Brand Name Choices
No generic medication is available for Renagel (Sevelamer Hydrochloride)
What Renagel is and what it is used for
Renagel contains sevelamer as the active ingredient. It binds phosphate from food in the digestive tract and so reduces serum phosphate levels in the blood. Renagel is used to control the levels of phosphate in the blood of adult kidney failure patients on haemodialysis or peritoneal dialysis treatment. Adult patients whose kidneys have failed and who are undergoing haemodialysis or peritoneal dialysis are not able to control the level of serum phosphate in their blood. The amount of phosphate then rises (your doctor will call this hyperphosphataemia). Increased levels of serum phosphorus can lead to hard deposits in your body called calcification. These deposits can stiffen your blood vessels and make it harder for blood to be pumped around the body. Increased serum phosphorus can also lead to itchy skin, red eyes, bone pain and fractures. Renagel may be used with other medicines which include calcium or vitamin D supplements to control the development of renal bone disease.
How to take Renagel
Always take this medicine exactly as your doctor has told you. Check with your doctor if you are not sure. He will base the dose on your serum phosphate level. The recommended starting dose of Renagel for adults and the elderly (>65 years) is one or two tablets with each meal 3 times a day. Initially your doctor will check the levels of phosphate in your blood every 2-3 weeks and may adjust the dose of Renagel when necessary (between 1 and 5 tablets of 800 mg per meal) to reach an adequate phosphate level. The tablets must be swallowed whole. Do not crush, chew or break into pieces prior to swallowing. Patients taking Renagel should adhere to their prescribed diet and liquid intake. If you take more Renagel than you should In the event of a possible overdose you should contact your doctor immediately. If you forget to take Renagel If you have missed one dose, this dose should be omitted and the next dose should be taken at the usual time with a meal. Do not take a double dose to make up for a forgotten dose.
Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Since constipation may be a preceding symptom in very rare cases of blockages in your intestine, it is
important to inform your doctor or pharmacist of this symptom before or during the use of Renagel.
The following side effects have been reported in patients taking Renagel:
Very common (may affect more than 1 in 10 people): nausea, vomiting.
Common (may affect up to 1 in 10 people): 4 diarrhoea, indigestion, abdominal pain, constipation, flatulence.
Uncommon (may affect up to 1 in 100 people): increased acidity of the blood.
Very rare (may affect up to 1 in 10000 people): hypersensitivity.
Not known (frequency cannot be estimated from the available data): cases of itching, rash, abdominal pain, slow intestine motility (movement), blockages in the intestine, inflammation of abnormal small pouches (called diverticula) in the large intestine and perforation in the intestine wall have been reported.
Reporting of side effects If you get any side effects, talk to your doctor. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system listed in Appendix V. By reporting side effects you can help provide more information on the safety of this medicine.
How to Store Renagel
Keep this medicine out of the sight and reach of children. Do not use this medicine after the expiry date stated on the carton and bottle after “EXP”. The expiry date refers to the last day of that month. Do not store this medicine above 25 qC. Keep the bottle tightly closed in order to protect from moisture. Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help to protect the environment.
2 to 3 weeks on average
The average shipping time is 2 weeks in North America and 4 weeks internationally. We offer free shipping on all orders shipped to North America. Shipping is a flat rate of $20.00 for all other countries.
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