WebAug 4, 2024 · Lithium. Another drug that can cause hypercalcemia is lithium. Lithium usage increases the set point of PTH, which requires higher serum calcium levels to switch off PTH secretion. Patients who are taking lithium should have their calcium levels monitored. One other drug interaction to be aware of is the ability of thiazide diuretics to also ... WebNov 28, 2024 · Sustained, inappropriate, and excessive serum parathyroid hormone causes a release of calcium from the bone leading to osteopenia and hypercalcemia. Eventually, the hypercalcemia overcomes the normal parathyroid hormone effect of decreasing urinary calcium excretion, and the result is hypercalciuria (e.g., similar to spilling sugar in the …
Rare Causes of Hypercalcemia The Journal of Clinical …
WebApr 8, 2024 · However, they should be advised to avoid factors that can aggravate hypercalcemia, including: Thiazide diuretics Lithium carbonate Volume depletion … WebHypercalcemia may result from local elaboration of osteoclast-activating cytokines or prostaglandins that stimulate osteoclasts to resorb bone, direct bone resorption by the tumor cells, or both. Diffuse osteopenia may also occur. Vitamin D toxicity Vitamin D toxicity can be caused by high concentrations of endogenous 1,25 (OH)2D. grace community church new tripoli pa
Thiazide-Induced Hypercalcemia NEJM
WebJul 5, 2024 · Increased calcium in your blood can occur in one of three ways: Increased absorption from your intestines Decreased excretion through your kidneys Mineral discharge from your bones. Medications are not a common cause of increased calcium levels. Most hypercalcemia caused by medications is not severe and may not cause any symptoms. WebAug 20, 2024 · Thiazide diuretics and lithium can also cause hypercalcemia, so if PTH is high in people taking either drug, they should temporarily halt drug therapy, if possible, and have repeat PTH and calcium tests two or three months later. Other diseases, including cancer, can raise calcium levels, but few cancers are also associated with excessive PTH. WebApr 24, 2012 · Thiazides decrease calcium excretion because they: 1) upregulate NCX due to low intracellular Na concentrations = more calcium reabsorbed 2) volume depletion … grace community church night to shine