg 42291-0266-01 AvKARE 100 capsules AA FDA listed
Ergocalciferol 1.25 mg 43063-0711-12 PD-Rx 12 capsules AA FDA listed
Ergocalciferol 1.25 mg 43353-0238-03 Aphena 3 capsules AA FDA listed
Ergocalciferol 1.25 mg 50090-5844-01 A-S 8 capsules AA FDA listed
Vitamin D 1.25 mg 51407-0700-01 Golden 100 capsules AA FDA listed
Ergocalciferol Capsules, 1.25 mg 51655-0730-80 Northwind 8 capsules AA FDA listed
Vitamin D 1.25 mg 51655-0774-27 Northwind 12 capsules AA FDA listed
Ergocalciferol 1.25 mg 60760-0152-12 St. 12 capsules AA FDA listed
Vitamin D 1.25 mg 61919-0702-04 DirectRX 4 capsules AA FDA listed
Vitamin D 1.25 mg 63187-0519-06 Proficient 6 capsules AA FDA listed
Ergocalciferol 1.25 mg 63629-2447-01 Bryant 100 capsules AA FDA listed
Ergocalciferol 1.25 mg 63629-7913-01 Bryant 90 capsules AA FDA listed
Ergocalciferol 1.25 mg 68071-1951-02 NuCare 12 capsules AA FDA listed
Ergocalciferol 1.25 mg 68071-2295-01 NuCare 100 capsules AA FDA listed
Ergocalciferol Capsules, 1.25 mg 68788-4042-01 Preferred 100 capsules AA FDA listed
Ergocalciferol 1.25 mg 68788-4092-01 Preferred 100 capsules AA FDA listed
Vitamin D 1.25 mg 68788-7627-01 Preferred 100 capsules AA FDA listed
Ergocalciferol 1.25 mg 70518-0177-03 REMEDYREPACK 1 capsule AA Discontinued
Vitamin D 1.25 mg 70518-1878-01 REMEDYREPACK 12 capsules AA FDA listed
Ergocalciferol Capsules, 1.25 mg 70518-3472-00 REMEDYREPACK 4 capsules AA Discontinued
Ergocalciferol Capsules, 1.25 mg 71205-0676-30 Proficient 30 capsules AA FDA listed
Ergocalciferol 1.25 mg 71335-0062-00 Bryant 45 capsules AA FDA listed
Vitamin D 1.25 mg 71335-0278-00 Bryant 45 capsules AA FDA listed
Ergocalciferol 1.25 mg 71335-1691-00 Bryant 45 capsules AA FDA listed
Ergocalciferol 1.25 mg 71335-1699-01 Bryant 90 capsules AA FDA listed
Ergocalciferol Capsules, 1.25 mg 71335-2003-01 Bryant 4 capsules AA FDA listed
Ergocalciferol 1.25 mg 71335-2246-01 Bryant 4 capsules AA FDA listed
Vitamin D 1.25 mg 71610-0552-04 Aphena 4 capsules AA FDA listed
Ergocalciferol 1.25 mg 71610-0712-03 Aphena 3 capsules AA FDA listed
Vitamin D 1.25 mg 72789-0249-01 PD-Rx 100 capsules AA FDA listed
Ergocalciferol (Vitamin D2) 1.25 mg 80425-0130-03 Advanced 12 capsules AA FDA listed
About this product: this is a generic version of the medicine. FDA equivalence ratings are shown when available, and other versions are listed above, least expensive first.
Where does this data come from?
Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.

Availability & generic status

🏛️
2016
On the market since
Jun 2016
📍
2026
Currently FDA-listed
10 years listed
🔓
·
Generic on the market
this product is a generic
This is a generic drug

This product is an FDA-approved generic. Other versions of the same drug are listed under Therapeutic equivalents, least expensive first.

Where does this data come from?
Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.

