INDICATION: Treatment of hyperkalemia resulting from acute & chronic renal failure

DOSAGE: Adult 15 g PO tid-qid. In case of vomiting & in patient w/ upper GI problems including paralytic ileus 30 g by rectal route suspended in 100 mL water, 2% methylcellulose or 5% glucose soln & left in the intestinal tract for 30 min-1 hr. Children Acute hyperkalemia 1 g/kg daily in divided doses. Maintenance: 0.5 g/kg daily in divided doses. Neonate 0.5-1 g/kg by rectal route, diluted as in adults.

ADMINISTRATION:  Should be taken on an empty stomach: Powd may be taken w/ a small amount of water (30-50 mL) or made into paste w/ sweetened liqd, jam or honey. Avoid fruit juices/carbonated drinks that contain high K.

CONTRAINDICATION:  History of hypersensitivity to polystyrene sulfonate resins. Obstructive bowel disease. Patients w/ serum K <5 mmol/L; conditions associated w/ hypercalcemia (eg, hyperparathyroidism, multiple myeloma, sarcoidosis or metastatic carcinoma). Oral administration & reduced gut motility (post-op or drug-induced) in neonates.

SPECIAL PRECAUTION:  Monitor serum K, Na, Ca & Mg levels regularly. Pregnancy & lactation.

ADVERSE REACTION: Hypokalemia, hypercalcemia; symptoms of intestinal intolerance eg, nausea, vomiting, gastric irritation, anorexia, constipation & diarrhea, fecal impaction; GI concretions.

DRUG INTERACTION: Digitalis, cation-donating agents, non-absorbable cation-donating antacids & laxatives eg, Mg or Al hydroxide, sorbitol.

STORAGE: Store at temperatures not exceeding 30°C. Keep in a cool and dry place

FORM: Resincal powder for oral susp 15 g

PACKING: 26 × 1's