What is the recommended intramuscular vitamin D3 (cholecalciferol) dosing schedule for an adult? | Rounds What is the recommended intramuscular vitamin D3 (cholecalciferol) dosing schedule for an adult? | Rounds
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What is the recommended intramuscular vitamin D3 (cholecalciferol) dosing schedule for an adult?

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Intramuscular Vitamin D3 (Cholecalciferol) Dosing Schedule in Adults

Moderate-to-severe vitamin D deficiency in adults can be treated with intramuscular cholecalciferol 300,000 IU given as one or two annual doses. [1]

Treatment Schedule

  • 300,000 IU cholecalciferol IM once, with repeat after 12 months if needed, to complete one or two annual doses. [1]

Clinical Context

  • This intramuscular high-dose strategy is described as reversing vitamin D deficiency states when given as one or two annual injections of 300,000 IU. [1]

Notes on Formulation and Regimen Design

  • Studies comparing high-dose intramuscular cholecalciferol commonly use single large-dose regimens such as 300,000 IU IM in adults with hypovitaminosis D. [2]

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