Monograph Details
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Urogenital System
> Miscellaneous urogenital disorders
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FOSRENOL |
| Manufacturer |
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Shire US, Inc. |
| Legal Classification |
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Rx
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| Pharmacological Class |
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Phosphate binder. |
| Generic Name |
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Lanthanum carbonate 250mg, 500mg, 750mg, 1000mg; chew tabs. |
| Indications |
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To reduce serum phosphate in end-stage renal disease. |
| Children |
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Not recommended. |
| Adults |
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Take with meals; chew tabs completely. Initially 750mg–1.5g/day in divided doses. Titrate at 2–3 wk intervals in increments of 750mg/day based on serum phosphate. Usual range: 1.5g–3g; usual max 3.75g/day. |
| Precautions |
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Acute peptic ulcer. Ulcerative colitis. Crohn's disease. Bowel obstruction. Monitor phosphate, calcium. Labor & delivery. Pregnancy (Cat.C); not recommended. Nursing mothers. |
| Interactions |
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Separate dosing of drugs that interact with antacids by 2 hrs. May interfere with abdominal x-ray. |
| Adverse Reactions |
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GI upset (usually transient), dialysis graft occlusion, abdominal pain, constipation. |
| How Supplied |
Tabs 250mg—90 500mg patient pack (2 x 45 tabs)—1 750mg patient pack (6 x 15 tabs)—1 1000mg patient pack (9 x 10 tabs)—1 |
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