Calcifediol 266microgram capsules
Requires a prescription from a doctor or prescriber
The major circulating metabolite of vitamin D3 (cholecalciferol).
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Suspected adverse reactions reported for Calcifediol
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1 branded products available
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Domnisol 266microgram capsules
This is the NHS Drug Tariff indicative price used for reimbursement purposes. It may not reflect the price paid by patients or pharmacies.
View full Drug TariffSource: NHS Drug Tariff via NHSBSA. Derived from dm+d VMPP (Virtual Medicinal Product Pack) pricing data. Contains public sector information licensed under the Open Government Licence v3.0.
Therapeutically similar medicines
Similarity is based on WHO Anatomical Therapeutic Chemical (ATC) classification and on a factual NHS dm+d therapeutic-grouping code prefix. Source data: NHS dm+d via TRUD (OGL v3.0), WHO ATC/DDD Index.
NHS prescribing volume and spending trends
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Supply & safety information
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Codes for healthcare professionals and prescribing systems
These codes are used by healthcare IT systems and prescribers to identify this medicine.
NHS UK identifiers
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SNOMED CT and dm+d codes from NHS TRUD (Technology Reference data Update Distribution), licensed under the Open Government Licence v3.0. BNF code shown is the factual mapping value distributed by NHS Business Services Authority (NHSBSA) in the dm+d supplementary file under OGL v3.0; it is not affiliated with, nor licensed from, the publishers of the British National Formulary. ATC codes from the WHO Collaborating Centre for Drug Statistics Methodology (whocc.no).
Active and completed clinical studies from ClinicalTrials.gov
Source: ClinicalTrials.gov, a database of the U.S. National Library of Medicine (NLM), National Institutes of Health (NIH). Data accessed via ClinicalTrials.gov API v2. Trial information is provided for research purposes and does not constitute medical advice.
Academic studies and reviews for this medicine's active substance
Showing the 50 most relevant studies.
Reviews & meta-analyses: 18 · Randomised trials: 27 · 2013–2026
Showing the 50 most relevant studies, sorted by most relevant.
José Manuel Quesada‐Gómez, Roger Bouillon
Osteoporosis International, 2018
- Dietary Supplements
- Calcifediol
- Cholecalciferol
Selma Bouden, Meriam Ben Messaoud, O. Saidane, et al.
European Journal of Clinical Nutrition, 2024
- Calcifediol
- Cholecalciferol
- Vitamin D
Wimalawansa SJ
2025
- Vitamin D Deficiency
- Disease Susceptibility
- Vitamin D
Clinical trials consistently demonstrate an inverse correlation between serum 25-hydroxyvitamin D [25(OH)D; calcifediol] levels and the risk of symptomatic SARS-CoV-2 disease, complications, and mortality. This systematic review (SR), guided by Bradford Hill's causality criteria, analyzed 294 peer-reviewed manuscripts published between December 2019 and November 2024, focusing on plausibility, consistency, and biological gradient. Evidence confirms that cholecalciferol (D3) and calcifediol significantly reduce symptomatic disease, complications, hospitalizations, and mortality, with optimal effects above 50 ng/mL. While vitamin D requires 3-4 days to act, calcifediol shows effects within 24 h. Among 329 trials, only 11 (3%) showed no benefit due to flawed designs. At USD 2/patient, D3 supplementation is far cheaper than hospitalization costs and more effective than standard interventions. This SR establishes a strong inverse relationship between 25(OH)D levels and SARS-CoV-2 vulnerability, meeting Hill's criteria. Vitamin D3 and calcifediol reduce infections, complications, hospitalizations, and deaths by ~50%, outperforming all patented, FDA-approved COVID-19 therapies. With over 300 trials confirming these findings, waiting for further studies is unnecessary before incorporating them into clinical protocols. Health agencies and scientific societies must recognize the significance of these results and incorporate D3 and calcifediol for prophylaxis and early treatment protocols of SARS-CoV-2 and similar viral infections. Promoting safe sun exposure and adequate vitamin D3 supplementation within communities to maintain 25(OH)D levels above 40 ng/mL (therapeutic range: 40-80 ng/mL) strengthens immune systems, reduces hospitalizations and deaths, and significantly lowers healthcare costs. When serum 25(OH)D levels exceed 70 ng/mL, taking vitamin K2 (100 µg/day or 800 µg/week) alongside vitamin D helps direct any excess calcium to bones. The recommended vitamin D dosage (approximately 70 IU/kg of body weight for a non-obese adult) to maintain 25(OH)D levels between 50-100 ng/mL is safe and cost-effective for disease prevention, ensuring optimal health outcomes.
