Hypercalcemia Follow-up

Updated: Oct 03, 2018
  • Author: Mahendra Agraharkar, MD, MBBS, FACP, FASN; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Follow-up

Further Outpatient Care

In most cases, follow-up care is dictated by the etiology of hypercalcemia. If the hypercalcemia is related to malignancy, efforts are directed towards treating the neoplasm.

Oral phosphates have only a limited role in the treatment of hypercalcemia and are increasingly replaced by bisphosphonates. However, when phosphates are used, especially for treating chronic hypercalcemia, attention should be paid to hyperphosphatemia and the calcium and phosphate product because this tends to increase the risk of metastatic calcification.

Restriction of dietary calcium and administration of glucocorticoids remains the preferred treatment for hypercalcemia due to sarcoidosis and vitamin D intoxication.