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Suggest Treatment For Elevated Calcium Levels While Having Hyperparathyroidism

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Posted on Fri, 2 Dec 2016
Question: I was told that my calcium is very high. I am confused and frustrated. I have a defected parathyroid. I am taking Senipar because I do not want to have an operation. I had open heart surgery and was in a coma for three months. I cannot walk or write and am in a hospital bed at home. Do you have any suggestions to solve my calcium problem. The medicine I am taking cost $350. every two weeks. I am looking for something less expensive.
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Answered by Dr. Shehzad Topiwala (39 minutes later)
Brief Answer:
Calcium

Detailed Answer:
Sorry to learn about your bedridden state, and your calcium problem.

Typically, surgery is offered for this condition you are referring to ('Primary Hyperparathyroidism due to Parathyroid Adenoma').
However, owing to your situation, they have prescribed medication for you. This is a fair approach. Yes I understand Sensipar is expensive. But there is no other medication approved by the FDA to treat this condition.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Ionized Calcium
Phosphorus
Magnesium
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)

Fasting is required. please drink adequate water. Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Suggest Treatment For Elevated Calcium Levels While Having Hyperparathyroidism

Brief Answer: Calcium Detailed Answer: Sorry to learn about your bedridden state, and your calcium problem. Typically, surgery is offered for this condition you are referring to ('Primary Hyperparathyroidism due to Parathyroid Adenoma'). However, owing to your situation, they have prescribed medication for you. This is a fair approach. Yes I understand Sensipar is expensive. But there is no other medication approved by the FDA to treat this condition. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) TSH (checks your thyroid) Ionized Calcium Phosphorus Magnesium 25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter) Fasting is required. please drink adequate water. Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.