Vitamin D3 is a fat-soluble vitamin called cholecalciferol. Its most important function is keeping calcium levels in the body and bones at healthy levels. Without vitamin D, the body has problems absorbing calcium from foods, keeping it in the body, and depositing it in the bones. People normally get enough vitamin D3 from foods and sunlight. Vitamin D3 supplements can help restore or maintain healthy vitamin D levels if that's not enough.
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ADK 20, Calcigen D3, D2000, Ddrops, Decalcitrol, Decara, D-Force, ImmunD3, Liqui-D3, Maxi D3. Osteo-Vit3, Replesta, Sunshine D, Vita-Desic
Vitamin D3, cholecalciferol
Used to supplement the diet, treat vitamin D deficiency, prevent osteoporosis, or improve bone health.
Dietary supplement, vitamin, nutriceutical
Capsule/softgel, tablet, chewable, melts/oral strip, gummy, liquid/drops, skin patch
By mouth
Vitamin D3 is a dietary supplement primarily used to maintain healthy vitamin D levels or promote bone health. Healthcare providers use vitamin D3 to treat vitamin D deficiency or to supplement the diet of people with medical conditions associated with low vitamin D. Nursing mothers are advised to give their babies vitamin D3 to prevent bone growth problems or rickets.
Vitamin D3 helps the body absorb calcium, which is critical for bone health. It also supports the immune system, muscles, and cardiovascular health.
The main sources of vitamin D3 include sunlight and certain foods, like fatty fish, egg yolks, and other fortified foods. Therefore, taking any supplementation with fat-containing foods helps with absorption. Think avocado, nuts, and olive oil.
Doses of vitamin D3 supplementation will depend on the goal–bone health versus correcting a deficiency, for example. Generally, 1 mcg is equivalent to 40 international units (IUs).
The best time to take vitamin D3 supplementation is in the morning or midday. Taking vitamin D3 at night may interfere with sleep in some individuals.
Blood levels, measured as 25-hydroxyvitamin D, can be obtained to determine if supplementation doses are sufficient. A range of 20-40 ng/mL is generally considered sufficient. Levels less than 20 ng/mL are considered deficient, while levels exceeding 60-80 ng/mL may cause toxicity concerns, including kidney damage or heart arrhythmias.
Capsule/softgel
400 IU
600 IU
1,000 IU
2,000 IU
5,000 IU
10,000 IU
50,000 IU
Tablet
400 IU
800 IU
1,000 IU
2,000 IU
3,000 IU
5,000 IU
10,000 IU
50,000 IU
Chewable (tablets, wafers, chews)
400 IU
1,000 IU
2,000 IU
5,000 IU
10,000 IU
14,000 IU
50,000 IU
Gummy
1,000 IU
2,000 IU
2,500 IU
3,000 IU
4,000 IU
5,000 IU
10,000 IU
Melts/oral strip/dissolvables
1,000 IU
2,000 IU
5,000 IU
10,000 IU
25,000 IU
40,000 IU
Liquid/drops
400 IU
600 IU
640 IU
1,000 IU
2,000 IU
2,500 IU
5,000 IU
10,000 IU
Patch
5,000 IU
5,300 IU
5,500 IU
10,000 IU
16,000 IU
This is not an all-inclusive list. Given the number of generic products available, additional strengths may be available at your local pharmacy, typically ranging from 400 IU to 50,000 IU.
Recommended daily intake:
For adults and children 1 year of age and older: 15 mcg/day (600 IU/day)
For children 0–12 months: 10 mcg/day (400 IU/day)
For osteoporosis prevention in adults 50 years of age or older: 800–1,000 IU daily
For vitamin D deficiency:
In adults: 6,000 IU daily or 50,000 IU weekly for eight weeks
In children: 2,000 IU daily or 50,000 IU weekly for six weeks
Vitamin D3
100 capsules bottle
Vitamin D3
100 tablets bottle
Vitamin D3
110 tablets chewable bottle
Vitamin D3
12 capsules bottle
Vitamin D3
150 capsules bottle
Vitamin D3
180 tablets bottle
Vitamin D3
200 tablets bottle
Vitamin D3
250 capsules bottle
Vitamin D3
30 capsules bottle
Vitamin D3
350 capsules bottle
Vitamin D3
52ml of 10mcg/ml bottle
Vitamin D3
59ml of 125mcg/0.5ml bottle
Vitamin D3
72 capsules bottle
Vitamin D3
90 tablets bottle
Vitamin D3
10 mcg(400 unit) tablet
Vitamin D3
25 mcg(1000 ut) tablet
Your doctor will tell you how much medicine to use. Use only directed.
