Warning

Phosphate-Binding Agent

Preferred list (P)

CALCIUM CARBONATE

Total list (T)

CALCIUM ACETATE

Specialist initiation (S1)

SEVELAMER

  • Restriction: Second-line management of hyperphosphataemia in adult patients.
  • Please prescribe generically.

SUCROFERRIC OXYHYDROXIDE

  • Restriction: Control of serum phosphorus levels in adult chronic kidney disease (CKD) patients on haemodialysis (HD) or peritoneal dialysis (PD) intolerant of other phosphate-binding agents.

LANTHANUM

  • Restriction: Use when intolerant of other phosphate-binding agents.

NHSL Joint Adult Formulary Key

To indicate the category of a formulary medicine, updated sections adopt the following key:

Preferred list (P): First-line formulary choices.

Total list (T): Alternative choices when preferred list options not effective/not tolerated, or not indicated.

Specialist initiation (S1): Specialist initiation, or on the advice of a Consultant or Specialist Practitioner in this therapeutic area. Continuation in primary care is acceptable.

Specialist use only (S2): Supply via hospital, Homecare Service or a hospital based prescription (HBP) for dispensing by community pharmacy. Not prescribed in primary care setting.

Editorial Information

Last reviewed: 31/01/2022

Next review date: 31/01/2025

Author(s): NHSL.

Version: Please refer to the introduction section for an explanation of the review dates above.

Approved By: ADTC

Reviewer name(s): ADTC.