A client receiving dialysis therapy is prescribed cinacalcet (Sensipar) for secondary hyperparathyroidism. The healthcare provider has prescribed that the medication be titrated starting with 30mg/day and advancing to 180mg/day. The nurse is preparing client education. Which titration schedule should the nurse anticipate for cinacalcet? Triple the dosing every two weeks in sequential increments of 30mg/day, 90mg/day and 270mg/day. Increase the dose every two weeks in sequential increments of 30mg/day, 60mg/day, 90mg/day, 120mg/day, and 180mg/day. Double the dosing every other month in sequential increments of 30mg/day, 60mg/day, 120mg/day, until maximum dose is reached. Add 30mg to the dose every week in sequential increments of 30mg/day, 60mg/day, 90mg/day, 120mg/day, 150mg/day, 180mg/day. |