Sucroferric Oxyhydroxide Chewable Tablets

What is this medication?

SUCROFERRIC OXYHYDROXIDE (SOO kroe FER ik OX ee hye DROX ide) prevents and treats high phosphorus levels in people with kidney disease. It works by lowering the amount of phosphorus your body absorbs from food. It belongs to a group of medications called phosphate binders.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

COMMON BRAND NAME(S): Velphoro

What should I tell my care team before I take this medication?

They need to know if you have any of these conditions:

• High levels of iron in the blood
• Liver disease
• Stomach or intestine problems or surgery
• An unusual or allergic reaction to iron sucrose, other medications, foods, dyes, or preservatives
• Pregnant or trying to get pregnant
• Breast-feeding

How should I use this medication?

Take this medication by mouth. Chew or crush it completely before swallowing. Do not swallow tablets whole. Follow the directions on the prescription label. Take this medication with food. Take your medication at regular intervals. Do not take it more often than directed. Do not stop taking except on your care team's advice.

Talk to your care team about the use of this medication in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss one or more doses, restart your medication with the next meal. Do not take double or extra doses.

What may interact with this medication?

This medication may interact with the following:

• Alendronate
• Aspirin
• Calcitriol
• Certain antibiotics like cephalexin, doxycycline, and tetracycline
• Doxercalciferol
• Paricalcitol
• Thyroid hormones

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medication?

Visit your care team for regular check-ups. You may need blood work done while taking this medication.

What side effects may I notice from receiving this medication?

Side effects that you should report to your care team as soon as possible:

• Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat

Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):

• Dark stools
• Diarrhea
• Metallic taste in mouth
• Nausea
• Upset stomach

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medication?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medication after the expiration date.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.