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FOSRENOL CHEWABLE TABLETS 1000MG [SIN13596P]
Active ingredients: FOSRENOL CHEWABLE TABLETS 1000MG
Product Info
FOSRENOL CHEWABLE TABLETS 1000MG
[SIN13596P]
Product information
Active Ingredient and Strength | LANTHANUM (AS LANTHANUM CARBONATE HYDRATE 1,908 MG) - 1,000 MG |
Dosage Form | TABLET, CHEWABLE |
Manufacturer and Country | HAMOL LIMITED - UNITED KINGDOM |
Registration Number | SIN13596P |
Licence Holder | TAKEDA PHARMACEUTICALS (ASIA PACIFIC) PTE. LTD. |
Forensic Classification | PRESCRIPTION ONLY MEDICINES |
Anatomical Therapeutic Chemical (ATC) code | V03AE03 |
INDICATIONS
Treatment of hyperphosphataemia in adults with chronic renal failure on haemodialysis or continuous ambulatory peritoneal dialysis (CAPD).
DOSAGE AND ADMINISTRATION
Patients should adhere to recommended diets in order to control phosphate and fluid intake. Tablets must be chewed completely and not swallowed whole. To aid with chewing the tablets may be crushed.
Adults, including elderly (>65 years)
For patients taking FOSRENOL for the first time, the starting dose may be determined individually based on serum phosphate concentration as indicated below:
Table caption
Pre-treatment serum phosphate level | Recommended initial daily dose of FOSRENOL |
>1.8 and ≤2.4 mmol/L | 750 mg |
>2.4 and ≤2.9 mmol/L | 1500 mg |
>2.9 mmol/L | 2250 mg |
FOSRENOL should be taken with or immediately after food, with the daily dose divided between meals, i.e. three times daily. Serum phosphate levels should be monitored and the dose of FOSRENOL titrated every 2–3 weeks until an acceptable serum phosphate level is reached, with regular monitoring thereafter.
Control of serum phosphate level has been demonstrated at doses from 750 mg with most patients achieving acceptable serum phosphate levels at 1500 – 3000 mg lanthanum per day.
Hepatic impairment
The effect of hepatic impairment on FOSRENOL pharmacokinetics has not been formally assessed. Due to its mechanism of action and the lack of liver metabolism, doses in hepatic impairment should not be modified, but patients should be monitored carefully (see PRECAUTIONS and PHARMACOLOGY, Pharmacokinetic Properties – please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information).
Children and Adolescents
The safety and efficacy of FOSRENOL has not been established in patients below the age of 18 years.
CONTRAINDICATIONS
Hypersensitivity to lanthanum or any of the excipients in the product.
Hypophosphataemia.
FOSRENOL is contraindicated in patients with bowel obstruction, ileus and faecal impaction.
