What are the best phosphorus binders? Pros and cons of each

[kickingandscreaming]

I used to use Tums before dialysis, but then my calcium rose too much.  So now I have been prescribed Renvela, but I'm wondering if there are better drugs for this and what are the pros and cons of each?  Thanks.  They all seem as though you need to take a ton of them to "cover" the amount of protein I'm being asked to consume.  That could really get costly--without some help.

[stayingalive]

I don't know much about it but I receive my Renvela through the Fresenius Pharmacy for $5 per month.  This gives me enough to take four per day.  or each time I eat and if I feel I'll need more my neph said he would re-write the script.  I must mention that I try to eat5-6 small meals/snacks during the day not your typical thre meals and maybe a snack at night.

[cattlekid]

I seemed to do well on a combination of Renvela and calcium acetate (generic PhosLo). 

For whatever binder(s) you end up using, my suggestion is to have your neprhologist write a script for the largest quantity your insurance will pay for.  This way, you can adjust as needed.

[nursey66]

My husband, when on dialysis took 10 pills of Renvela with Calcium Acitate , that combo didn't work at all, calcium was through the roof, as well as the cost for us, anyway, on Medicare part D . Renvela copay was 590 dollars a month in the donut hole !  Then his Neph RXd him Fosrenal, only 1/2 chewable 3 times a day !  Worked wonderful and copay only 194 dollars a month, was acceptable.  We did not qualify for any grants or RX help, even though our only income is SS .

[Simon Dog]

For whatever binder(s) you end up using, my suggestion is to have your neprhologist write a script for the largest quantity your insurance will pay for.  This way, you can adjust as needed.

"Over prescribing" can be a very effective way to reduce Rx costs in general.   You just need a cooperative MD.