Sevelamer

Why this is used

Sevelamer is used to treat high blood levels of phosphorus in patients with kidney disease who are on dialysis. It binds phosphorus that you get from foods in your diet and prevents it from being absorbed into your blood stream. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

How to take it

Sevelamer comes as a capsule to take by mouth. It is usually taken three times a day with meals. Swallow the capsules whole. Do not chew or take the capsule apart before you swallow it. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take sevelamer exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. Sevelamer controls high blood levels of phosphorus which is a common problem in patients with kidney disease, but it does not cure the disease. Continue to take sevelamer even if you feel well. Do not stop taking sevelamer without talking to your doctor.

Side effects

<p></p> <p></p> <p></p> <p>Sevelamer may cause side effects. Inform your doctor if any of these symptoms are severe or do not go away:

<ul>
<li>
upset stomach</li>
<li>
diarrhea</li>
<li>
vomiting</li>
<li>
gas (flatulence)</li>
<li>
constipation</li>
<li>
headache</li>
<li>
cough</li></ul></p> <p></p> <p></p>

Precautions

Before taking sevelamer, tell your doctor and pharmacist if you are allergic to sevelamer or any other drugs. tell your doctor and pharmacist what prescription and nonprescription medications you are taking, including medications for seizures such as carbamazepine (Carbatrol, Epitol, Tegretol), ethosuximide (Zarontin), phenobarbital (Solfoton), and phenytoin (Dilantin); medications for irregular heartbeats such as amiodarone (Cordarone, Pacerone), digoxin (Lanoxin), diltiazem (Cardizem, Dilacor, Tiazac, others), disopyramide (Norpace), dolfetilide (Tikosyn), flecainide (Tambocor), ibutilide (Corvert), mexiletine (Mexitil), moricizine (Ethmozine), procainamide (Procanbid, Pronestyl, Rhythmin), propafenone (Rythmol), propanolol (Betachron ER, Inderal), quinidine, sotalol (Betapace), tocainide (Tonocard), and verapamil (Calan, Isoptin, Verelan, others); cyclosporine (Neoral, Sandimmune, Gengraf); lithium (Eskalith, Lithobid, others); theophylline (Slobid, Theo-Dur, others); warfarin (Coumadin); and herbal products and vitamins. tell your doctor if you have or have ever had difficulty swallowing, a stomach or bowel problem such as blockage of your stomach or intestines, or surgery on your stomach or intestines. If you are taking other medications, you should take them at least 1 hour before you take sevelamer or 3 hours after you have taken sevelamer, to prevent binding of your other medications. if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking sevelamer.
Educational reference only — talk to a pharmacist or prescriber about Sevelamer.