Sevelamer hydrochloride: a calcium- and metal-free phosphate binder

Author: Bleyer Anthony J   M. Balwit James  

Publisher: Future Medicine

ISSN: 1475-0708

Source: Therapy, Vol.2, Iss.6, 2005-11, pp. : 823-834

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Abstract

Sevelamer hydrochloride is a nonabsorbed, calcium- and metal-free phosphate binder, used to bind phosphate and prevent phosphate accumulation in patients with kidney failure. Sevelamer hydrochloride has been an important alternative to calcium-based phosphate binders, because calcium-based binders result in increased gastrointestinal calcium absorption and a positive calcium burden in dialysis patients. Recent studies have shown that sevelamer hydrochloride slows the progression of cardiovascular calcification when compared with calcium-based binders –– such decreases in cardiovascular calcification may potentially lead to a reduction in morbidity and mortality in dialysis patients.