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A calcium-free phosphate binder used to lower phosphorus in CKD and dialysis patients.
Sevelamer (carbonate/hydrochloride) binds dietary phosphorus without adding calcium, making it preferred when calcification risk is high. It also modestly lowers LDL cholesterol. Take with meals; common side effects include nausea, constipation, and rarely bowel obstruction. It must not be taken with other medications at the same time.
A medication taken with meals that binds dietary phosphate in the gut so it is not absorbed - the cornerstone of phosphate control in advanced CKD.
Blood phosphate above ~5.5 mg/dL - a CKD mineral-bone disorder driver that accelerates vascular calcification and bone disease.
Phosphorus from food — including phosphate additives that are nearly 100% absorbed and the hidden driver of hyperphosphatemia.
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This content is a general reference, not medical advice, a diagnosis, or a treatment plan. Do not change your diet, fluids, medicines, or dialysis plan without your nephrologist or renal dietitian. Individual recommendations depend on your labs, medications, conditions, and care plan.