For US residents only. For global information about Rayaldee, click here.

Indication
Important Safety Information
Prescribing Information
Healthcare Professionals

For US residents only.
For global information about Rayaldee, click here.

Medicare Part D Changes in 2025

Learn more

Balance Is Key to Addressing SHPT

Secondary hyperparathyroidism (SHPT) is a common complication of chronic kidney disease (CKD). If left untreated, it can cause serious health problems. SHPT happens when the body produces too much parathyroid hormone (PTH). The increase in PTH leads to imbalances in other hormones and minerals. This often happens along with low levels of vitamin D. Raising vitamin D is key to achieving balance with SHPT.

Secondary hyperparathyroidism (SHPT) is a common complication of chronic kidney disease (CKD). If left untreated, it can cause serious health problems. SHPT happens when the body produces too much parathyroid hormone (PTH). The increase in PTH leads to imbalances in other hormones and minerals. This often happens along with low levels of vitamin D. Raising vitamin D is key to achieving balance with SHPT.

Person surrounded by circles with phosphorus, vitamin D, calcium, and parathyroid hormone written on them.

Stay in balance with Rayaldee

Vitamin D rises. PTH lowers.

How does Rayaldee treat SHPT?

Calcifediol, the active ingredient in Rayaldee® extended-release capsules, gradually and reliably increases your vitamin D levels and decreases the levels of PTH in your blood. It is approved to treat the imbalances noted in people who have a diagnosis of SHPT, stage 3 or 4 CKD, and low vitamin D levels.

Find out more

We’re here to help you find your footing

Your healthcare provider is the best source for information about your specific situation. Here, you can learn the basics about SHPT and Rayaldee. You can also find support and other resources.

About SHPT

Get to know the basics of SHPT and its effects on the body.

Learn more

Getting started

Find out about starting treatment with Rayaldee.

Learn more

Financial Support

Learn about financial support available to people who have been prescribed Rayaldee.

Learn more

Resources

Visit our library of videos, downloadable educational materials, and other helpful resources.

Learn more

Important Safety Information

  • Before starting Rayaldee, the level of calcium in your blood should be in the normal range (below 9.8 mg/dL). Your doctor can tell you if your calcium level is right for starting Rayaldee.
  • Rayaldee can cause hypercalcemia and hypercalciuria (high levels of calcium in your blood and urine, respectively). You should tell your doctor if you are taking any other medications, including other vitamin D medications (prescription or over-the-counter vitamin D supplements). Your doctor may tell you to stop taking them while you are taking Rayaldee, as very high calcium levels due to high vitamin D levels could cause severe changes to your heart rhythm or seizures and require emergency treatment.
  • Tell your doctor about any and all medications you may be taking. While you are taking Rayaldee, tell your doctor if you receive any new prescriptions or start any new over-the-counter medications.
  • Tell your doctor immediately if you experience any of the following symptoms of very high calcium: feeling tired, difficulty thinking clearly, loss of appetite, nausea, vomiting, constipation, increased thirst, increased urination, weight loss, or any other abnormal symptoms or side effects.
  • While you are taking Rayaldee, your doctor will order laboratory tests to see how your SHPT is doing. These lab tests will also examine your blood levels of calcium, phosphorus, 25-hydroxyvitamin D, and PTH. Based on your test results, your dose of Rayaldee may be changed or stopped until your lab results improve.
  • The most common side effects of Rayaldee reported by patients in clinical trials were anemia (low levels of red blood cells or hemoglobin), infection in the nose and/or throat, high levels of blood creatinine (a lab test for measuring kidney function), shortness of breath, cough, congestive heart failure, and constipation.
  • Take your Rayaldee at bedtime and swallow your capsules whole; do not bite or chew them.
  • If you miss a dose, take Rayaldee at your next scheduled time. Do not take an extra dose to make up for the dose you missed.
  • Be sure to follow your doctor’s orders, including getting your laboratory tests done on time.
  1. If you have questions regarding why you were prescribed Rayaldee, please speak with your doctor.
  2. If you have questions regarding the support programs offered by OPKO Connect, you can call 1-844-414-OPKO (1-844-414-6756), option 1.
  3. If you have questions regarding Rayaldee or the disease state it is designed to treat, you may contact a Rayaldee Clinical Pharmacist at OPKO Connect at 1-844-414-OPKO (1-844-414-6756), option 2.
  4. You are encouraged to report negative side effects to the U.S. Food and Drug Administration (FDA) at www.fda.gov/medwatch or via phone at 1-800-FDA-1088 (1-800-332-1088).
  5. For more information about Rayaldee, please contact OPKO Medical Information at 1-844-729-2539 or medicalinformation@opko.com.

