Table 2.

Algorithm’s recommendations for parathyroid hormone level greater than 450 pg/ml

QuarterIncrease in Cinacalcet DoseIncrease in Active Vitamin D DoseDo Not Increase Cinacalcet Dose Because of:
Low CalciumPTH VariabilityPTH DecreasingIntoleranceOff MedicationMaximum Dose
  • Values are percentage of patients who had their medications adjusted as indicated. “Off Medication” indicates that a patient was not taking the prescribed cinacalcet dose and therefore did not have the medication dose increased. “Maximum Dose” indicates that a patient was taking 180 mg of cinacalcet daily. PTH, parathyroid hormone.