Renagel

— THERAPEUTIC CATEGORIES —
  • Hyperphosphatemia

Renagel Generic Name & Formulations

General Description

Sevelamer HCl 800mg; tabs.

Pharmacological Class

Phosphate binder.

How Supplied

Tabs—180

Manufacturer

Generic Availability

YES

Renagel Indications

Indications

Control of serum phosphorus in patients with chronic kidney disease on dialysis.

Renagel Dosage and Administration

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: 1.6g 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.

Renagel Contraindications

Contraindications

Bowel obstruction.

Renagel Boxed Warnings

Not Applicable

Renagel Warnings/Precautions

Warnings/Precautions

Dysphagia. Swallowing disorders; consider susp form. Severe GI motility disorders. Major GI tract surgery. Monitor serum bicarbonate, chloride. Monitor for reduced Vitamins D, E, K and folic acid levels; consider supplementation (esp. in pregnant and nursing mothers). Elderly. Pregnancy.

Renagel Pharmacokinetics

See Literature

Renagel Interactions

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. May decrease serum levels of fat soluble vitamins and folic acid.

Renagel Adverse Reactions

Adverse Reactions

Vomiting, nausea, diarrhea, dyspepsia, abdominal pain, flatulence, constipation; rare: bowel obstruction, perforation.

Renagel Clinical Trials

See Literature

Renagel Note

Not Applicable

Renagel Patient Counseling

See Literature

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