
Background
There are different forms of vitamin D, including ergocalciferol (vitamin D2) and cholecalciferol (vitamin D3). Vitamin D is found in fish, eggs, and fortified milk. It's also made in the skin when exposed to sunlight. During periods of sunlight, vitamin D is stored in fat and then released when sunlight is not available.
Vitamin D supplements are commonly used to treat and prevent vitamin D deficiency, for weak and brittle bones, cavities, psoriasis, and hay fever. People also use vitamin D for asthma, cancer, kidney disease, lung disease, infertility and many other conditions, but there's no good scientific evidence to support many of these uses. It is important to maintain healthy levels of vitamin D. This can be done by taking 400-1000 IU of vitamin D daily or spending 15-30 minutes in the sun each day. People who don't get enough sun and people who are 65 years or older are at a higher risk for vitamin D deficiency.
Safety Safety definitions
Special Precautions & Warnings:
Pregnancy and breast-feeding: Vitamin D is likely safe during pregnancy and breast-feeding when used in daily amounts below 4000 IU (100 mcg). Do not use higher doses unless instructed by your healthcare provider. Vitamin D is possibly unsafe when used in higher amounts during pregnancy or while breast-feeding. Using higher doses might cause harm to the infant.Children: Vitamin D is likely safe in children when taken by mouth in recommended amounts. But it is possibly unsafe to take vitamin D in higher doses, long-term. Infants from 0-6 months should not take more than 1000 IU (25 mcg) daily. Infants aged 6-12 months should not take more than 1500 IU (37.5 mcg) daily. Children aged 1-3 years should not take more than 2500 IU (62.5 mcg) daily. Children aged 4-8 years should not take more than 3000 IU (75 mcg) daily. Children aged 9 years and older should not take more than 4000 IU (100 mcg) daily.
Hardening of the arteries (atherosclerosis): Taking vitamin D could make this condition worse, especially in people with kidney disease.
A type of fungal infection called histoplasmosis: Vitamin D might increase calcium levels in people with histoplasmosis. This could lead to kidney stones and other problems. Use vitamin D cautiously.
High levels of calcium in the blood: Taking vitamin D could make this condition worse.
Over-active parathyroid gland (hyperparathyroidism): Vitamin D might increase calcium levels in people with hyperparathyroidism. Use vitamin D cautiously.
Lymphoma: Vitamin D might increase calcium levels in people with lymphoma. This could lead to kidney stones and other problems. Use vitamin D cautiously.
Kidney disease: Vitamin D might increase calcium levels and increase the risk of "hardening of the arteries" in people with serious kidney disease. Calcium levels should be monitored carefully in people with kidney disease.
A disease that causes swelling (inflammation) in body organs, usually the lungs or lymph nodes (sarcoidosis): Vitamin D might increase calcium levels in people with sarcoidosis. This could lead to kidney stones and other problems. Use vitamin D cautiously.
Tuberculosis: Vitamin D might increase calcium levels in people with tuberculosis. This could lead to kidney stones and other problems. Use vitamin D cautiously.
Effectiveness
- A rare, inherited bone disorder marked by low levels of phosphate in the blood (familial hypophosphatemia). Taking specific forms of vitamin D, called calcitriol or dihydrotachysterol, by mouth along with phosphate supplements is effective for treating bone disorders in people with low levels of phosphate in the blood.
- Underactive parathyroid (hypoparathyroidism). Taking specific forms of vitamin D, called dihydrotachysterol, calcitriol, or ergocalciferol, by mouth is effective for increasing calcium blood levels in people with low parathyroid hormone levels.
- Softening of the bones (osteomalacia). Taking vitamin D3 by mouth is effective for treating this condition.
- A bone disorder that occurs in people with kidney disease (renal osteodystrophy). Taking a specific form of vitamin D, called calcitriol, by mouth helps to manage low calcium levels and prevent bone loss in people with kidney failure.
- Rickets. Taking vitamin D by mouth is effective for preventing and treating rickets. A specific form of vitamin D, called calcitriol, should be used in people with kidney failure.
- Vitamin D deficiency. Taking vitamin D by mouth is effective for preventing and treating vitamin D deficiency.
- Bone loss in people taking drugs called corticosteroids. Taking vitamin D by mouth prevents bone loss in people taking drugs called corticosteroids. Also, taking vitamin D alone or with calcium seems to improve bone density in people with existing bone loss caused by using corticosteroids.
