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Doplet-3 is an injectable formulation of cholecalciferol (Vitamin D3) at 5 mg per mL, intended for intramuscular (IM) or subcutaneous (SC) use to rapidly correct vitamin D deficiency, especially when oral absorption is inadequate or in patients who need parenteral vitamin D supplementation.
Active ingredient: Cholecalciferol (Vitamin D3) — 5 mg/mL
Excipients / vehicle: Manufacturer-specific solvent and stabilizers (as per product leaflet)
Vitamin / Nutritional supplement (Fat-soluble vitamin D group)
Sterile solution in 1 mL ampoule for injection
Doplet-3 injection is used for:
Treatment of vitamin D deficiency or insufficiency
Prevention / therapy of rickets, osteomalacia, osteoporosis, or bone demineralization
Situations where oral vitamin D is poorly tolerated, absorption is impaired, or rapid correction is needed
The exact dose and schedule should be determined by a healthcare provider based on serum vitamin D levels, clinical status, and patient factors.
Common approach: a high dose injection (e.g. 5 mg = 200,000 IU equivalent) given as single or repeated injections under monitoring.
Maintenance oral vitamin D / supplementation often continues after injection.
Excess vitamin D can lead to hypercalcemia: nausea, vomiting, weakness, frequent urination, dehydration, confusion, arrhythmias, kidney damage
Management: discontinue further supplementation, restrict calcium, provide IV hydration, possibly corticosteroids or bisphosphonates under physician direction
Since this is often an infrequent injection, a “missed dose” protocol is less relevant
If missed, follow physician advice — do not double the next dose to compensate
Inspect ampoule: the solution should be clear, colorless, and free of particles
Use aseptic technique to open and draw up the dose in a sterile syringe
Administer via intramuscular (IM) injection (or SC if approved)
Injection should be done by a qualified healthcare professional
Avoid rapid injection to reduce discomfort
Known hypersensitivity to cholecalciferol or formulation excipients
Hypercalcemia or hypercalciuria
Disorders with risk of vitamin D excess (e.g. sarcoidosis, certain granulomatous diseases)
Renal impairment with reduced excretory capacity (unless under specialist guidance)
Common / mild:
Injection site reactions (pain, swelling)
Nausea, vomiting, constipation
Weakness, fatigue
Serious / rare:
Signs of hypercalcemia (as above)
Soft tissue or vascular calcification
Allergic reactions (rash, swelling, difficulty breathing)
Cardiac arrhythmias in severe cases
Monitor serum calcium, phosphate, and renal function periodically
Use with caution in patients with renal disease, and avoid concomitant high-dose calcium without supervision
Avoid overlapping high-dose oral vitamin D or supplements without physician oversight
Pregnant/lactating women: only use if benefits justify risk and under medical supervision
Thiazide diuretics: may increase risk of hypercalcemia
Corticosteroids: may antagonize vitamin D absorption or effects
Certain anticonvulsants (e.g. phenytoin, phenobarbital): may accelerate vitamin D metabolism
Magnesium deficiency, proton pump inhibitors, etc.: may affect absorption/metabolism
Store ampoules in original packaging, protected from light and heat, at recommended temperature
Do not freeze
Use ampoule immediately after opening; do not reuse
Dispose of used ampoule and needles in sharps / medical waste container
Prescription-only (i.e. cannot be sold over the counter)
Administered under medical supervision
Doplet-3 is a high-potency injectable vitamin D3, useful for rapid correction in deficiency states
Always measure serum 25-hydroxyvitamin D and calcium before repeating injections
Avoid using multiple vitamin D sources simultaneously without monitoring
Inform patients to report symptoms of hypercalcemia (thirst, bone pain, weakness, confusion)
Keep a log of batch, date, and dose administered
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