🗺️ Medicaid utilization & spend

📍 This exact package only: Medicaid data is reported per full 11-digit NDC — labeler, product and pack size — so every number here is for 69452-0151-20, not the drug overall. Other pack sizes report separately.
💊 Pharmacy benefit only: These are Medicaid outpatient pharmacy claims, billed by NDC. They exclude the medical benefit — clinic- or hospital-administered drugs billed under HCPCS J-codes — so drugs used mostly that way (e.g. Avastin, Lucentis, Keytruda) can look low or missing here. That’s expected, not an error.
📅 Q1 2025 – Q4 2025 · 4 quarters of data
ⓘ The newest quarter is usually incomplete when first published; states restate recent quarters in later CMS releases, so the latest figures typically revise upward. State coverage-policy changes can also shift quarter-to-quarter totals.
Prescriptions last 4 qtrs
2.3M
Units reimbursed last 4 qtrs
13M
Gross reimbursed last 4 qtrs
$16.33M
Avg / prescription
$7.17
Avg / unit
$1.2534
Latest quarter Q4 2025
518.5KRx
Medicaid pays / ea
$1.2534
gross reimbursed
vs
NADAC / ea
$0.1136
acquisition cost
=
Spread
+$1.1398
+1003% vs cost
What Medicaid paid per ea (before rebates; includes the pharmacy’s dispensing fee) compared with NADAC — the average price pharmacies pay to buy the drug. A positive spread means Medicaid reimbursed more than the purchase price, before manufacturer rebates.
Fee-for-service vs managed care
44% FFS 56% MCO
Fee-for-service · 1,004,914 Rx Managed care · 1,271,768 Rx
State Medicaid map
Alaska: 7,968 units · 1,087 per 100k residents AK Maine: 21,776 units · 1,561 per 100k residents ME Washington: 85,639 units · 1,096 per 100k residents WA Idaho: 24,855 units · 1,266 per 100k residents ID Montana: 23,607 units · 2,085 per 100k residents MT North Dakota: 4,614 units · 589 per 100k residents ND Minnesota: 43,763 units · 763 per 100k residents MN Wisconsin: no data reported WI Michigan: 1,228,887 units · 12,244 per 100k residents MI New York: 2,626,856 units · 13,422 per 100k residents NY Vermont: 11,661 units · 1,802 per 100k residents VT New Hampshire: 6,834 units · 487 per 100k residents NH Oregon: 69,320 units · 1,638 per 100k residents OR Nevada: 35,036 units · 1,097 per 100k residents NV Wyoming: 1,717 units · 294 per 100k residents WY South Dakota: 3,184 units · 346 per 100k residents SD Iowa: 8,588 units · 268 per 100k residents IA Illinois: 470,060 units · 3,746 per 100k residents IL Indiana: 387,626 units · 5,649 per 100k residents IN Ohio: 660,190 units · 5,602 per 100k residents OH Pennsylvania: 650,413 units · 5,018 per 100k residents PA New Jersey: 588,795 units · 6,338 per 100k residents NJ Massachusetts: 239,363 units · 3,419 per 100k residents MA California: 1,423,675 units · 3,654 per 100k residents CA Utah: 7,173 units · 210 per 100k residents UT Colorado: 83,743 units · 1,425 per 100k residents CO Nebraska: 25,761 units · 1,302 per 100k residents NE Missouri: 135,658 units · 2,189 per 100k residents MO Kentucky: 413,863 units · 9,144 per 100k residents KY West Virginia: 201,076 units · 11,360 per 100k residents WV Virginia: 593,725 units · 6,812 per 100k residents VA Maryland: 641,220 units · 10,376 per 100k residents MD Connecticut: 220,086 units · 6,085 per 100k residents CT Rhode Island: 81,464 units · 7,440 per 100k residents RI Arizona: 36,054 units · 485 per 100k residents AZ New Mexico: 16,068 units · 760 per 100k residents NM Kansas: 12,189 units · 415 per 100k residents KS Arkansas: 65,614 units · 2,139 per 100k residents AR Tennessee: 73,605 units · 1,033 per 100k residents TN North Carolina: 523,595 units · 4,832 per 100k residents NC South Carolina: 149,794 units · 2,788 per 100k residents SC Delaware: 25,421 units · 2,466 per 100k residents DE Oklahoma: 4,525 units · 112 per 100k residents OK Louisiana: 335,613 units · 7,337 per 100k residents LA Mississippi: 70,297 units · 2,391 per 100k residents MS Alabama: 101,359 units · 1,984 per 100k residents AL Georgia: 107,231 units · 972 per 100k residents GA D.C.: 61,729 units · 9,091 per 100k residents DC Hawaii: 4,470 units · 311 per 100k residents HI Texas: 245,701 units · 805 per 100k residents TX Florida: 169,955 units · 752 per 100k residents FL
Units reimbursed · per 100k residents
11213,422
gray = no data reported
Colors are per 100,000 residents, so big states don’t automatically dominate. Tap or hover a state for its actual totals.
Tap or hover a state
…for its Medicaid breakdown
🏆 Top states by units · per 100k residents
1 New York 13,422 /100k
2 Michigan 12,244 /100k
3 West Virginia 11,360 /100k
4 Maryland 10,376 /100k
5 Kentucky 9,144 /100k
6 D.C. 9,091 /100k
7 Rhode Island 7,440 /100k
8 Louisiana 7,337 /100k
National units — by quarter
💵 About the dollar figures: “reimbursed” is what Medicaid paid pharmacies before confidential manufacturer rebates, so the program’s real net cost is lower than these numbers. Fee-for-service and managed-care claims are combined unless split above. Source: CMS State Drug Utilization Data; per-100k rates use 2023 Census population estimates.

