Ergocalciferol 400,000units/2ml solution for injection ampoules
Requires a prescription from a doctor or prescriber
Vitamins
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EudraVigilance
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Suspected adverse reactions reported for Ergocalciferol
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1 branded products available
Therapeutically similar medicines
Similarity based on WHO Anatomical Therapeutic Chemical (ATC) classification and NHS BNF section grouping. Source data: NHS dm+d via TRUD (OGL v3.0), WHO ATC/DDD Index.
NHS prescribing volume and spending trends
Clinical guidelines and formulary information
British National Formulary
Ergocalciferol
Source: British National Formulary, NICE. Joint Formulary Committee. Contains public sector information licensed under the Open Government Licence v3.0.
NICE clinical guidance(1)
Source: National Institute for Health and Care Excellence (NICE). Contains public sector information licensed under the Open Government Licence v3.0.
Check stock at pharmacies and supply information
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Supply & product 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 codes from NHS Business Services Authority (NHSBSA). 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.
Pharmacology and chemical data from DrugBank
Key facts
Drug status
Approved
Major interactions
None known
Half-life
1-2 days
Mechanism
For its activity, ergocalciferol is required to be transformed to its major acti…
Food interactions
None known
Human targets
2 targets
Data: DrugBank · CC BY-NC 4.0
Pharmacokinetics at a glance
Absorption
Half-life
1-2 days
Protein binding
70-90%
Volume of distribution
Metabolism
Elimination
Clearance
31 ml/min
Pharmacokinetic data: DrugBank · CC BY-NC 4.0
Ergocalciferol is considered the first vitamin D analog and is differentiated from [cholecalciferol] by the presence of a double bond between C22 and C23 and the presence of a methyl group at C24. These modifications reduce the affinity of ergocalciferol for the vitamin D binding protein resulting in faster clearance, limits its activation, and alters its catabolism.[A177637]
The first approved product containing ergocalciferol under the FDA records was developed by US Pharm Holdings and was FDA approved in 1941.[L6058]
Hypoparathyroidism is the result of inadequate parathyroid hormone production that occurs due to the presence of damage or removal of the parathyroid glands. This condition produces decreased calcium and increased phosphorus levels.
[L6082]
Rickets is a condition produced due to a deficiency in vitamin D, calcium or phosphorus. However, this condition can also be related to renal diseases.
It is characterized to present weak or soft bones.
[A177664]
Familial hypophosphatemia is characterized by the impaired transport of phosphate and an altered vitamin D metabolism in the kidneys. The presence of this condition can derive in the presence of osteomalacia, bone softening and rickets.
[L6085]
Known interactions with other medications. Always consult a healthcare professional.
Showing 50 of 145 interactions
[L6094]
Once an overdose state is registered, immediate withdrawal of vitamin D is required along with a calcium diet, generous intake of fluids and symptomatic treatment. The administration of loop diuretics is an option to increase renal calcium excretion. On the other hand, dialysis and administration of citrates, sulfates, phosphates, corticosteroids, EDTA and mithramycin are recommended.
[L6094]
There haven't been long term studies analyzing the carcinogenic and mutagenic potential of ergocalciferol or its effects in fertility.
The activation of the vitamin D receptor is part of the vitamin D endocrine system and it is described by the production of a change in the transcription rates of the vitamin D receptor target genes.T580 The target genes in the DNA affected by the presence of ergocalciferol are called vitamin D response elements which are dependent on co-modulators.[A177637]
The vitamin D receptor is a transcription factor and member of the steroid hormone nuclear receptor family. It presents a DNA binding domain (VDRE) that, when activated, recruits coregulatory complexes to regulate the genomic activity.[A177637]
Additionally, ergocalciferol presents nongenomic effects such as the stimulation of intestinal calcium transport via transcaltachia.[A177637]
Some other effects known to be produced due to the presence of vitamin D are osteoblast formation, fetus development, induction of pancreatic function, induction of neural function, improvement of immune function, cellular growth and cellular differentiation.T580
When compared to its vitamin D counterpart [cholecalciferol], ergocalciferol has been shown to present a reduced induction of calcidiol and hence, it is less potent.[A177529]
Ergocalciferol supplementation in patients with end-stage renal disease has been shown to generate a significant benefit in lab parameters of bone and mineral metabolism as well as improvement in glycemic control, serum albumin levels and reduced levels of inflammatory markers.[A177526]
How the body processes this drug — absorption, distribution, metabolism, and elimination
[L6088]
[A177670]
[A177637]
As part of the minor metabolism, ergocalciferol is transformed into 25-hydroxyvitamin D in the liver by the activity of D-25-hydroxylase and CYP2R1. As well, the formation of 24(R),25dihydroxyvitamin D is performed mainly in the kidneys by the action of 25-(OH)D-1-hydroxylase and 25-(OH)D-24-hydroxylase.T580
Additionally, there are reports indicating significant activity of 3-epimerase in the metabolism of ergocalciferol which modifies the hydroxy group in C3 from the alpha position to a beta. The epimers formed seemed to have a reduced affinity for the vitamin D plasma proteins and to the vitamin D receptor.
[A177637]
An alternative activation metabolic pathway has been reported and this process is characterized by the activity of CYP11A1 and its hydroxylation in the C-20.
This 20-hydroxylated vitamin D seems to have similar biological activity than calcitriol.
[A177637]
[L6091]
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
A particularity of this type of channels is an opening at quite negative potentials, and a voltage-dependent inactivation. T-type channels serve pacemaking functions in both central neurons and cardiac nodal cells and support calcium signaling in secretory cells and vascular smooth muscle. They may also be involved in the modulation of firing patterns of neurons which is important for information processing as well as in cell growth processes.
