Decanting

Sevelamer (Renvela)

• Always use the powder form

  • Never use the tablets for decanting

• Packets are 0.8 g or 2.4 g

  • Recommend starting small and titrating based on labs

• Added to formula with instructions to pour off specific volume of formula for use

  • Never administer the precipitate that forms when you decant

Sevelamer (Renvela)

• calcium carbonate

  • Use liquid form only

  • Typical dose

    • 5 mL liquid = 1250 mg

  • 40% elemental calcium

    • Can cause hypercalcemia

  • Added to formula with no instructions to pour off specific volume of formula for use - do not have to pour anything off

• Calcium acetate

  • Use liquid form only (Phoslyra)

    • 5 mg liquid = 667 mg

    • 25.3% elemental calcium

  • Added to formula with no instructions to pour off specific volume of formula for use - do not have to pour anything off

    • Never have issues with it clogging the tube