🔬 Reported adverse events (FAERS)

Read carefully: FAERS reports are voluntary and unverified. Counts are not incidence, do not establish causation, are subject to reporting bias, and cannot be used to compare one drug to another. Shown for signal context only. Reports for ERGOCALCIFEROL — the ingredient across all brands.

Top reported reactions

Fatigue37,945
Nausea28,189
Diarrhoea27,097
Headache25,982
Pain24,231
Dyspnoea20,506
Arthralgia20,181

Age at onset

Neonate241
Infant164
Child696
Adolescent974
Adult32,535
Elderly32,898

Reporter sex

382,600 reports
Male · 29%
Female · 71%
Unknown · 0%

Serious outcomes

Hospitalization102,610
Death22,817
Disabling15,123
Life-threatening11,609
Reports over time (by year) — tap or hover for the count & year
2019 2021 2023 2026 28,692 0
Most recent year is provisional (FAERS lags ~3 months).
Where does this data come from?
Adverse-event reports from the FDA Adverse Event Reporting System (FAERS) via openFDA. FAERS reports are voluntary and unverified — counts are not incidence and don’t establish causation.

📦 Packaging — all sizes for this product

Package NDCDescription Marketing startStatus
69452-0151-20 You're viewing this 100 CAPSULE, LIQUID FILLED in 1 BOTTLE, PLASTIC (69452-151-20) 2016-06-15 Active

📄 Full prescribing information FDA SPL

The complete FDA label for this product — the official prescribing information, verbatim, section by section. Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage 25 words

INDICATIONS AND USAGE Ergocalciferol is indicated for use in the treatment of hypoparathyroidism, refractory rickets, also known as vitamin D resistant rickets, and familial hypophosphatemia.

⏱️ Dosage and Administration 83 words

DOSAGE AND ADMINISTRATION THE RANGE BETWEEN THERAPEUTIC AND TOXIC DOSES IS NARROW. Vitamin D Resistant Rickets: 12,000 to 500,000 USP units daily. Hypoparathyroidism: 50,000 to 200,000 USP units daily concomitantly with calcium lactate 4 g, six times per day.

