TABLE 4

Phosphorus binders

Phosphorus binderDosePBED of 1 tablet to 1 g of calcium carbonateAverage number of pills to reach PBED 6 gFormulationAdvantagesDisadvantagesCost for 200 pills
Calcium carbonate750–3,500 mg0.758Swallowed and chewable tabletsLow cost, over-the-counterCalcium burden      $5
Calcium acetate667–6,000 mg0.679Swallowed tabletLess calcium than calcium carbonateNeeds prescription  $105
Lanthanum500–3,750 mg1.03Chewable and swallowed tablet (can be crushed)Lower pill burden than many other bindersExpensive$2,880
Sevelamer800–8,000 mg0.6010Swallowed tablet and granule packetsLowers low-density lipoprotein cholesterolHigh pill burden  $756
Sucroferric oxyhydroxide500–3,000 mg1.63.75Chewable tabletLower pill burdenCost and gastrointestinal side effects$2,890
Ferric citrate210–2,500 mg2.09Swallowed tabletImproves iron parametersExpensive$1,284
  • PBED = phosphorus binder equivalent dose