Please see Full Prescribing Information.

Indication and Limitations of Use

Rayaldee is a treatment for secondary hyperparathyroidism (SHPT) in adults with stage 3 or 4 chronic kidney disease (CKD) and low vitamin D levels (25-hydroxyvitamin D less than 30 ng/mL). It is not for patients with stage 5 CKD or end-stage kidney disease on dialysis.

Important Safety Information

  • Before starting Rayaldee, the level of calcium in your blood should be in the normal range (below 9.8 mg/dL). Your doctor can tell you if your calcium level is right for starting Rayaldee.
  • Rayaldee can cause hypercalcemia and hypercalciuria (high levels of calcium in your blood and urine, respectively). You should tell your doctor if you are taking any other medications, including other vitamin D medications (prescription or over-the-counter vitamin D supplements). Your doctor may tell you to stop taking them while you are taking Rayaldee, as very high calcium levels due to high vitamin D levels could cause severe changes to your heart rhythm or seizures and require emergency treatment.
  • Tell your doctor about any and all medications you may be taking. While you are taking Rayaldee, tell your doctor if you receive any new prescriptions or start any new over-the-counter medications.
  • Tell your doctor immediately if you experience any of the following symptoms of very high calcium: feeling tired, difficulty thinking clearly, loss of appetite, nausea, vomiting, constipation, increased thirst, increased urination, weight loss, or any other abnormal symptoms or side effects.
  • While you are taking Rayaldee, your doctor will order laboratory tests to see how your SHPT is doing. These lab tests will also examine your blood levels of calcium, phosphorus, 25-hydroxyvitamin D, and PTH. Based on your test results, your dose of Rayaldee may be changed or stopped until your lab results improve.
  • The most common side effects of Rayaldee reported by patients in clinical trials were anemia (low levels of red blood cells or hemoglobin), infection in the nose and/or throat, high levels of blood creatinine (a lab test for measuring kidney function), shortness of breath, cough, congestive heart failure, and constipation.
  • Take your Rayaldee at bedtime and swallow your capsules whole; do not bite or chew them.
  • If you miss a dose, take Rayaldee at your next scheduled time. Do not take an extra dose to make up for the dose you missed.
  • Be sure to follow your doctor’s orders, including getting your laboratory tests done on time.
  1. If you have questions regarding why you were prescribed Rayaldee, please speak with your doctor.
  2. If you have questions regarding the support programs offered by OPKO Connect, you can call 1-844-414-OPKO (1-844-414-6756), option 1.
  3. If you have questions regarding Rayaldee or the disease state it is designed to treat, you may contact a Rayaldee Clinical Pharmacist at OPKO Connect at 1-844-414-OPKO (1-844-414-6756), option 2.
  4. You are encouraged to report negative side effects to the U.S. Food and Drug Administration (FDA) at www.fda.gov/medwatch or via phone at 1-800-FDA-1088 (1-800-332-1088).
  5. For more information about Rayaldee, please contact OPKO Medical Information at 1-844-729-2539 or medicalinformation@opko.com.

Please see Full Prescribing Information.