Page 32 - Beaumont_Book_1
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CHAPTER 5                                                                                   MEDICATIONS

               eople with Chronic Kidney Disease (CKD) will
               find themselves on a variety of medications.
        PThese medications can be classified according to              ● Phosphate binders
        what they do and include the following:
                                                                       ● Antihypertensive medications
           These are just examples of some of the drugs available.     ● Diuretics
        Medications have different brand names so it is important      ● Erythropoietin (EPO)
        to realise that different coloured medication may be given     ● Oral and intravenous iron
        while in hospital.

           Many of the foods you eat contain an element called phosphate. Foods particularly high in
           phosphate include all dairy products such as milk and also chocolate, pizza and bread. When kidneys
           fail they are not able to get rid of phosphate and it will build up in your body. It is necessary to
           take medications called ‘phosphate binders’. There are a number of different phosphate binders
           available. They all work in the same way in that they bind phosphate in your stomach, which
           prevents the phosphate being absorbed into your circulation. All phosphate binders are taken
           with meals. This is the only way these tablets work and are of no benefit at any other time.
              The available phosphate binders include:
              Calcium containing compounds. These calcium tablets are effective at binding phosphate
           but, sometimes, can cause the calcium level in the blood to go too high. These tablets may cause
           constipation or gas. They are chewed and taken with meals.
              Sevelamer (Renagel). This tablet is swallowed and not chewed. Frequently you may have to
           take as many as 3 tablets, 3 times a day. This tablet may also cause some constipation or
           abdominal discomfort. It has the advantage over other phosphate binders in that it does not
           contain calcium.
              Foznol is also another phosphate binder commonly used.

        P.30 Kidney Disease — A Guide for Patients
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