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At a glance

Lanthanum Carbonate is a phosphate binder used to reduce serum phosphate in patients with end-stage renal disease (ESRD). It binds to dietary phosphate to form insoluble lanthanum phosphate complexes that are not absorbed from the gastrointestinal tract.

Indications
  • Reduction of serum phosphate in patients with end-stage renal disease (ESRD)
Pharmacology

Lanthanum Carbonate releases La3+ ions in stomach acid, which bind to dietary phosphate to form insoluble lanthanum phosphate complexes, preventing phosphate absorption.

Dosage

Adult Dose (Oral):

  • Initial total daily dose: 1,500 mg in divided doses
  • Titrate every 2-3 weeks based on serum phosphate levels
  • Take with or immediately after meals

Chewable Tablets: Do not swallow whole; chew or crush completely

Side effects

Common Side Effects:

  • Nausea
  • Vomiting
  • Abdominal pain
  • Constipation
  • Dyspepsia
  • Allergic skin reactions
  • Tooth injury while chewing
Use in pregnancy

Use in Pregnancy: Insufficient data in pregnant women; use a non-Lanthanum containing phosphate binder in pregnant women.

Precautions & warnings
  • Monitor for signs and symptoms of gastrointestinal obstruction (ileus, fecal impaction)
  • Re-evaluate treatment if severe constipation or severe GI symptoms develop
  • Advise patients to chew tablets completely (serious GI complications reported with unchewed tablets)
Overdose effects

Overdose symptoms: headache, nausea, vomiting (GI symptoms reported with daily doses up to 6,000 mg/day with food).

Storage conditions

Store below 30°C in a dry place, away from light; keep out of reach of children.

Lanthanum Carbonate — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.