Phosphate binders

Phosphorus Binders (always taken with meals)

Calcium acetate 1.0–1.5 g elemental Ca daily for P >4.6 mg/dL

(PhosLo®) and Ca 8.8–10.2 mg/dL; 667 mg of Ca acetate

contains 167 mg elemental Ca (25%)

Calcium 1.0–1.5 g elemental Ca daily for P >4.6 mg/dL

Carbonate and Ca 8.8–10.2 mg/dL; CaCO3 dose is 40% elemental Ca

Not FDA-approved at any CKD stage

Sevelamer HCl 800–2400 mg 3 times daily for P >4.6 mg/dL and

(Renagel®) Ca >10.2 mg/dL (Ca-based P-binder contraindicated)

FDA-approved for CKD Stage 5

Sevelamer 800–2400 mg 3 times daily for P >4.6 mg/dL and

Carbonate Ca >10.2 mg/dL (Ca-based P-binder contraindicated)

(Renvela®) FDA-approved for CKD Stage 5

Lanthanum 500–1000 mg 3 times daily for P >4.6 mg/dL and

Carbonate Ca >10.2 mg/dL (Ca-based P-binder contraindicated)

(Fosrenol®) FDA-approved for ESRD

Velphoro

Fosrenol