North East and North Cumbria
ICS Formulary
 
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9 Nutrition and blood
09-05-02-02 Phosphate-binding agents

Calcium Acetate Phosex®, Renacet®
First Choice
  • Phosex® 1g tablets (containing 250mg, 6.2mmol of calcium) 
  • Renacet® 475mg (containing 120.25mg, 3mmol of calcium) &
    950mg tablets (containing 240.5mg, 6mmol of calcium)

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Osvaren®
Second Choice
  • Tablets containing calcium acetate 435mg & Magnesium carbonate heavy 235mg.
  • For use, after calcium carbonate and calcium acetate, but before the
    much more expensive sevelamer and lanthanum.

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Sucroferric oxyhydroxide Velphoro®
Third Choice
  • Approved for use by haemodialysis or peritoneal dialysis patients who cannot tolerate alternative phosphate binders or where these have been ineffective

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Calcium Carbonate
Formulary
  • 1.25g & 2.5g chewable tablets (Calcichew)
    (Other formulations e.g. Remegel, Rennies, Rennie Soft gel and Settler’s.
    Tums are also stocked at the RVI for use in paediatric renal patients)

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Sevelamer Carbonate
Formulary
  • 800mg f/c tablets.
  • 2.4g powder for oral suspension

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Lanthanum Carbonate
Formulary

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