Hyperphosphatemia:
Indications for RENAGEL TABLETS:
Control of serum phosphorus in patients with chronic kidney disease on dialysis.
Adult:
Swallow whole with meals. Patients not taking a phosphate binder: serum phosphorus >5.5 to <7.5mg/dL: 800mg 3 times daily; 7.5–<9mg/dL: 1.2–1.6g 3 times daily; ≥9mg/dL: 1.6g 3 times daily. Titrate by 1 tab per meal at 2-week intervals to keep serum phosphorus ≤5.5mg/dL. Switching from calcium acetate to sevelamer: see full labeling.
Children:
Not established.
Contraindications:
Bowel obstruction.
Warnings/Precautions:
Dysphagia. Swallowing disorders. Severe GI motility disorders. Major GI tract surgery. Monitor serum bicarbonate, chloride. Pregnancy (Cat.C).
Pharmacologic Class:
Phosphate binder.
Interactions:
Concomitant with drugs that have a narrow therapeutic index; monitor. Consider separation of administration with cyclosporine, tacrolimus, or levothyroxine. Separate dosing of ciprofloxacin by ≥2hrs before or 6hrs after sevelamer; mycophenolate mofetil by ≥2hrs before sevelamer.
Adverse Reactions:
Vomiting, nausea, diarrhea, dyspepsia, abdominal pain, flatulence, constipation; rare: bowel obstruction, perforation.
How Supplied:
Tabs 400mg—360; 800mg—180