DOSAGE MUST BE INDIVIDUALIZED UNDER CLOSE MEDICAL SUPERVISION. Calcium intake should be adequate. Blood calcium and phosphorous determinations must be made every 2 weeks or more frequently if necessary.

X-rays of the bones should be taken every month until condition is corrected and stabilized.

Contraindications 22 words

CONTRAINDICATIONS Ergocalciferol is contraindicated in patients with hypercalcemia, malabsorption syndrome, abnormal sensitivity to the toxic effects of vitamin D, and hypervitaminosis D.

⚠️ Warnings 31 words

WARNINGS Hypersensitivity to vitamin D may be one etiologic factor in infants with idiopathic hypercalcemia. In these cases vitamin D must be strictly restricted. Keep out of the reach of children.

🤒 Adverse Reactions 117 words

ADVERSE REACTIONS Hypervitaminosis D is characterized by effects on the following organ system: Renal: Impairment of renal function with polyuria, nocturia, polydipsia, hypercalciuria, reversible azotemia, hypertension, nephrocalcinosis, generalized vascular calcification, or irreversible renal insufficiency which may result in death. CNS: Mental retardation. Soft Tissues: Widespread calcification of the soft tissues, including the heart, blood vessels, renal tubules, and lungs.

Skeletal: Bone demineralization (osteoporosis) in adults occurs concomitantly. Decline in the average rate of linear growth and increased mineralization of bones in infants and children (dwarfism), vague aches, stiffness, and weakness. Gastrointestinal: Nausea, anorexia, constipation.

Metabolic: Mild acidosis, anemia, weight loss. To report SUSPECTED ADVERSE REACTIONS, contact Bionpharma Inc. at 1-888-235-2466 or FDA at 1-800-FDA-1088 or www.fda.gov/ medwatch.

🔄 Drug Interactions 32 words

Drug Interactions Mineral oil interferes with the absorption of fat-soluble vitamins, including vitamin D preparations. Administration of thiazide diuretics to hypoparathyroid patients who are concurrently being treated with ergocalciferol may cause hypercalcemia.

🤰 Pregnancy 109 words

Pregnancy Category C Animal reproduction studies have shown fetal abnormalities in several species associated with hypervitaminosis D. These are similar to the supravalvular aortic stenosis syndrome described in infants by Black in England (1963). This syndrome was characterized by supravalvular aortic stenosis, elfin facies, and mental retardation.

For the protection of the fetus, therefore, the use of vitamin D in excess of the recommended dietary allowance during normal pregnancy should be avoided unless, in the judgment of the physician, potential benefits in a specific, unique case outweigh the significant hazards involved. The safety in excess of 400 USP units of vitamin D daily during pregnancy has not been established.

🧒 Pediatric Use 12 words

Pediatric Use Pediatric doses must be individualized (see DOSAGE AND ADMINISTRATION ).

🧓 Geriatric Use 107 words

Geriatric Use Clinical studies of Ergocalciferol capsules, USP did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients. A few published reports have suggested that the absorption of orally administered vitamin D may be attenuated in elderly compared to younger individuals.

In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy.

🆘 Overdosage ~1 min read

OVERDOSAGE The effects of administered vitamin D can persist for two or more months after cessation of treatment. Hypervitaminosis D is characterized by: Hypercalcemia with anorexia, nausea, weakness, weight loss, vague aches and stiffness, constipation, mental retardation, anemia, and mild acidosis. Impairment of renal function with polyuria, nocturia, polydipsia, hypercalciuria, reversible azotemia, hypertension, nephrocalcinosis, generalized vascular calcification, or irreversible renal insufficiency which may result in death.

Widespread calcification of the soft tissues, including the heart, blood vessels, renal tubules, and lungs. Bone demineralization (osteoporosis) in adults occurs concomitantly. Decline in the average rate of linear growth and increased mineralization of bones in infants and children (dwarfism).

