This is used to lower high blood phosphorus (phosphate) levels in patients who are on dialysis due to severe kidney disease.

It can cause Headache, diarrhea, stomach upset, nausea, vomiting, cough, gas, or constipation may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

It is contraindicated in patients with known hypersensitivity to the drug.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: low blood phosphorus levels, stomach/intestinal problems (such as blockage, constipation), stomach/intestinal surgeries, swallowing problems (dysphagia).

Use with caution in Bowel obstruction and perforation reported.

Tablets should not be crushed, broken, or chewed (tablets rapidly expand and become a choking hazard)

Monitor fat soluble vitamin and folic acid levels.

Please consult your doctor when taking this medicine if you are pregnant.

This medicine may interfere with the effectiveness of some drugs (including ciprofloxacin, mycophenolate, thyroid medications such as levothyroxine, among others) by making it more difficult for them to be absorbed by the stomach.