- Weak and brittle bones (osteoporosis). Taking vitamin D3 by mouth along with calcium seems to help prevent bone loss and bone breaks in people with osteoporosis.
- Psoriasis. Applying vitamin D in the form of calcitriol, calcipotriene, maxacalcitol, or paricalcitol to the skin can help treat plaque-type psoriasis. Applying vitamin D along with corticosteroids seems to work better than applying vitamin D or corticosteroids alone. But taking vitamin D by mouth doesn't seem to help.
- Hay fever. Taking vitamin D by mouth seems to reduce symptoms of hay fever in adults and children. But it isn't clear if taking vitamin D during pregnancy can help to prevent hay fever in the child after birth.
- Coronavirus disease 2019 (COVID-19). Having low levels of vitamin D may increase the risk of COVID-19. Taking vitamin D by mouth may lower this risk.
- Cavities. Taking vitamin D2 or D3 by mouth reduces the risk of cavities by 36% to 49% in infants, children, and adolescents.
- Heart failure. Taking vitamin D by mouth can help reduce the risk of developing heart failure in some people. But it doesn't seem to help patients who already have heart failure.
- Bone loss in people with overactive parathyroid (hyperparathyroidism-related bone loss). Taking vitamin D3 by mouth seems to reduce parathyroid hormone levels and bone loss in people with a condition called hyperparathyroidism.
- Infection of the airways. Taking vitamin D by mouth helps prevent respiratory infections in children. But taking vitamin D by mouth during pregnancy doesn't seem to reduce the risk of these infections in the child after birth. It also doesn't help prevent infections in adults.
- Preventing tooth loss (tooth retention). Taking calcium and vitamin D3 by mouth appears to prevent tooth loss in elderly people.
- Heart disease. Taking a vitamin D supplement by mouth doesn't seem to prevent heart disease, heart attack, stroke, or other serious heart-related events in most people.
- Critical illness (trauma). Giving vitamin D to people with low vitamin D levels who are in the hospital with a critical illness doesn't make them more likely to live.
- Fractures. Taking vitamin D by mouth doesn't seem to prevent fractures in older people who do NOT have osteoporosis.
- High blood pressure. Taking vitamin D by mouth doesn't seem to lower blood pressure in most people with high blood pressure. But it might help people who have very low blood levels of vitamin D.
- A mental disorder marked by hallucinations and delusion (psychosis). Taking vitamin D by mouth doesn't seem to improve symptoms of psychosis in adults.
- Prostate cancer. Taking vitamin D by mouth doesn't seem to reduce cancer progression or death from prostate cancer.
- Tuberculosis. Most research shows that taking vitamin D by mouth doesn't help to cure tuberculosis or make it less severe.
Dosing & administration
Most people should not consume more than 4000 IU daily unless under the care of a healthcare provider. Speak with a healthcare provider to find out what dose might be best for a specific condition.
Interactions with pharmaceuticals
Aluminum
Interaction Rating=Moderate Be cautious with this combination.
Aluminum is found in most antacids. Vitamin D can increase how much aluminum the body absorbs. This interaction might be a problem for people with kidney disease. Take vitamin D two hours before, or four hours after antacids.
Atorvastatin (Lipitor)
Interaction Rating=Moderate Be cautious with this combination.
Vitamin D might decrease how much atorvastatin the body absorbs. Taking vitamin D with atorvastatin might decrease the effects of atorvastatin.
Calcipotriene (Dovonex)
Interaction Rating=Moderate Be cautious with this combination.
Taking vitamin D along with calcipotriene might increase the effects and side effects of calcipotriene.
Digoxin (Lanoxin)
Interaction Rating=Moderate Be cautious with this combination.
Taking vitamin D along with digoxin might increase the effects and side effects of digoxin. If you are taking digoxin, talk to your doctor before taking vitamin D supplements.
Diltiazem (Cardizem, others)
Interaction Rating=Moderate Be cautious with this combination.
Vitamin D helps your body absorb calcium. Calcium can affect the heart. Diltiazem can also affect the heart. Taking large amounts of vitamin D along with diltiazem might decrease the effects of diltiazem.
Medications changed by the liver (Cytochrome P450 3A4 (CYP3A4) substrates)
Interaction Rating=Minor Be watchful with this combination.
