Quick Answer
Renvela — Sevelamer Carbonate 800 mg (Sanofi Genzyme). Non-calcium phosphate binder for hyperphosphataemia in dialysis-dependent CKD. Reduces serum phosphate without calcium loading. Often used in cancer-related renal dysfunction.
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⚠️ Specialist-supervised cancer therapy — this medication is started, monitored, and stopped by an oncologist or haematologist. Dosing depends on tumour type, stage, body surface area, organ function, and concomitant therapy. Self-treatment is not appropriate; the information below is educational and supports informed conversations with your specialist.
Take with each main meal — sevelamer binds dietary phosphate. Common GI side effects: constipation, abdominal pain, nausea, flatulence. Reduces absorption of fat-soluble vitamins and some drugs (separate ciprofloxacin, mycophenolate by 1-2 hours).
Frequently Asked Questions
When is this used?
Non-calcium phosphate binder for hyperphosphataemia in dialysis-dependent CKD. Reduces serum phosphate without calcium loading. Often used in cancer-related renal dysfunction.
Side effects?
Class-specific — see safety boxes above. Most supportive cancer medications are well-tolerated when used per protocol but require specialist supervision.
Drug interactions?
Always disclose all medications. Cancer supportive therapy interacts with multiple cytotoxics, chemo regimens, and concomitant medications.
Pregnancy?
Variable by molecule. Consult oncology for pregnancy planning during cancer therapy.
Monitoring?
Specialist-determined — typically FBC, electrolytes, renal/liver function, cardiac monitoring as relevant.
What if I miss a dose?
Take when you remember; do not double up. Discuss with oncology team if multiple doses missed.
When is treatment finished?
Determined by clinical response, planned regimen length, and patient tolerance.
Storage?
Per package insert — typically below 25-30°C, away from light and moisture. Pregnant household members should not handle broken tablets/capsules.
Cost?
Generic Indian biosimilars and chemical equivalents are dramatically less expensive than originator products with documented bioequivalence and clinical equivalence.
Vaccines?
Coordinate with oncology — live vaccines may be contraindicated during cancer therapy.
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- Zoldria — zoledronic acid IV — for bone metastases and hypercalcaemia
- Actorise — darbepoetin alfa — for chemotherapy-induced anaemia

























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