Hyperphosphataemia

Dose as per specialist.

If calcium acetate is not tolerated.

Dose as per specialist.

Liquid preparations should only be used when patients cannot tolerate or use solid formulations.

Dose as per specialist.

Liquid preparations should only be used when patients cannot tolerate or use solid formulations.

Dose as per specialist.

Prescribing Notes:

Sevelamer carbonate sachets can be used as an alternative to tablet formulations of sevelamer in patients unable to swallow tablets.
Sucroferric oxyhydroxide (Velphoro) is an option for patients who are not suitable for treatment with calcium phosphate binders, or have tried other phosphate binders with limited success.

History Notes

20/04/2023

East Region Formulary content agreed.

1-11 months: initially approximately 120mg 3-4 times daily, adjusted according to plasma phosphate levels.

1- 6 years: initially approximately 300mg 3-4 times daily, adjusted according to plasma phosphate levels.

6-12 years: initially approximately 600mg 3-4 times daily, adjusted according to plasma phosphate levels.

12-18 years: initially approximately 1.25g 3-4 times daily, adjusted according to plasma phosphate levels.

Suitable for children when they can swallow tablets whole, initially 1 tablet 3-4 times daily. Must not be chewed.

Prescribing Notes:

Phosphate binding agents should be taken immediately prior to food, or with feeds in younger patients to bind phosphate in the food.
To aid compliance, alternate products can be tried.

History Notes

10/06/2020

Content migrated from LJF website.