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Cellulose sodium phosphate
Cellulose sodium phosphate (Calcibind)
Cellulose Sodium Phosphate
(SELL-you-lohs)
Pregnancy Category: C Calcibind (Rx)

Classification: Calcium-binding agent

Action/Kinetics: A synthetic, nonabsorbable compound insoluble in water. The sodium ion exchanges for calcium; the cellulose phospate-bound calcium (from both dietary and endogenous sources) is then excreted in the feces. Urinary calcium is decreased while urinary phosphorus and oxalate are increased.

Uses: Decrease incidence of new renal stone formation in absorptive hypercalciuria Type I. Diagnostic test for causes of hypercalciuria other than hyperabsorption.

Contraindications: Primary or secondary hyperparathyroidism, hypocalcemia, hypomagnesemia, enteric hyperoxaluria, osteoporosis, osteomalacia, osteitis, low intestinal absorption or renal excretion of calcium, when hypercalciuria is due to mobilization from bones. Children under age 16.

Special Concerns: Use with caution in CHF or ascites.

Side Effects: GI: Diarrhea, dyspepsia, loose bowel movements. Other: Hyperparathyroid bone disease, hyperoxaluria, hypomagnesiuria, loss of copper, zinc, iron. Long-term use may cause hyperoxaluria and hypomagnesiuria.

How Supplied: Powder

Dosage
•Powder Urinary calcium greater than 300 mg/day.
5 g with each meal.
Urinary calcium less than 150 mg/day.
2.5 g with breakfast and lunch and 5 g with dinner.

 
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