Table 6.6-1. Medications associated with vitamin D deficiency

Name

Mechanism

Antiepileptic drugs

Cause increased catabolism of 25-hydroxyvitamin D and 1,25-dihydroxycholecalciferol

Glucocorticoids

Decrease calcium absorption in the intestines, increased renal excretion of calcium, and inhibition of 1-alpha-hydroxylase

Orlistat

Impairs vitamin D absorption in the gastrointestinal tract

Bile acid sequestrants

Impairs vitamin D absorption in the gastrointestinal tract

Ketoconazole

Inhibits 1-alpha-hydroxylase