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Your doctor may suggest a diet low in phosphorus while taking renagel.

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Information about Renagel.

Serum chloride may increase during Renagel treatment as chloride may be exchanged for phosphorus in the intestinal lumenAlthough no clinically significant serum chloride increase has been observed in the clinical studiesserum chloride should be monitored as is done in the routine follow-up of a dialysis patientOne gram of Renagel contains approximately 180 mg5.1 mEqchloride.

Call your doctor if you have have trouble swallowing the tabletor if it feels like it gets stuck in your esophagus after you swallow it.

Patients with renal insufficiency may develop hypocalcaemia or hypercalcaemiaRenagel does not contain calciumSerum calcium levels should be monitored as is done in normal follow-up of a dialysis patientElemental calcium should be given as a supplement in case of hypocalcaemia.

Serum chloride may increase during Renagel treatment as chloride may be exchanged for phosphorus in the intestinal lumenAlthough no clinically significant serum chloride increase has been observed in the clinical studiesserum chloride should be monitored as is done in the routine follow-up of a dialysis patientOne gram of Renagel contains approximately 180 mg5.1 mEqchloride.

Patients with chronic renal failure are predisposed to developing metabolic acidosisWorsening of acidosis has been reported upon switching from other phosphate binders to sevelamer in a number of studies where lower bicarbonate levels in the sevelamer-treated patients compared to patients treated with calcium-based binders were observedCloser monitoring of serum bicarbonate levels is therefore recommended.

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