Sucroferric Oxyhydroxide (soo-kroe-FER-ik ox-ee-hye-DROX-ide)

Controls phosphorus levels in the blood of patients who have chronic kidney disease and on dialysis.

Brand Name(s):

Velphoro

When This Medicine Should Not Be Used:

How to Use This Medicine:

Chewable Tablet

• Take your medicine as directed. Your dose may need to be changed several times to find what works best for you.
• It is best to take this medicine with food or milk.
• Chew or crush the tablet. Do not swallow it whole.
• Missed dose: Skip the missed dose and go back to your regular dosing schedule. Do not take extra medicine to make up for the missed dose.
• Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Store in the original package.

Drugs and Foods to Avoid:

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Some foods and medicines can affect how sucroferric oxyhydroxide works. If you are using acetylsalicylic acid, cephalexin, or doxycycline, take them at least 1 hour before you take this medicine.
• If you are using levothyroxine, take it at least 4 hours before taking this medicine.

Warnings While Using This Medicine:

• Tell your doctor if you are pregnant or breastfeeding, or if you have liver disease, stomach or digestive problems, or a history of hemochromatosis (too much iron in the blood). Tell your doctor if you have had surgery on your stomach or bowel.
• This medicine may discolor your stools black and stain your teeth.
• Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
• Keep all medicine out of the reach of children. Never share your medicine with anyone.

Possible Side Effects While Using This Medicine:

Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing

If you notice these less serious side effects, talk with your doctor:

• Dark stools
• Diarrhea, nausea

If you notice other side effects that you think are caused by this medicine, tell your doctor

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088