Hyperparathyroidism
- Primary disease: parathyroid surgery is definitive
- Cinacalcet lowers calcium when surgery unsuitable
- Bisphosphonate can improve bone density
- Secondary CKD disease: control phosphate/vitamin D/PTH
- Calcimimetics are common in dialysis
- Treat the biochemical subtype—not PTH in isolation
Use at a glance
- Primary disease: parathyroid surgery is definitive
Choosing treatment
- Cinacalcet lowers calcium when surgery unsuitable
Practical pearls
- Bisphosphonate can improve bone density
- Calcimimetics are common in dialysis
- Treat the biochemical subtype—not PTH in isolation
Other practical pearls
- Secondary CKD disease: control phosphate/vitamin D/PTH
Self-check
- What definitively treats primary hyperparathyroidism?
Parathyroid surgery. - What can lower calcium when parathyroid surgery is unsuitable?
Cinacalcet.
Drugs used for this (1)
All clinical uses · Open Hyperparathyroidism in the interactive console ↗