If you take vitamin D3 without a prescription, only take the recommended dose printed on the label.
How to take vitamin D3 tablets or capsules:
Follow the instructions on the label.
Vitamin D3 can be taken with or without food. Taking with high-fat meals may improve absorption.
Swallow the capsule or tablet whole.
How to take vitamin D3 chewables or gummies:
Follow the instructions on the label.
Chew or crush the tablet or chew the gummy before swallowing. Do not swallow whole.
How to take vitamin D3 dissolvables, strips, or melts:
Follow the instructions on the label.
Allow the film or tablet to completely dissolve in the mouth before swallowing. Do not swallow whole.
How to use vitamin D3 liquid:
Use the dropper that comes with the package to measure the dose.
Drop the liquid directly into the mouth or mix it with food or other liquids (water or juice).
If you’re giving the drops to children younger than 2 years of age, place one drop of the liquid on the pacifier, mother's nipple, or bottle nipple and allow the baby to suck for at least 30 seconds.
How to use vitamin D3 patches:
Follow the instructions on the label. These instructions will differ between products.
Do not exceed the recommended dosage.
Place the patch on clean, hairless skin.
Consult the package labeling for storage instructions. Most vitamin D3 products should be stored in a closed container at room temperature.
If a dose is missed, take it when remembered.
Do not exceed the recommended daily dosage to make up for a missed dose.
This medicine is generally considered safe for most people. Talk to your doctor if you have concerns.
Do not take a vitamin D3 product if you are allergic to any of the ingredients in the product.
Check with your doctor before taking vitamin D3 supplements if you are pregnant or breastfeeding.
Vitamin D3 is normally safe to take while pregnant or breastfeeding, but if vitamin D deficiency is an issue, a pregnant or breastfeeding woman may require supplementation.
Infants exclusively breastfed may require vitamin D supplementation to prevent bone growth problems or rickets.
If a doctor prescribes vitamin D3, the doctor may need to see you and perform blood tests regularly to monitor the effects of supplementation. Keep all appointments.
Taking excessive amounts of vitamin D supplements can, over time, cause vitamin D poisoning, a rare but potentially serious condition. Extremely large doses increase the risk of falls and fractures. Do not exceed the recommended daily allowance unless advised by a doctor.
If you take other medications, talk to a doctor before taking vitamin D3 supplements.
Tell any doctor prescribing new medications that you are taking vitamin D3.
The absorption of oral vitamin D3 is partly blocked in people taking drugs that block fat absorption or bile in the digestive system, including:
The cholesterol-lowering drugs cholestyramine or colestipol
The weight loss drug orlistat
Serious side effects due to taking vitamin D3 are either the result of allergic reactions or chronic overdosing (vitamin D poisoning). Talk to a doctor if you notice any signs or symptoms of a possible serious side effect, including:
Vitamin D poisoning: weakness, fatigue, loss of appetite, bone pain, nausea, abdominal pain, vomiting, excessive thirst, excessive urination, confusion, sluggishness, mood changes
Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
Cholecalciferol, StatPearls
Clinician’s guide to prevention and treatment of osteoporosis, Osteoporosis International
Vitamin D deficiency, StatPearls
Vitamin D fact sheet for healthcare professionals, National Institutes for Health (NIH)
Vitamin D supplementation for term breastfed infants to prevent vitamin D deficiency and improve bone health, Cochrane Database of Systematic Reviews
Vitamin D toxicity, StatPearls
Marissa Walsh, Pharm.D., BCPS-AQ ID, graduated with her Doctor of Pharmacy degree from the University of Rhode Island in 2009, then went on to complete a PGY1 Pharmacy Practice Residency at Charleston Area Medical Center in Charleston, West Virginia, and a PGY2 Infectious Diseases Pharmacy Residency at Maine Medical Center in Portland, Maine. Dr. Walsh has worked as a clinical pharmacy specialist in Infectious Diseases in Portland, Maine, and Miami, Florida, prior to setting into her current role in Buffalo, New York, where she continues to work as an Infectious Diseases Pharmacist in a hematology/oncology population.
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