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 is definitive treatment for primary Hyperparathyroidism?
parathyroid surgery.
- What should be treated in Hyperparathyroidism?
the biochemical subtype—not PTH in isolation.
Drugs used for this (1)
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