Low vitamin D in patients admitted to hospital with COVID-19
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In patients admitted with confirmed COVID-19 infection:
- Give oral colecalciferol 100,000units (2.5mg) STAT, then maintenance 800units (20microgram) daily.
See Highland Formulary for preparations and further information on vitamin D
- Do not give loading dose if:
- On existing regular vitamin D supplementation
- Do not check vitamin D level
Give one-month supply. Patients should then be advised to buy vitamin D at their local pharmacy, unless they are eligible for free vitamin D supplementation.
This would be expected to be the Government recommended dose for prevention of vitamin D deficiency: 400units (10microgram) daily.
Treatment of vitamin D deficiency and insufficiency is 800units (20microgram) daily. See vitamin D deficiency guidelines.