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Lokelma

Lokelma

sodium zirconium cyclosilicate

Manufacturer:

AstraZeneca

Distributor:

Zuellig Pharma
Concise Prescribing Info
Contents
Na zirconium cyclosilicate
Indications/Uses
Dosage/Direction for Use
Correction phase: Initially 10 g tds. Continue for additional 24 hr if patient is still hyperkalaemic after 48 hr of treatment. Maintenance phase: Initially 5 g once daily, w/ possible titration up to 10 g once daily or down to 5 g once every other day as needed to maintain normal K level. Max: 10 g once daily. Dialysis patient Initially 5 g once daily on non-dialysis days. Dose may be titrated up or down wkly based on pre-dialysis serum K value after long interdialytic interval, adjust dose at 1-wk interval in increments of 5 g up to 15 g once daily on non-dialysis days.
Administration
May be taken with or without food: Mix w/ 45 mL water & stir well. Drink while still cloudy.
Contraindications
Special Precautions
Discontinue use in patients w/ severe hypokalaemia. QT prolongation; intestinal perforation. Monitor serum K when clinically indicated & after dose titration. Risk of interaction w/ X-rays. Low Na diet. Avoid use during pregnancy. Childn & adolescents <18 yr.
Adverse Reactions
Hypokalaemia; constipation; oedema-related events.
Drug Interactions
Decreased Cmax & AUC of dabigatran; tacrolimus. Raised gastric pH w/ azole antifungals (eg, ketoconazole, itraconazole, posaconazole), anti-HIV agents (eg, atazanavir, nelfinavir, indinavir, ritonavir, saquinavir, raltegravir, ledipasvir, rilpivirine), tyrosine kinase inhibitors (eg, erlotinib, dasatinib, nilotinib). Changes in solubility & absorption kinetics of medicinal products w/ pH-dependent bioavailability.
MIMS Class
Other Therapeutic Products
ATC Classification
V03AE10 - sodium zirconium cyclosilicate ; Belongs to the class of drugs used in the treatment of hyperkalemia and hyperphosphatemia.
Presentation/Packing
Form
Lokelma powd for oral susp (sachet) 10 g
Packing/Price
30 × 1's
Form
Lokelma powd for oral susp (sachet) 5 g
Packing/Price
30 × 1's
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