Cambridgeshire and Peterborough
Formulary
 
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9 Nutrition and blood
09-05-02-02 Phosphate-binding agents

Calcium Acetate Phosex®
First Choice

 




    • Generally recommended as first line phosphate binder. More effective than calcichew and less elemental calcium.



 



 


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Calcium Carbonate Calcichew®
First Choice

  • Calcium-based phosphate binders may be used as the initial binder therapy for patients with chronic kidney disease as they are cheap and relatively efficacious, in conjunction with dietary phosphate restriction, to control phosphorus and parathyroid levels.

  • If hypercalcaemia develops with the use of calcium carbonate, it may be necessary to convert to calcium acetate, a non calcium-containing phosphate binder, or a combination of both.

  • Link to SPC


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Calcium Salts with magnesium Osvaren®
Second Choice

  • Second line phosphate binder after Calcichew or Phosex.

  • Can be prescribed in primary care on hospital initiation.


Amber No SCG View adult BNF  View SPC online  View childrens BNF
Lanthanum Fosrenol®
Restricted

  • Initiation and monitoring by consultant nephrologists in patients with ESRF as an alternative agent to sevelamer.


Restricted Drug Amber No SCG View adult BNF  View SPC online  View childrens BNF  HCD
Sevelamer Carbonate Renvela®
Restricted

 

  • Nephrologists - Renal patients only who require a phosphate-binder but have high serum calcium or Renal patients with vascular calcification (hydrochloride and carbonate salts are on formulary).

Restricted Drug Amber No SCG View adult BNF  View SPC online  View childrens BNF  HCD
Sevelamer Hydrochloride  Renagel®
Restricted

 

  • Nephrologists - Renal patients only who require a phosphate-binder but have high serum calcium or Renal patients with vascular calcification (hydrochloride and carbonate salts are on formulary).

 

 

 


Restricted Drug Amber No SCG View adult BNF  View SPC online  View childrens BNF  HCD
Aluminium Hydroxide Alu-Cap®
Formulary

  • Generally reserved for short term use in patients with severe and difficult to control hyperphosphataemia.


Red Hospital View adult BNF  View SPC online  View childrens BNF
Calcium Acetate Renacet®
Non Formulary

Grey
Calcium Salts
Non Formulary
Brands: Everose®, Osvaren®, Calcium 500® and Adcal®

Grey View adult BNF  View SPC online  View childrens BNF
sucroferric oxyhydroxide Velphoro®
Non Formulary

Grey View adult BNF  View SPC online  View childrens BNF