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

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.

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. 

Prescribing Notes:

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)

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