What strategies may be used to achieve recommended phosphorus levels in hyperphosphatemia and chronic kidney disease (CKD)?

Updated: Oct 26, 2020
  • Author: Pradeep Arora, MD; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Answer

Restricting dietary phosphate is one strategy for correcting hyperphosphatemia. However, because of its complexity and challenges, diet control by iself is insufficient and unreliable for keeping phosphate concentrations within the recommended range. Consequently, the use of phosphate binders (eg, calcium acetate, sevelamer carbonate, lanthanum carbonate) has been proposed as a means of reducing elevated phosphorus levels in patients with CKD. [78] Unfortunately, calculation of the cost-effectiveness of the various agents is complicated. [79]


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