Some medications are changed and broken down by the liver. Vitamin D might change how quickly the liver breaks down these medications. This could change the effects and side effects of these medications.
Verapamil (Calan, others)
Interaction Rating=Moderate Be cautious with this combination.
Vitamin D helps the body absorb calcium. Calcium can affect the heart. Verapamil can also affect the heart. Do not take large amounts of vitamin D if you are taking verapamil.
Water pills (Thiazide diuretics)
Interaction Rating=Moderate Be cautious with this combination.
Vitamin D helps the body absorb calcium. Some "water pills" increase the amount of calcium in the body. Taking large amounts of vitamin D along with some "water pills" might cause too much calcium in the body. This could cause serious side effects, including kidney problems.
Interactions with herbs & supplements
Magnesium: Taking vitamin D can raise the level of magnesium in people who have low magnesium and low vitamin D levels. This doesn't seem to be a concern for people with normal magnesium levels.
Interactions with foods
Products
View all products- Colecalciferol 8.3 µg
- Nicotinamide riboside chloride (Vitamin B3) 100 mg equiv. ribose 45.7 mg
- DMG equiv. dimethylglycine Hydrochloride 50 mg
- Resveratrol 50 mg
- Berberis aristata ext. dry conc. 7.3 g
- Chromium Picolinate 137 µg equiv. chromium 16.66 µg
- L-Theanine
- Magnesium Amino Acid Chelate 250 mg equiv. magnesium 50 mg
- Levomefolate Glucosamine 300 µg equiv. levomefolic Acid 166.66 µg
- Mecobalamin 333 µg
- Pyridoxal 5-Phosphate Monohydrate 1.6 mg equiv. pyridoxine 1.1 mg
- Menaquinone 7 60 µg
- Calcifediol monohydrate (Vitamin D) 10 μg
- Calcium citrate tetrahydrate 2.13 g equiv. calcium 450 mg
- Sodium citrate dihydrate 810.2 mg equiv. sodium 190 mg
- Potassium citrate 484.05 mg equiv. potassium 175 mg
- Magnesium citrate nonahydrate 2.52 g equiv. magnesium 300 mg
- Zinc citrate dihydrate 31.95 mg equiv. zinc 10 mg
- Chromium nicotinate 403.23 μg equiv. chromium 50 μg
- Molybdenum trioxide 150 μg equiv. molybdenum 100 μg
- Yeast 25 mg
- Manganese amino acid chelate 25 mg equiv. manganese 5 mg
- Borax 26.4 mg equiv. boron 3 mg
- Menaquinone 7 (Vitamin K2) 100 μg
- Cholecalciferol 10 μg equiv. vitamin D3 400 IU
- 2'-Fucosyllactose 1.2 g equiv. lactose 27 mg
- Cholecalciferol 15 µg equiv. vitamin D3 600 IU
- Magnesium aspartate dihydrate 554.08 mg equiv. magnesium 41.5 mg
- Magnesium glycinate dihydrate 2.23 g equiv. magnesium 260 mg
- Magnesium orotate 557.09 mg equiv. magnesium 40.5 mg
- Magnesium ascorbate monohydrate 829.31 mg equiv. magnesium 58 mg equiv. ascorbic Acid 834.31 mg
- Selenomethionine 62.1 µg equiv. selenium 25 µg
- Chromium picolinate 403 µg equiv. chromium 50 µg
- Glutamine 500 mg
- Thiamine hydrochloride (Vitamin B1) 50 mg equiv. thiamine 39.34 mg
- Riboflavin sodium phosphate (Vitamin B2) 3.31 mg equiv. riboflavin 2.6 mg
- Nicotinamide (Vitamin B3) 50 mg
- Calcium pantothenate 50 mg equiv. calcium 45.8 mg
- Pyridoxal 5-phosphate (P5P) 50 mg equiv. pyridoxine 34.22 mg
- Mecobalamin (Vitamin B12) 150 µg
- Levomefolate calcium (Activated folate) 162.5 µg equiv. levomefolic acid 150 µg
