Sevelamer - oral

Patient Medicine Information
Why do I need this medicine?
Sevelamer is used to treat hyperphosphataemia (abnormally high level of phosphate in the blood) in individuals with long-term kidney disease who are on or not on dialysis.
How do I take this medicine?
Take Sevelamer exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.

Take this medicine together with food. Try to take it at the same time each day.

Sevelamer is available as a tablet or powder for oral suspension.

If you are taking the tablet, swallow it whole with a glass of water. Do not crush, chew or break the tablet.

If you are taking the powder for oral suspension, empty the contents of the sachet into a glass then add the specified volume of water. Stir to disperse the powder evenly in the water, then drink the solution immediately. Alternatively, the powder may be mixed with a small amount of food or beverage and consumed immediately. Do not heat the powder or mix it with heated foods or liquids.

The dose of this medicine will be decided by your doctor. Your doctor will advise you on the treatment timeframe depending on the severity of your condition and your response to the medication.

Sevelamer must be taken regularly for it to be effective. Continue taking this medicine even when you feel better. Do not stop taking it unless instructed by the doctor.
What should I do if I have forgotten to take this medicine?
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.

DO NOT double a dose under any circumstances.

If you often forget to take your medicine, let your doctor and pharmacist know.
When should I not use this medicine?
Alert your doctor if you have the following conditions:
  • hypophosphataemia (low phosphorus levels in the blood)
  • bowel obstruction
as Sevelamer may not be suitable for you.
What should I take note of while taking this medicine?
Inform your doctor if you have the following conditions:
  • swallowing problems
  • stomach and bowel movement problems e.g. severe constipation, retention of stomach contents, abnormal or irregular bowel motion
  • active inflammatory bowel disease (group of diseases that cause long-term inflammation of the digestive tract)
  • hypothyroidism (underactive thyroid gland)
Let your doctor know if you are pregnant or breastfeeding.

Keep your appointments with your doctor. Your doctor needs to monitor your condition and check your response to the medication regularly. Routine tests (e.g. electrolyte levels, thyroid function) may be done while you are being treated with Sevelamer. Your doctor will advise you about how often you need to have these tests.
What side effects could I experience?
Sevelamer may cause any of the following side effects: nausea, diarrhoea, constipation, indigestion, and stomach pain.

Some side effects may need immediate medical help. Alert your doctor quickly if you experience any of the following:
  • pass out bloody or black as tar stools and vomiting blood or ground coffee-like material
  • sudden swallowing difficulty or choking
  • fast heartbeat, feeling very tired or weak, loss of appetite, confusion
Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.
Can I take this with other medicines?
Inform your doctor and pharmacist if you are taking any of these medicines:
  • medicines used in organ transplants or certain immune disorders e.g. ciclosporin, mycophenolate mofetil, tacrolimus
  • levothyroxine (medicine for thyroid disease)
  • medicines that reduce stomach acid production e.g. omeprazole, pantoprazole
This list does not include all medicines that may interact with Sevelamer.

Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicines, supplements, and medicines that you buy without a prescription.
What special dietary instructions should I follow?
Avoid alcohol.

It may be helpful to discuss your diet with your doctor or dietitian about your intake of vitamins A, D, E, K, and folic acid (vitamin B9) while you are being treated with Sevelamer. It is important to adhere to the diet prescribed by your doctor.
How should I store this medicine?
Store in a cool, dry place away from the reach of children.

Protect from moisture.

Medicines must not be used past the expiry date.
This information is independently developed by MIMS based on sevelamer - oral and is provided for your reference only. It is not a replacement for and should only be used in conjunction with full consultation with a licensed healthcare professional, the information provided by your pharmacist and/or the manufacturer of the medication. It may not contain all the available information you require and cannot substitute professional medical care, nor does it take into account all individual circumstances. Although great effort has been made to ensure content accuracy, we shall not be held responsible or liable for any claims or damages arising from the use or misuse of the information contained herein, its contents or omissions, or otherwise. Copyright © 2024 MIMS. All rights reserved. Powered by
  • Renvela
  • Velsone
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