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If you are taking medicine such as omeprazole, pantoprazole, or lansoprazole to treat heartburn, gastroesophageal reflux disease gerd , or gastric ulcers, you should consult your doctor when taking renagel.

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Patients taking anti-arrhythmic medicinal products for the control of arrhythmias and anti-seizure medicinal products for the control of seizure disorders were excluded from clinical trialsCaution should be exercised when prescribing sevelamer hydrochloride to patients also taking these medicinal products.

For patients previously on phosphate bindersRenagel should be given on a gram for gram basis with monitoring of serum phosphorus levels to ensure optimal daily doses.

Do not use Renvela or Renagel if you have a history of bowel obstruction or if you are allergic to sevelamer carbonate or sevelamer hydrochloride or to any of the ingredients in Renvela or RenagelTalk to your doctor if you have had difficulty swallowing or order phexin bd swallowing disordersor if you have had digestive tract surgery or other digestive disordersincluding severe constipationThe most common side effects with sevelamer include vomitingnauseadiarrheaupset stomachabdominal painflatulenceand constipationCases of itchingrashfecal impaction andless commonlyslow bowel activitybowel obstructionand bowel perforation have been reportedUncommon cases of difficulty swallowing the Renagel or Renvela tablet have been reportedTalk to your doctor if you have difficulty swallowing medicines in tablet formRenvela powder for oral suspension may be considered by your doctor if you have a history of difficulty swallowingYour doctor should monitor bicarbonate and chloride blood levelsReduced vitamins DEand Kclotting factorsand folic acid blood levels may be followed by your doctorTalk to your doctor when taking sevelamer with other medicationsPromptly contact your doctor if you experience severe abdominal painnew or worsening constipationor other severe intestinal symptoms while on sevelamerTake sevelamer with meals and adhere to your prescribed diet.

May decrease serum levels of fat soluble vitamins and folic acid in pregnant womenconsider supplementation.

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