A patient who reported the same medical term more than once was counted only once for that medical term.

Safety parameters (changes in mean Ca, P, Ca × P) in an open-label safety study up to 13 months in duration support the long-term safety of Zemplar in this patient population (see CLINICAL STUDIES).

Other Adverse Reactions Observed During Clinical eva luation of Zemplar Injection
The following adverse reactions, with a causal relationship to Zemplar, occurred in <2% of the Zemplar treated patients in the above double-blind, placebo-controlled clinical trial data set. In addition, the following also includes adverse reactions reported in Zemplar-treated patients who participated in other studies (non placebo-controlled), including double-blind, active-controlled and open-label studies:

Blood and Lymphatic System Disorders:

Anemia, lymphadenopathy

Cardiac Disorders:

Arrhythmia, atrial flutter, cardiac arrest

Ear and Labyrinth Disorders:

Ear discomfort

Endocrine Disorders:

Hyperparathyroidism, hypoparathyroidism

Eye Disorders:

Conjunctivitis, glaucoma, ocular hyperemia

Gastrointestinal Disorders:

Abdominal discomfort, constipation, diarrhea, dysphagia, gastritis, intestinal ischemia, rectal hemorrhage

General Disorders and Administration Site Conditions:

Asthenia, chest discomfort, chest pain, condition aggravated, edema peripheral, fatigue, feeling abnormal, gait disturbance, injection site extravasation, injection site pain, pain, swelling, thirst

Infections and Infestations:

Nasopharyngitis, upper respiratory tract infection, vaginal infection

Investigations:

Aspartate aminotransferase increased, bleeding time prolonged, heart rate irregular, laboratory test abnormal, weight decreased

Metabolism and Nutrition Disorders:

Decreased appetite, hypercalcemia, hyperkalemia, hyperphosphatemia, hypocalcemia

Musculoskeletal and Connective Tissue Disorders:

Joint stiffness, muscle twitching, myalgia

Neoplasms Benign, Malignant and Unspecified:

Breast cancer

Nervous System Disorders:

Cerebrovascular accident, dizziness, dysgeusia, headache, hypoesthesia, myoclonus, paresthesia, syncope, unresponsive to stimuli

Psychiatric Disorders:

Agitation, confusional state, delirium, insomnia, nervousness, restlessness

Reproductive System and Breast Disorders:

Breast pain, erectile dysfunction

Respiratory, Thoracic and Mediastinal Disorders:

Cough, dyspnea, orthopnea, pulmonary edema, wheezing

Skin and Subcutaneous Tissue Disorders:

Alopecia, blister, hirsutism, night sweats, rash pruritic, pruritus, skin burning sensation

Vascular Disorders:

Hypertension, hypotension

Additional Adv