Gates in voltage ranges similar to, but higher than alpha 1G or alpha 1H
Enzymes involved in drug metabolism — important for understanding drug interactions
Proteins that carry this drug through the body
ATC A11CC01
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)
Ergocalciferol
Additional database identifiers
Drugs Product Database (DPD)
4924
Drugs Product Database (DPD)
703
ChemSpider
4444351
BindingDB
50247883
PDB
D2V
ZINC
ZINC000004629876
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:1405
GenAtlas
CACNG1
GeneCards
CACNG1
GenBank Gene Database
L07738
GenBank Protein Database
306473
UniProt Accession
CCG1_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:1406
GeneCards
CACNG2
UniProt Accession
CCG2_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:1407
GeneCards
CACNG3
UniProt Accession
CCG3_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:1408
GeneCards
CACNG4
UniProt Accession
CCG4_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:1409
GeneCards
CACNG5
UniProt Accession
CCG5_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:13625
GeneCards
CACNG6
UniProt Accession
CCG6_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:13626
GeneCards
CACNG7
UniProt Accession
CCG7_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:13628
GeneCards
CACNG8
UniProt Accession
CCG8_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:1399
GenAtlas
CACNA2D1
GeneCards
CACNA2D1
GenBank Gene Database
M76559
GenBank Protein Database
179762
UniProt Accession
CA2D1_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:1400
GenAtlas
CACNA2D2
GeneCards
CACNA2D2
GenBank Gene Database
AJ251368
UniProt Accession
CA2D2_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:15460
GeneCards
CACNA2D3
GenBank Gene Database
AJ272268
GenBank Protein Database
7105926
UniProt Accession
CA2D3_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:20202
GeneCards
CACNA2D4
UniProt Accession
CA2D4_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:1390
GenAtlas
CACNA1C
GeneCards
CACNA1C
GenBank Gene Database
M92270
Guide to Pharmacology
529
UniProt Accession
CAC1C_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:1391
GenAtlas
CACNA1D
GeneCards
CACNA1D
GenBank Gene Database
M76558
GenBank Protein Database
179764
Guide to Pharmacology
530
UniProt Accession
CAC1D_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:1393
GenAtlas
CACNA1F
GeneCards
CACNA1F
GenBank Gene Database
AJ006216
GenBank Protein Database
3183953
Guide to Pharmacology
531
UniProt Accession
CAC1F_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:1397
GenAtlas
CACNA1S
GeneCards
CACNA1S
GenBank Gene Database
U30707
GenBank Protein Database
1698403
Guide to Pharmacology
528
UniProt Accession
CAC1S_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:1401
GenAtlas
CACNB1
GeneCards
CACNB1
GenBank Gene Database
M92303
GenBank Protein Database
179806
UniProt Accession
CACB1_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:1402
GenAtlas
CACNB2
GeneCards
CACNB2
GenBank Gene Database
S60415
GenBank Protein Database
300417
UniProt Accession
CACB2_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:1403
GenAtlas
CACNB3
GeneCards
CACNB3
GenBank Gene Database
X76555
GenBank Protein Database
435135
UniProt Accession
CACB3_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:1404
GenAtlas
CACNB4
GeneCards
CACNB4
GenBank Gene Database
U95020
GenBank Protein Database
2058727
UniProt Accession
CACB4_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:1389
GenAtlas
CACNA1B
GeneCards
CACNA1B
GenBank Gene Database
M94172
GenBank Protein Database
179758
Guide to Pharmacology
533
UniProt Accession
CAC1B_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:1388
GenAtlas
CACNA1A
GeneCards
CACNA1A
GenBank Gene Database
AF004884
GenBank Protein Database
2213913
UniProt Accession
CAC1A_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:1392
GeneCards
CACNA1E
Guide to Pharmacology
534
UniProt Accession
CAC1E_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:1394
GenAtlas
CACNA1G
GenBank Gene Database
AF134986
GenBank Protein Database
6625659
Guide to Pharmacology
535
UniProt Accession
CAC1G_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:1395
GenAtlas
CACNA1H
GeneCards
CACNA1H
GenBank Gene Database
AF051946
GenBank Protein Database
14670397
Guide to Pharmacology
536
UniProt Accession
CAC1H_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:1396
GenAtlas
CACNA1I
GeneCards
CACNA1I
GenBank Gene Database
AF129133
GenBank Protein Database
5565888
Guide to Pharmacology
537
UniProt Accession
CAC1I_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:10293
GeneCards
RPE
UniProt Accession
RPE_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:2590
GeneCards
CYP11A1
GenBank Gene Database
M14565
GenBank Protein Database
181376
Guide to Pharmacology
1358
UniProt Accession
CP11A_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
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:2605
GenAtlas
CYP27A1
GeneCards
CYP27A1
GenBank Gene Database
M62401
GenBank Protein Database
181292
Guide to Pharmacology
1369
UniProt Accession
CP27A_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:20580
GenAtlas
CYP2R1
GeneCards
CYP2R1
GenBank Gene Database
AY323817
GenBank Protein Database
33591222
UniProt Accession
CP2R1_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:4187
GenAtlas
GC
GeneCards
GC
GenBank Gene Database
L10641
GenBank Protein Database
639896
UniProt Accession
VTDB_HUMAN
International reference pricing
Reference pricing from DrugBank. Prices are indicative and may not reflect current UK costs.
Source: DrugBank. Used under CC BY-NC 4.0 academic licence for non-commercial purposes.
DrugBank citations
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