{"id":632363,"date":"2025-06-03T09:30:30","date_gmt":"2025-06-03T13:30:30","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=632363"},"modified":"2025-05-27T14:40:24","modified_gmt":"2025-05-27T18:40:24","slug":"foods-to-avoid-while-taking-calcitriol","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/foods-to-avoid-while-taking-calcitriol\/","title":{"rendered":"3 foods to avoid while taking calcitriol"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Growing up, there is a strong emphasis on drinking milk to fulfill your vitamin D and calcium needs. But as adults, it&#8217;s easy to forget you still need these essential nutrients. While some people eat enough as part of a balanced diet, others develop low calcium levels (calcium deficiency) and may need a prescription supplement like <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/calcitriol\"><span style=\"font-weight: 400;\">calcitriol<\/span><\/a><span style=\"font-weight: 400;\">, which is sold under the brand name Rocaltrol.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When taking calcitriol, you may need to limit your intake of foods rich in calcium, vitamin D, and phosphorus. Consuming large amounts of these nutrients with calcitriol can lead to excess levels, which may cause health problems.<\/span><\/p>\n<h2 id=\"how-calcitriol-works\"><span style=\"font-weight: 400;\">How calcitriol works<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cCalcitriol is the <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/vitamin-d-vs-d3\/\"><span style=\"font-weight: 400;\">active form of vitamin D<\/span><\/a><span style=\"font-weight: 400;\"> in the body. It helps maintain calcium and phosphate balance in the blood, to maintain healthy bones, teeth, and muscle function,\u201d explains Nicolle Overstreet, DO, a family physician with Medical Offices of Manhattan in New York, New York. Calcitriol is FDA-approved to treat calcium deficiency in <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/chronic-kidney-disease\/\"><span style=\"font-weight: 400;\">chronic kidney disease<\/span><\/a><span style=\"font-weight: 400;\">, secondary hyperparathyroidism in chronic kidney disease, and hypoparathyroidism. Off-label, it is also sometimes used to treat rickets, osteomalacia, or calcium deficiencies from other causes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">After you swallow a capsule or liquid solution containing calcitriol, it gets to work in a number of locations in the body to regulate your calcium levels. \u201cFrom the gut, it binds vitamin D receptors in intestinal cells that pull calcium and phosphate from food into the bloodstream. From the bones, it promotes mineralization. From the kidney, it decreases renal calcium loss and increases phosphate reabsorption,\u201d explains <\/span><a href=\"https:\/\/freseniusmedicalcare.com\/en-us\/insights\/amr\/authors\/chance-mysayphonh\/\"><span style=\"font-weight: 400;\">Chance Mysayphonh, Pharm.D.<\/span><\/a><span style=\"font-weight: 400;\">, Senior Director of Clinical and Therapeutic Initiatives at Fresenius Kidney Care.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Another way calcitriol works is in the <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/body\/parathyroid-gland\"><span style=\"font-weight: 400;\">parathyroid glands<\/span><\/a><span style=\"font-weight: 400;\">, which produce hormones that are responsible for keeping calcium levels stable. If these glands are producing too much parathyroid hormone (PTH), it can prompt calcium to be pulled out of the bones, Dr. Mysayphonh adds. Calcitriol lowers PTH production to prevent this.<\/span><\/p>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK526025\/\"><span style=\"font-weight: 400;\">Calcitriol<\/span><\/a><span style=\"font-weight: 400;\"> is fully absorbed within three to six hours of taking the medicine. It takes about seven days of consistent use for the drug to reach steady levels in the body and maintain a stable effect on calcium levels.\u00a0<\/span><\/p>\n<p><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/calcitriol\"><span style=\"font-weight: 400;\">Calcitriol coupons<\/span><\/a><\/p>\n<h2 id=\"3-foods-to-avoid-with-calcitriol\"><span style=\"font-weight: 400;\">3 foods to avoid with calcitriol<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cNot many foods interact with calcitriol,\u201d says Dr. Mysayphonh. That said, it\u2019s not direct interactions you need to worry about. Instead, it\u2019s the way that certain foods may increase the levels of the same minerals that calcitriol is increasing, namely, calcium. This can take your problem of having too little calcium and send it in the opposite direction, creating a calcium overload and leading to potentially serious side effects. That\u2019s why experts recommend limiting or avoiding the following types of foods.<\/span><\/p>\n<h3 id=\"1-high-calcium-foods\"><span style=\"font-weight: 400;\">1. High calcium foods<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">\u201cWhen taking calcitriol, you should avoid high calcium intake from other sources,\u201d notes <\/span><a href=\"https:\/\/www.medicalofficesofmanhattan.com\/our-team\/dr-nicolle-overstreet\/\"><span style=\"font-weight: 400;\">Dr. Overstreet<\/span><\/a><span style=\"font-weight: 400;\">. Your healthcare provider will tell you exactly how much calcium you need to be getting from your diet based on the dose of calcitriol you are taking, but it\u2019s very important not to go over this recommendation to avoid high levels of calcium.