Greater Glasgow and Clyde Medicines
Key to symbols The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP The medicine should only be used and prescribed by a specialist Indicates the preferred choice within a class or group of medicines
The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP
The medicine should only be used and prescribed by a specialist
Indicates the preferred choice within a class or group of medicines
9.5.2. Phosphorus

9.5.2.2. Phosphate-binding agents

Preferred List
Specialist and GP
CALCIUM ACETATE

BNF Link

Total Formulary
Specialist and GP
ALUMINIUM HYDROXIDE

Restrictions:

Restricted to specialist initiation.

BNF Link

Specialist and GP
CALCIUM CARBONATE

Restrictions:

Restricted to specialist initiation.

BNF Link

Specialist and GP
LANTHANUM CARBONATE (chewable tablets, oral powder)

Restrictions:

Restricted to specialist initiation. Restricted to use as a second line agent in patients where a non-aluminium, non- calcium phosphate binder is required on the recommendation of a consultant nephrologist.

Prescribing Notes:

For the relevant SMC advice click here

BNF Link

Specialist and GP
SEVELAMER (Tablets)

Restrictions:

Restricted to second-line therapy for the management of hyperphosphataemia in adults receiving haemodialysis on the recommendation of consultant nephrologists. Use in the control of hyperphosphataemia in adults receiving peritoneal dialysis is not recommended by SMC and remains non-Formulary.

BNF Link

Specialist and GP
SUCROFERRIC OXYHYDROXIDE (VELPHORO) (chewable tablets)

Restrictions:

The use in controlling phosphate levels in adult chronic kidney disease (CKD) patients on haemodialysis or peritoneal dialysis is restricted to second-line therapy where a non-calcium phosphate binder is required.

BNF Link