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Your treating physician may need to change the dose of your other medicines if you stop renagel, so you should only stop when your treating physician tells you to.

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Reduced levels of ciclosporinmycophenolate mofetil and tacrolimus have been reported in transplant patients when coadministered with sevelamer hydrochloride without any clinical consequencesi.e graft rejectionThe possibility of an interaction cannot be excluded and a close monitoring of blood concentrations of mycophenolate mofetilciclosporin and tacrolimus should be considered during the use of combination and after its withdrawal.

LactationNot absorbed systemically by mother following oral administrationbreastfeeding is not expected to result in exposure of child to drug.

Renagel must not be used in people with hypophosphataemialow blood phosphate levelsor with bowel obstructiona blockage in the gut

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