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HIGHLIGHT
Velphoro

Velphoro

sucroferric oxyhydroxide

Manufacturer:

Rxilient

Distributor:

KLN Pharma
Concise Prescribing Info
Contents
Sucroferric oxyhydroxide
Indications/Uses
Control of serum P levels in adult CKD patients on haemodialysis or peritoneal dialysis.
Dosage/Direction for Use
Divide total daily dose across the meals of the day to maximise adsorption of dietary phosphate. Starting dose: 1,500 mg Fe (3 tab) daily. Titration & maintenance: Monitor serum P levels & up- or down-titrate dose in increments of 500 mg Fe (1 tab) daily every 2-4 wk until acceptable serum P level is reached, w/ regular monitoring afterwards. Patients who respond usually achieve optimal serum P levels at doses of 1,500-2,000 mg Fe (3-4 tab) daily. Resume regular dose w/ next meal if missed. Max dose: 3,000 mg Fe (6 tab) daily.
Administration
Should be taken with food: Must be chewed or crushed. Must not be swallowed whole.
Contraindications
Hypersensitivity. Haemochromatosis & any other Fe accumulation disorders.
Special Precautions
Should only be used following careful benefit/risk assessment in patients w/ recent history of peritonitis (w/in last 3 mth), significant gastric or hepatic disorders, & patients w/ major GI surgery. Can cause discoloured (black) stool. Contains sucrose. Should not be taken by patients w/ rare hereditary problems of fructose intolerance, glucose-galactose malabsorption or sucrase-isomaltase insufficiency. Contains potato starch & pregelatinised maize starch. Patients w/ diabetes should take notice that 1 tab is equiv to approx 1.4 g of carbohydrates. No clinical data available in patients w/ earlier stages of renal impairment. Should only be used by pregnant women if clearly needed following careful benefit/risk assessment. Decide whether to continue breastfeeding or to continue therapy. Safety & efficacy in childn & adolescents <18 yr have not yet been established.
Adverse Reactions
Diarrhoea, discoloured faeces. Nausea, constipation, vomiting, dyspepsia, abdominal pain, flatulence, tooth discolouration; abnormal product taste.
Drug Interactions
For concomitant treatment w/ medicinal products w/ narrow therapeutic window, monitor clinical effect & adverse events on initiation or dose adjustment of either Velphoro or the concomitant medicinal product. When administering any medicinal product that is already known to interact w/ Fe (eg, alendronate & doxycycline) or has the potential to interact w/ sucroferric oxyhydroxide (eg, levothyroxine), administer medicinal product at least 1 hr before or 2 hr after Velphoro.
MIMS Class
Antidotes & Detoxifying Agents
ATC Classification
V03AE05 - sucroferric oxyhydroxide ; Belongs to the class of drugs used in the treatment of hyperkalemia and hyperphosphatemia.
Presentation/Packing
Form
Velphoro chewable tab 500 mg
Packing/Price
90's
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