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sodium polystyrene sulfonate powder for suspension - oral, rectal, Kayexalate, Kionex, Marlexate (cont.)

SIDE EFFECTS: Loss of appetite, nausea, vomiting, or constipation may occur. Diarrhea may occur less frequently. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.To prevent constipation, eat a diet adequate in fiber, drink plenty of water, and exercise, unless otherwise directed by your doctor. Severe constipation can become very serious. Consult your doctor or pharmacist for help in selecting a laxative. Certain laxatives should not be taken with this medication. See the Drug Interactions section.Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.Tell your doctor right away if you have any serious side effects, including: muscle weakness/spasms, fast/irregular heartbeat, mental/mood changes (such as irritability, confusion, slowed thinking), swelling hands/ankles/feet.Get medical help right away if you have any very serious side effects, including: severe constipation, bloating/swelling/pain in the stomach/abdomen, black/bloody stools, vomit that looks like coffee grounds, inability to move your muscles (paralysis), seizures.A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

PRECAUTIONS: Before using sodium polystyrene sulfonate, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.This medication contains a large amount of salt (sodium). Do not use salt substitutes that contain potassium without asking your doctor first. If you have any of these conditions, follow your doctor's instructions for limiting the amount of sodium in your diet: kidney problems, heart failure, high blood pressure, swelling hands/ankles/feet.Before using this medication, tell your doctor or pharmacist your medical history, especially of: stomach/intestine/bowel problems (such as inflammatory bowel disease, bowel obstruction, chronic constipation, fecal impaction), low level of potassium in the blood.Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).Older adults may be at greater risk for severe constipation.This medication must not be given by mouth to newborns, especially premature infants. Also, newborns with slow gut function must not use this drug. Caution is advised when using this medication rectally in newborns and children. They may be more sensitive to the side effects of this drug, especially severe constipation and intestinal problems.During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.It is unknown if this drug passes into breast milk, and the effect on a nursing infant is unknown. Consult your doctor before breast-feeding.

Medically Reviewed by a Doctor on 4/16/2014


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