SEVECORD 400mg Tablet 10's

Introduction About SEVECORD 400MG TABLET

SEVECORD 400MG TABLET contains Sevelamer, which belongs to the group of
medicines called Phosphate Binding Agents. It is used to control the serum
phosphorous levels in patients with long-term kidney disease who are on
dialysis. Renal failure is the most common cause of high phosphorous levels, as
there is reduced filtration of inorg

During management, your doctor might ask you to take certain tests to avoid any
untoward side effects. Follow the diet as advised by your doctor.

SEVECORD 400MG TABLET is not recommended for use in patients with low levels of
phosphorus in the blood or bowel obstruction. SEVECORD 400MG TABLET should be
used with caution in patients who have trouble swallowing, motility problems in
the stomach and bowel, and in those who have undergone major bowel surgery.

SEVECORD 400MG TABLET should be used in pregnant women only if your doctor finds
it clearly necessary. It is unknown whether SEVECORD 400MG TABLET is excreted in
breast milk and may affect your baby, so consult your doctor before taking it
during breastfeeding.  SEVECORD 400MG TABLET is not intended for use in children
and adolescents (below 18 years of age).

The most common side effects of taking SEVECORD 400MG TABLET are constipation,
vomiting, upper abdominal pain, nausea, diarrhea, indigestion, flatulence (gas),
etc. Ask for your doctor’s advice if any of these worsen or don’t improve.

Uses Of SEVECORD 400MG TABLET

• Used to control the serum phosphorous levels in patients with chronic kidney disease who are on dialysis

How SEVECORD 400MG TABLET Works

SEVECORD 400MG TABLET is a chelating agent that helps in reducing the phosphorus
levels in the blood by binding to the phosphate that enters the body with food
and managing its absor

How to use SEVECORD 400MG TABLET

Take SEVECORD 400MG TABLET as advised by your physician. Swallow it with a glass
of water. Do not crush or chew the medicine. Your doctor will decide an
appropriate dose and duration of SEVECORD 400MG TABLET for you depending upon
your age, body weight, and disease condition. Do not stop taking SEVECORD 400MG
TABLET unless your doctor advises you to stop.

Side Effects Of SEVECORD 400MG TABLET

Common

• nausea, vomiting, and upper abdominal pain
• diarrhea, constipation
• indigestion, flatulence

Stop taking SEVECORD 400MG TABLET and contact your doctor immediately if you
experience any of the following side effects:

• blockage in the intestine (abdominal pain, severe bloating, swelling or cramps, severe constipation)
• allergic reaction (rash, swelling, hives, trouble breathing)
• rupture in the intestinal wall (severe stomach pain, chills, fever, nausea, vomiting, tender stomach)
• serious inflammation of the large bowel (severe stomach pain, stomach or intestine disorders, blood in the stool, crystal deposit in the intestine)

How To Manage Side Effects

!### Constipation

Consume enough fiber-rich foods like fresh fruits, vegetables, and cereals, and
drink ample amounts of water. Exercise more regularly. If the symptom persists,
contact your doctor.

!### Diarrhea

Drink plenty of liquids, like water or fruit juice, to maintain hydration. If
the symptom persists, contact your doctor.

!### Indigestion

Keep your head and shoulders raised while sleeping so that stomach acid won’t
come up. Do not eat for 3 to 4 hours before going to sleep, and avoid tea,
coffee, cola, or alcohol. If the symptom persists, contact your doctor.

!### Nausea And Vomiting

Take SEVECORD 400MG TABLET with or just after meals. Stick to simple meals.
Avoid eating oil-rich or spicy foods. Consult your doctor if your nausea
worsens.

!### Stomach Pain

Try to rest and relax. Eat and drink slowly or try to eat smaller meals with
small breaks. Keep a heat pad on your stomach. If the symptom persists, contact
your doctor.

Warning & Precautions

!### Pregnancy

Monitoring requiredSEVECORD 400MG TABLET should be used in pregnant women only if your doctor finds
it clearly necessary. Consult your doctor before taking it.

!### Breastfeeding

Consult your doctorIt is unknown whether SEVECORD 400MG TABLET is excreted in breast milk and may
affect your baby. Consult your doctor before taking it.

!### Driving and Using Machines

Use with CautionSEVECORD 400MG TABLET does not impair your ability to drive or use machines.

!### Allergy

ContraindicatedDo not take SEVECORD 400MG TABLET if you are allergic to Sevelamer or any of the
other ingredients in this medicine.

