Phosphorous Binders and the Dialysis Diet:
Hyperphosphatemia is associated with higher mortality in patients on dialysis; the choice between calcium-containing and non-calcium-containing phosphate binders continues to be debated. An observational study of over 4000 older incident dialysis patients found that the risk of fatal or nonfatal cardiovascular events or all-cause mortality was not different among patients treated with either calcium acetate or sevelamer
Phosphate Binders helps to maintain the level of the phosphate They get bind with the phosphate present in the food and removed them in the form of stool. These phosphate binders are taken within 5-10 minutes before or after the food.
people on dialysis get monthly lab results that show if their phosphorus level is in a healthy range (3.0 to 5.5 mg/dL, or as close to the laboratory reference range as possible). If your phosphorus levels aren't in a very healthy vary, you can talk with your doctor or dietitian and take action to change what you are eating. They may also adjust your phosphorus binder prescription, if you need another brand or should be taking a different amount.
Phosphorus binders work in one of two ways. Some phosphate binders, such as Renvela, work as a sponge and soak up the phosphates in the food so that it doesn’t get into the blood. Instead, it's carried through the alimentary tract and eliminated within the stool. Other phosphorus binders, like Fosrenol, Phoslo and Tums, work like a magnet. The phosphorus within the food connects to the phosphorus binder and it's carried through the alimentary tract to be eliminated.
Some folks could also be prescribed a mixture of phosphorus binders to assist keep their phosphorus level in a very healthy vary.