- Biotin 5 mg
- d-alpha-Tocopheryl acid succinate (Vitamin E) 19 mg equiv. d-alpha-tocopherol equiv. vitamin E 22.99 IU
- Zinc amino acid chelate equiv. zinc 25 mg
- Potassium citrate 154.87 mg equiv. potassium 56 mg
- Taurine 1 g
- Acetyl levocarnitine hydrochloride (Acetyl-L-carnitine) 120 mg
- Cholecalciferol 9.5 μg equiv. vitamin D3 380 IU
- Retinyl acetate (Vitamin A) 3.36 mg equiv. vitamin A 9500 IU equiv. retinol equivalents 2850 μg
- Carica papaya (Papain) 190 mg
- Amylase enzyme 63.4 mg equiv. amylase 9754 DU
- Cholecalciferol 8.3 μg equiv. vitamin D3 333 IU
- Total Calcium 334.2 mg
- Hydroxyapatite 668 mg equiv. calcium 167 mg
- Calcium citrate tetrahydrate 792.22 mg equiv. calcium 167.2 mg
- Magnesium oxide - heavy 100.2 mg equiv. magnesium 58 mg
- Zinc amino acid chelate 16 mg equiv. zinc 3.2 mg
- Manganese amino acid chelate 10 mg equiv. manganese 1 mg
- Copper gluconate 1.4 mg equiv. copper 200 μg
- Silica - colloidal anhydrous 15.5 mg equiv. silica 7.3 mg
- Borax 8.8 mg equiv. boron 1 mg
- Menaquinone 7 (Vitamin K2) 30 μg
- Cholecalciferol (Vitamin D3) 12.5 μg equiv. vitamin D 500 IU
- Ganoderma lucidum ext. 353 mg
- Lentinula edodes ext. 375 mg
- Scutellaria baicalensis ext. 300 mg
- Perilla frutescens ext. 208 mg
- L-glutamine 3.5 g
- Choline bitartrate 1.5 g
- Retinol palmitate 1.4 mg equiv. vitamin A 750 μg RE
- Silybum marianum ext. 86 mg
- Zinc bisglycinate (Zinc amino acid chelate) 30 mg equiv. zinc 6 mg
- Cholecalciferol 2.5 µg equiv. vitamin D3 100 IU
- Glucosamine sulphate potassium chloride 663 mg equiv. glucosamine sulphate 500 mg equiv. potassium chloride 163 mg
- Boswellia serrata ext. 57.1 mg
- Nicotinamide (Vitamin B3) 200 mg
- Sodium ascorbate (Vitamin C) 112.5 mg equiv. ascorbic acid 100 mg
- Lecithin 100 mg
- Magnesium orotate dihydrate 103.58 mg equiv. magnesium 6.7 mg
- Manganese amino acid chelate 25 mg equiv. manganese 5 mg
- Silybum marianum ext. 5 mg
- Vitis vinifera ext. 1 mg
- Curcuma longa ext. 4 mg
- Cholecalciferol 2.5 µg
- Cistanche salsa ext. 200 mg
- Smilax sieboldii ext. 50 mg
- Trigonella foenum-graecum ext. 500 mg
- Eurycoma longifolia ext. 100 mg
- Asphaltum punjabinum (Shilajit) 240 mg
- Magnesium citrate 160 mg
- Calcium pantothenate (Vitamin B5) 3.5 mg
- Zinc citrate 12 mg
- Spilanthes acmella ext. 400 mg
- Boron citrate 10 mg
- Silicon dioxide
- Beef liver 167 mg
- Beef kidney 167 mg
- Beef heart 167 mg
- Bovine gelatin 120 mg
- Cholecalciferol 10 μg equiv. vitamin D3 400 IU
- Hydroxyapatite (Calcium) 200 mg equiv. calcium 50 mg equiv. phosphorus 25 mg
- Calcium phosphate 946 mg equiv. calcium 350 mg equiv. phosphorus 189 mg
- Calcium citrate 1.2 g equiv. calcium 250 mg
- Zinc citrate dihydrate 19 mg equiv. zinc 6 mg
- Manganese amino acid chelate 25 mg equiv. manganese 2.5 mg
- Borax 13 mg equiv. boron 1.5 mg
- Ascorbic acid (Vitamin C) 57 mg
- Silica - colloidal anhydrous 43 mg equiv. silicon 20 mg
- Phytomenadione (Vitamin K1) 40 μg
- Lysine hydrochloride 250 mg equiv. lysine 200 mg
- Magnesium phosphate 990 mg equiv. magnesium 205 mg
- Magnesium citrate 217 mg equiv. magnesium 35 mg

.png)













.png)




.png)
