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Free delivery on orders above Rs 15,000 (otherwise Rs 450). 1–2 business days to major cities, 3–5 elsewhere.
We deliver across Pakistan, usually in 1–2 business days to major cities and 3–5 business days elsewhere. Delivery is free on orders above Rs 15,000; a flat Rs 450 applies to smaller orders. Cash on Delivery is available in Sindh; elsewhere, pay by bank transfer or card. Cold-chain medicines such as insulin are shipped in insulated packaging.
If an item arrives damaged, expired, defective, wrong or missing, tell us within 48 hours of delivery and send photos of the item and packaging. For your safety, opened medicines, dispensed prescription medicines and change-of-mind returns cannot be accepted. Approved refunds are processed within 7–10 business days, or as store credit for Cash on Delivery orders.
Alfa-D Tablets 0.25mcg contain Alfacalcidol, an active form of vitamin D made by Platinum Pharmaceuticals, Pakistan. It is used when the body cannot activate ordinary vitamin D properly, most often because of kidney or parathyroid disease. Each strip contains 10 tablets. This medicine requires a prescription.
Ordinary vitamin D has to be activated by the liver and then the kidneys. Alfacalcidol only needs the liver step, so it still works in people with kidney failure. It increases calcium and phosphate absorption from the gut, supports bone mineralisation and helps control parathyroid hormone.
The dose is set individually and adjusted according to blood calcium results. Adults often start around 1mcg daily (for example four 0.25mcg tablets, or two 0.5mcg tablets), while older adults and children usually need less. The 0.25mcg strength allows small, precise adjustments. Follow your doctor's instructions exactly.
Side effects are mainly due to too much calcium: nausea, vomiting, constipation, loss of appetite, thirst, passing more urine, tiredness, muscle weakness or confusion. Itching or rash may occur. Tell your doctor if these develop.
Do not use if your blood calcium is already high. Regular blood tests for calcium and phosphate are essential, especially early in treatment. Avoid extra calcium or vitamin D supplements and calcium-containing antacids unless prescribed. Tell your doctor if you take thiazide diuretics, digoxin, anti-epileptic medicines or steroids. Store in a cool, dry place.
Is alfacalcidol the same as vitamin D3? No. It is an active form that bypasses the kidneys, so it is much stronger per microgram and needs blood monitoring.
What other brands are similar? One-Alpha 0.5mcg contains the same medicine.
Browse more in our Bone & Joint Health and Multivitamins & Supplements collections.
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