Patient's question:
How to supplement vitamin D, how much per day? What else should be combined to recover faster?Doctor's answer:
Hello:I. General Therapy
Enhanced nursing care, more outdoor activities, regular sun exposure, rational feeding, and active prevention and treatment of complications.
II. Medication Therapy
Vitamin D preparations: Initially, take 5,000–10,000 IU of vitamin D orally daily for one month. Those who cannot adhere to oral administration may receive intramuscular injections of vitamin D2, 400,000 IU (or vitamin D3, 300,000 IU) each time, repeated once or twice with an interval of one month between injections. During the acute phase, take 10,000–20,000 IU of vitamin D orally daily for one month. Those who cannot adhere to oral administration may receive intramuscular injections of vitamin D2, 400,000 IU (or D3, 300,000 IU), repeated two to three times with an interval of one month between injections. High-dose therapy is suitable for severe rickets with complications or children who cannot take oral medication. Calcium supplements are generally required concurrently. Dosage: Intramuscular injection of 360,000 IU of vitamin D3, once every one to two weeks, for a total of two to three injections, with a total dose of 1,200,000–1,800,000 IU. After the therapy, oral preventive doses should be administered 2–3 months later.
While undergoing vitamin D treatment, appropriate calcium supplements, vitamin A, B, and C should be provided as supportive therapy. If the condition does not improve after three months of treatment, the cause should be investigated. Vitamin D should not be overused to prevent toxicity.
III. Sequelae
No medication is required for sequelae. Physical exercises should be strengthened. For chest deformities, prone lifting and chest expansion exercises can be performed. For lower limb deformities, muscle massage can be applied.