!### Use In Pediatrics

ContraindicatedSEVECORD 400MG TABLET is not recommended for use in children and adolescents
under 18 years of age. Consult your child’s doctor for advice.

!### Use In Geriatrics

Consult your doctorThere are no special considerations when SEVECORD 400MG TABLET is given to
elderly patients. Consult your doctor for advice.

Others

SEVECORD 400MG TABLET is not recommended for use if you:

• have reduced levels of phosphorus in the blood
• have bowel obstruction

Before taking SEVECORD 400MG TABLET, tell your doctor if you:

• have trouble swallowing
• have motility problems in the stomach and bowel, like severe constipation
• have bowel inflammation
• have undergone major bowel surgery
• frequently become sick

Interactions

A. Drug-Drug Interactions:

Inform your physician if you are taking any of the following medicines before
taking SEVECORD 400MG TABLET:

• antibiotics such as ciprofloxacin (medicines used to manage bacterial infections)
• ciclosporin, tacrolimus, and mycophenolate mofetil (used to suppress the immune system)
• levothyroxine (used in managing low thyroid hormone levels)
• proton pump inhibitors such as omeprazole, lansoprazole, and pantoprazole (used to manage heartburn and reflux from the stomach or food pipe)
• medicines used for heart rhythm problems (Ex. nicorandil, procainamide)
• medicines used for fits (Ex. phenytoin, carbamazepine)

Overdosage:

If you or anyone else accidentally takes too much of SEVECORD 400MG TABLET,
consult your doctor immediately or visit the nearby hospital.

Synopsis

Drug	:	Sevelamer
Pharmacological Category	:	Chelating Agents
Therapeutic Indication	:	Hyperphosphatemia
Dosage Forms	:	Tablet, Sachet, Granules, Powder

More Information

• Keep SEVECORD 400MG TABLET out of reach of children
• Store below 25°C

FAQs About SEVECORD 400MG TABLET

Q: What is SEVECORD 400MG TABLET and why is it prescribed?

A: SEVECORD 400MG TABLET contains sevelamer, which belongs to the group of
medicines called phosphate-binding agents. It is indicated for the control of
serum phosphorus in patients with chronic kidney disease on dialysis.

Q: Can I stop taking SEVECORD 400MG TABLET on my own?

A: You should not stop taking SEVECORD 400MG TABLET until your doctor advises
you to. Taking SEVECORD 400MG TABLET is important to maintain an appropriate
phosphate level in the blood. Stopping SEVECORD 400MG TABLET may lead to
consequences such as calcification in the blood vessels, making it hard for your
body to pump blood, itchy skin, red eyes, bone pain, and fractures. If you wish
to discontinue taking SEVECORD 400MG TABLET, contact your doctor first.

Q: What other precautions shall I take while taking SEVECORD 400MG TABLET?

A: Due to either your kidney condition or your dialysis management, you may have
disturbed levels of calcium, vitamin A, E, K, D, folic acid, and bicarbonates in
your blood. SEVECORD 400MG TABLET should be used with calcium supplements and
vitamin D to manage the development of bone disease. Your doctor might check
these levels in your blood frequently.

Q: Can SEVECORD 400MG TABLET be taken on an empty stomach?

A: It is suggested to take SEVECORD 400MG TABLET after your meal or with food.
Avoid taking it on an empty stomach, as it may cause unwanted side effects.
Consult with your doctor.

Q: Is SEVECORD 400MG TABLET meant for use with children?

A: SEVECORD 400MG TABLET is not recommended for use in children and adolescents
(under 18 years of age) as the safety and efficacy have not been established in
this age group. Consult your child’s doctor for advice. The doctor will
determine an appropriate dose or select a suitable alternative management for
your child.

Q: Is constipation a side effect of SEVECORD 400MG TABLET?

A: Constipation is a very common side effect of taking SEVECORD 400MG TABLET. It
can also be an early symptom of a blockage in your intestine. If you experience
constipation, please inform your doctor immediately.

Useful Diagnostic Tests

• Kidney Profile (Kft) With Electrolytes
• Kidney Function Test (KFT)
• Vitamin D 1,25 Dihydroxy
• 25 Oh Vitamin D (Total) (D2+D3)
• Creatinine, Serum
• Blood Urea
• Uric Acid, Serum
• Albumin, Serum
• Potassium, Serum
• Bun Urea Nitrogen, Serum
• Microalbumin, Urine Spot
• Advanced Renal Profile