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Do not use sevelamer carbonate if you have a history of bowel obstruction or if you are allergic to sevelamer carbonatesevelamer hydrochloride or to any of the ingredientsTalk to your doctor if you have had difficulty swallowing or swallowing disordersor if you have had digestive tract surgery or other digestive disordersincluding severe constipationThe most frequently occurring side effects with sevelamer carbonate tablets include nausea and vomitingSide effects with sevelamer carbonate powder taken three times a day are similar to those reported for sevelamer carbonate tabletsThe most common side effects with sevelamer include vomitingnauseadiarrheaindigestionabdominal painflatulenceand constipationCases of itchingrashfecal impaction andless commonlyslow bowel activitybowel obstructionand bowel perforation have been reportedUncommon cases of difficulty swallowing with sevelamer carbonate tablet have been reportedTalk to your doctor if you have difficulty swallowing medicines in tablet formSevelamer carbonate for oral suspension may be considered by your doctor if you have a history of difficulty swallowingYour doctor should monitor your bicarbonate and chloride blood levelsReduced vitamins DEand Kclotting factorsand folic acid blood levels may be followed by your doctorTalk to your doctor when taking sevelamer carbonate with other medicationsPromptly contact your doctor if you experience severe abdominal painnew or worsening constipationor other severe intestinal symptoms while on sevelamer carbonateTake sevelamer carbonate with meals and adhere to your prescribed diet.

PregnancyNot absorbed systemically following oral administration and maternal use not expected to result in fetal exposure to the drug.

Stop using sevelamer and call your doctor at once if you have a serious side effect such as:

Patients with renal insufficiency may develop hypocalcaemia or hypercalcaemiaRenagel does not contain calciumSerum calcium levels should be monitored as is done in normal follow-up of a dialysis patientElemental calcium should be given as a supplement in case of hypocalcaemia.

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