The treatment of hypervitaminosis D with hypercalcemia consists in immediate withdrawal of the vitamin, a low calcium diet, generous intake of fluids, along with symptomatic and supportive treatment. Hypercalcemic crisis with dehydration, stupor, coma, and azotemia requires more vigorous treatment. The first step should be hydration of the patient.

Intravenous saline may quickly and significantly increase urinary calcium excretion. A loop diuretic (furosemide or ethacrynic acid) may be given with the saline infusion to further increase renal calcium excretion. Other reported therapeutic measures include dialysis or the administration of citrates, sulfates, phosphates, corticosteroids, EDTA (ethylenediaminetetraacetic acid), and mithramycin via appropriate regimens.

With appropriate therapy, recovery is the usual outcome when no permanent damage has occurred. Deaths via renal or cardiovascular failure have been reported. The LD 50 in animals is unknown.

The toxic oral dose of ergocalciferol in the dog is 4 mg/kg.

🧬 Clinical Pharmacology 147 words

CLINICAL PHARMACOLOGY The in vivo synthesis of the major biologically active metabolites of vitamin D occurs in two steps. The first hydroxylation of ergocalciferol takes place in the liver (to 25-hydroxyvitamin D) and the second in the kidneys (to 1,25-dihydroxyvitamin D). Vitamin D metabolites promote the active absorption of calcium and phosphorous by the small intestine, thus elevating serum calcium and phosphate levels sufficiently to permit bone mineralization.

Vitamin D metabolites also mobilize calcium and phosphate from bone and probably increase the reabsorption of calcium and perhaps also of phosphate by the renal tubules. There is a time lag of 10 to 24 hours between the administration of vitamin D and the initiation of its action in the body due to the necessity of synthesis of the active metabolites in the liver and kidneys. Parathyroid hormone is responsible for the regulation of this metabolism in the kidneys.

📦 How Supplied / Storage and Handling 86 words

HOW SUPPLIED Each green, oval softgel is imprinted with PA140 and contains 1,250 mcg (50,000 USP units vitamin D) of ergocalciferol, USP, and is available in bottles of 100 (NDC 69452-151-20) Softgels. Store at 25° C (77° F); excursions permitted to 15° to 30° C (59° to 86° F) [See USP Controlled Room Temperature]. Protect from light and moisture.

Dispense in a tight, light-resistant container as defined in the USP. Manufactured for: Bionpharma Inc. Princeton, NJ 08540, USA MADE IN INDIA Rev.

08/2024 Code: TN/DRUGS/TN00002124 2411295

📋 Description 178 words

DESCRIPTION ERGOCALCIFEROL CAPSULES, USP, is a synthetic calcium regulator for oral administration. Ergocalciferol is a white, colorless crystal, insoluble in water, soluble in organic solvents, and slightly soluble in vegetable oils. It is affected by air and by light.

Ergosterol or provitamin D 2 is found in plants and yeast and has no antirachitic activity. There are more than 10 substances belonging to a group of steroid compounds, classified as having vitamin D or antirachitic activity. One USP Unit of vitamin D 2 is equivalent to one International Unit (IU), and 1 mcg of vitamin D 2 is equal to 40 IU.

Each softgel, for oral administration, contains Ergocalciferol, USP 1,250 mcg (equivalent to 50,000 USP units of Vitamin D), in an edible vegetable oil. Ergocalciferol, also called vitamin D 2 , is 9,10-secoergosta-5,7,10(19),22-tetraen-3-ol,(3 β ,5 Z ,7 E ,22 E )-; (C 28 H 44 O) with a molecular weight of 396.65, and has the following structural formula: Inactive Ingredients : Refined soybean oil, gelatin, glycerin, purified water, D&C Yellow #10, and FD&C Blue #1. Structure Formula

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗
For educational and professional reference only — not medical advice. Pricing reflects published NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.