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As a general rule, it\u2019s smart to avoid eating too many high-calcium foods, such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Milk<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cheese<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Yogurt<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Spinach<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Collard greens\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">You should also avoid any over-the-counter supplements or medications that contain calcium, as well as calcium-fortified juices or cereals.<\/span><\/p>\n<h3 id=\"2-high-vitamin-d-foods\"><span style=\"font-weight: 400;\">2. High vitamin D foods<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Given that calcitriol is already the active form of vitamin D, you should also avoid foods and supplements that contain <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/vitamin-d-prescription\/\"><span style=\"font-weight: 400;\">vitamin D<\/span><\/a><span style=\"font-weight: 400;\">. Just like eating foods that are high in calcium, getting too much vitamin D from food in combination with calcitriol can result in vitamin D overload. There are not many foods that naturally contain <\/span><a href=\"https:\/\/ods.od.nih.gov\/factsheets\/VitaminD-HealthProfessional\/\"><span style=\"font-weight: 400;\">vitamin D<\/span><\/a><span style=\"font-weight: 400;\">, but those that do include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fatty fish<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mushrooms<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eggs<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Liver<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cheddar cheese<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Most Americans get vitamin D from foods fortified with the vitamin, which include dairy and plant-based milks, breakfast cereals, and orange juice.\u00a0<\/span><\/p>\n<h3 id=\"3-phosphate-rich-foods\"><span style=\"font-weight: 400;\">3. Phosphate-rich foods<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">All the organs and systems that regulate calcium levels, including the kidneys, bones, and parathyroid glands, also regulate phosphate levels in the body. These two minerals have an <\/span><a href=\"https:\/\/books.lib.uoguelph.ca\/human-physiology\/chapter\/calcium-and-phosphate-regulation\/\"><span style=\"font-weight: 400;\">inverse relationship<\/span><\/a><span style=\"font-weight: 400;\">: When calcium levels rise, phosphate levels fall, and vice versa. If there is too much phosphate in the bloodstream, it binds to calcium, reducing the amount of free calcium that\u2019s available for use in the body. For this reason, Dr. Mysayphonh also recommends avoiding foods that are high in phosphate, which include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dairy products like milk, cheese, and yogurt<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Animal proteins like beef, pork, and turkey<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fish and seafood<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nuts<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Legumes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Whole grains<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Soy products<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Processed foods<\/span><\/li>\n<\/ul>\n<h2 id=\"what-should-you-eat-while-taking-calcitriol\"><span style=\"font-weight: 400;\">What should you eat while taking calcitriol?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">As long as you are following a balanced diet and watching your calcium intake while taking calcitriol, you should be good to go, says Dr. Overstreet. Indeed, dairy products are at the top of the list for all three groups of foods above, so as long as you aren\u2019t filling your plate with dairy for breakfast, lunch, and dinner, your diet shouldn\u2019t interfere with the calcitriol\u2019s ability to do its job. That also means that coffee and alcohol are fine in moderation, as long as you aren\u2019t adding too much cream to your coffee or sipping on daily White Russians.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cCalcitriol is fat-soluble, and taking it with a meal containing some fat modestly improves absorption,\u201d notes Dr. Mysayphonh. Foods rich in healthy fats include <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/avocado-benefits\/\"><span style=\"font-weight: 400;\">avocado<\/span><\/a><span style=\"font-weight: 400;\">, olive oil, and salmon (although it does contain some natural phosphate, like most protein-rich foods). Fruits are also great to enjoy, as are vegetables rich in <\/span><a href=\"https:\/\/ods.od.nih.gov\/factsheets\/VitaminK-HealthProfessional\/#h3\"><span style=\"font-weight: 400;\">vitamin K<\/span><\/a><span style=\"font-weight: 400;\">, like broccoli, kale, pumpkin, and carrots, which can support overall bone health.<\/span><\/p>\n\t\t<div id=\"coupon-cta\" class=\"coupon-cta master-template\">\n\t\t\t<p id=\"headline\">Save up to 80% on Calcitriol with SingleCare<\/p>\n\t\t\t<p id=\"subheadline\">Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.