Abstract licence: CC BY
M. Franchi, J. Gunnarsson, Emilio Gonzales-Parra, et al.
The Journal of Clinical Endocrinology and Metabolism, 2023
- Hyperparathyroidism, Secondary
- Renal Insufficiency, Chronic
- Network Meta-Analysis
Zhila Maghbooli, Mohammad Ali Sahraian, Saeidreza Jamalimoghadamsiahkali, et al.
Endocrine Practice, 2021
- COVID-19
- Vitamin D Deficiency
- SARS-CoV-2
M. Franchi, A. Galassi, G. Corrao
Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia, 2023
Mario Barbagallo, Nicola Veronese, Agnese Di Prazza, et al.
Nutrients, 2022
- Calcifediol
- Sarcopenia
- Physical Functional Performance
Anouk M.M. Vaes, Michael Tieland, Margot F. de Regt, et al.
Clinical Nutrition, 2017
- Nutritional Status
- Calcifediol
- Calcitriol
Marta Entrenas Castillo, Luis Manuel Entrenas Costa, José Manuel Vaquero Barrios, et al.
The Journal of Steroid Biochemistry and Molecular Biology, 2020
- Betacoronavirus
- COVID-19
- SARS-CoV-2
José Luis Pérez‐Castrillón, Antonio Dueñas‐Laita, Maria Luisa Brandi, et al.
Journal of Bone and Mineral Research, 2020
- Calcifediol
- Vitamin D Deficiency
- Cholecalciferol
Sources: aggregated from Europe PMC (EMBL-EBI), OpenAlex, Crossref, PubMed and other open scholarly databases. Retracted articles are excluded. Study information is provided for research purposes and does not constitute medical advice.
Pharmacology and chemical data from DrugBank
Key facts
Drug status
Approved
Major interactions
None known
Half-life
288 hours
Mechanism
Calcidiol is transformed in the kidney by 25-hydroxyvitamin D3-1-(alpha)-hydroxy…
Food interactions
1 warning
Human targets
1 target
Data: DrugBank · CC BY-NC 4.0
Pharmacokinetics at a glance
Absorption
Half-life
288 hours
Metabolism
Pharmacokinetic data: DrugBank · CC BY-NC 4.0
Known interactions with other medications. Always consult a healthcare professional.
Showing 50 of 156 interactions
How the body processes this drug — absorption, distribution, metabolism, and elimination
Proteins and enzymes this drug interacts with in the body
PMID:10678179 PMID:15728261 PMID:16913708 PMID:28698609 PMID:37478846
Enters the nucleus upon vitamin D3 binding where it forms heterodimers with the retinoid X receptor/RXR .
PMID:28698609
The VDR-RXR heterodimers bind to specific response elements on DNA and activate the transcription of vitamin D3-responsive target genes .
PMID:28698609
Plays a central role in calcium homeostasis (By similarity). Also functions as a receptor for the secondary bile acid lithocholic acid (LCA) and its metabolites PMID:12016314 PMID:32354638
Enzymes involved in drug metabolism — important for understanding drug interactions
ATC A11CC06
ATC H05BX05
Chemical identifiers
CAS, UNII, InChI Key and database cross-references
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Chemical identifiers
CAS, UNII, InChI Key and database cross-references
Linked compound data from DrugBank Open Data (CC BY-NC 4.0)
Calcifediol
Additional database identifiers
Drugs Product Database (DPD)
22965
ChemSpider
4446820
BindingDB
50521013
PDB
VDY
ZINC
ZINC000004474414
HUGO Gene Nomenclature Committee (HGNC)
HGNC:12679
GenAtlas
VDR
GeneCards
VDR
GenBank Gene Database
J03258
GenBank Protein Database
340203
Guide to Pharmacology
605
UniProt Accession
VDR_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:2606
GenAtlas
CYP27B1
GeneCards
CYP27B1
GenBank Gene Database
AF027152
GenBank Protein Database
2612976
Guide to Pharmacology
1370
UniProt Accession
CP27B_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:2602
GenAtlas
CYP24A1
GeneCards
CYP24A1
GenBank Gene Database
L13286
GenBank Protein Database
306704
Guide to Pharmacology
1365
UniProt Accession
CP24A_HUMAN
DrugBank citations
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Structured knowledge from the free knowledge base
ATC classifications (Wikidata)
Linked open data from Wikidata (Q139307), a free and open knowledge base operated by the Wikimedia Foundation. Data is available under the Creative Commons CC0 1.0 Public Domain Dedication. WHO INN from the World Health Organization.