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Indications

REMS


Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

F and E: hypocalcemia

GI: nausea, vomiting, diarrhea, fecal impaction, GI obstruction, GI perforation, ileus

Interactions

Drug-drug:

Availability

(Generic available)

Route/Dosage

US Brand Names

Fosrenol

Action

  • Dissociates in the upper GI tract, forming lanthanate ions, which form an insoluble complex with phosphate.
Therapeutic effects:
  • Decreased serum phosphate levels.

Classifications

Therapeutic Classification: hypophosphatemics

Pharmacologic Classification: phosphate binders

Pharmacokinetics

Absorption: Negligible absorption.

Distribution: Stays within the GI tract.

Metabolism/Excretion: Eliminated almost entirely in feces.

Half-Life: 53 hr (in plasma).

Time/Action Profile

(effect on phosphate levels)

ROUTEONSETPEAKDURATION
POunknown2–3 wkunknown



Patient/Family Teaching

Pronunciation

LAN-than-um