<\/p>\n\t\t\t<div class=\"details-wrap\">\n\t\t\t\t<div class=\"details\">\n\t\t\t\t\tCalcitriol 0.25 mcg (30 Capsules)\t\t\t\t<\/div>\n\t\t\t\t<div class=\"address\">\n\t\t\t\t\t23666 - Hampton, VA\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"api-response\">\n\t\t\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-kroger.svg\" alt=\"Kroger Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$10.40<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/calcitriol#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/calcitriol#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-harristeeter.svg\" alt=\"Harris Teeter Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$10.40<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/calcitriol#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/calcitriol#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/calcitriol#blog-cta\" class=\"coupon-see-all-btn\">See Calcitriol prices at all pharmacies<\/a>\n\t\t<\/div>\n\n\t\t\n<h2 id=\"gastrointestinal-side-effects-of-calcitriol\"><span style=\"font-weight: 400;\">Gastrointestinal side effects of calcitriol<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The biggest reason that you\u2019ll want to avoid the foods mentioned above is to prevent hypercalcemia, or having too much calcium in the blood, which can lead to unpleasant and sometimes serious side effects. \u201cThe common symptoms of hypercalcemia are nausea, vomiting, constipation, abdominal pain, and fatigue,\u201d says Dr. Mysayphonh. These can usually be avoided by following your healthcare provider\u2019s advice regarding your diet and taking calcitriol as directed.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other common side effects of calcitriol include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dry mouth<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headache<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Loss of appetite<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Metallic taste in the mouth<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stomach pain or upset stomach<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Serious side effects include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Allergic reactions, such as itching, hives, swelling of the face, lips, tongue, or throat, and skin rash<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Irregular heartbeat, dizziness, chest pain, or trouble breathing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">High calcium levels, causing increased thirst or urination, nausea, vomiting, confusion, weakness, fatigue, and bone pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">High phosphorus levels, causing muscle pain or cramps, bone or joint pain, and tingling or numbness around the mouth<\/span><\/li>\n<\/ul>\n<h2 id=\"tips-for-maximizing-calcitriol-benefits\"><span style=\"font-weight: 400;\">Tips for maximizing calcitriol benefits<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The most important tip for maximizing the benefits of calcitriol is to take it consistently, Dr. Mysayphonh says. It is usually taken daily or every other day in the morning, with water and with or without food, so it\u2019s important to follow your dosing schedule. In the event of a missed dose, you should take calcitriol as soon as you remember it\u2014unless it\u2019s coming up on time to take your next dose, in which case you should skip it.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The other main consideration when taking calcitriol is making sure to separate it from other medications, over-the-counter (OTC) medicines, and herbal products that could interfere with its effects. <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/rocaltrol\/what-is\"><span style=\"font-weight: 400;\">Calcitriol<\/span><\/a><span style=\"font-weight: 400;\"> may interact with the following:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Calcium supplements<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/vitamin-d3\"><span style=\"font-weight: 400;\">Vitamin D3<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/blog\/magnesium-supplements\/\"><span style=\"font-weight: 400;\">Magnesium supplements<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/cholestyramine\"><span style=\"font-weight: 400;\">Cholestyramine<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thiazide diuretics<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/ketoconazole\"><span style=\"font-weight: 400;\">Ketoconazole<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/phenytoin-sodium-extended\"><span style=\"font-weight: 400;\">Phenytoin<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Corticosteroids<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Antacids<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/digoxin?q=Digoxin%20(Lanoxin)\"><span style=\"font-weight: 400;\">Digoxin<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/phenobarbital?q=Phenobarbital\"><span style=\"font-weight: 400;\">Phenobarbital<\/span><\/a><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Seek medical advice from your pharmacist or healthcare provider to find out about possible drug interactions and safety precautions while pregnant or breastfeeding.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Finally, \u201cbe aware and report early symptoms of high calcium, such as metallic taste, frequent urination, and muscle weakness,\u201d says Dr. Mysayphonh. These are signs that your calcitriol dose may need to be adjusted, or you may be getting too much calcium from your diet.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Growing up, there is a strong emphasis on drinking milk to fulfill your vitamin D and calcium needs. But as adults, it&#8217;s easy to forget you still need these essential nutrients. While some people eat enough as part of a balanced diet, others develop low calcium levels (calcium deficiency) and may need a prescription supplement [&hellip;]<\/p>\n","protected":false},"author":135,"featured_media":632298,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[814,553,8905,812],"coauthors":[20980],"class_list":["post-632363","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-drug-interactions","tag-nutrition","tag-seasonal","tag-supplements","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>3 foods to avoid while taking calcitriol<\/title>\n<meta name=\"description\" content=\"Foods to avoid while taking calcitriol include those high in vitamin D, calcium, or phosphate. 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