for rENAL DIETITIANS

for rENAL DIETITIANS

In patients with ckd on dialysis

Despite treatment with a phosphate binder, are your patients’ serum phosphorus levels above goal or fluctuating in and out of target range?1

Now is the time for a different approach with XPHOZAH2

XPHOZAH is not a phosphate binder

XPHOZAH is the first and only phosphate absorption inhibitor (PAI)

XPHOZAH specifically blocks the primary pathway of phosphate absorption

different phosphorus trends

When you see patients like these, take a different approach

Example Patient 1

  • Close to goal
  • Most recent phosphorus level was 5.9 mg/dL on a phosphate binder
Example Patient 2

  • In and out of goal
  • Phosphorus levels have been fluctuating. Most recent levels were 6.0 mg/dL, 5.2 mg/dL, and 6.6 mg/dL on a phosphate binder
Example Patient 3

  • Consistently above goal
  • Monthly phosphorus level is consistently around 7.2 mg/dL on a phosphate binder

Actor portrayals.

Act now! Talk with your patients’ prescribers. Consider adding XPHOZAH to help reduce serum phosphorus levels with the goal of getting patients to goal.2

Getting XPHOZAH

Help patients get XPHOZAH by reminding them of the following

Their healthcare provider will send their XPHOZAH prescription to a specialty pharmacy

They must reply to the text or phone call from the specialty pharmacy to get their medication

The specialty pharmacy will work with them to arrange delivery of XPHOZAH to their home

Starting XPHOZAH

Help your patients start XPHOZAH by sharing this information with them

XPHOZAH works differently than phosphate binders. XPHOZAH blocks phosphorus and is dosed as one pill twice a day, before the first and last meals. Remind patients that this is both the starting and max dose, and they should not take more than the prescribed dose.2
Do not take XPHOZAH right before a hemodialysis session as patients may experience diarrhea.2

Instead, take XPHOZAH right before the next meal following dialysis.

Stop the use of laxatives and stool softeners. Remind patients to tell their doctor if severe diarrhea occurs.2

If patients experience diarrhea, it will likely happen soon after starting XPHOZAH and go away with continued treatment, or their doctor may lower their dose.

SUPPORT FOR YOUR PATIENTS

Community Resources

Webinar Speakers
Discover a Different Way to Lower Phosphorus

American Association of Kidney Patients

Sponsored by Ardelyx.

American Association of Kidney Patients (AAKP)

An organization dedicated to improving the quality of life for kidney patients.

AAKP Delicious! Recipe Series Program

A recipe series designed to help those affected by kidney disease take charge of their health through nutrition.

American Kidney Fund (AKF)

A nonprofit that helps kidney patients from early detection through post-transplant living.

Kidney Kitchen

Helps individuals with kidney disease navigate new eating, drinking, and nutrition requirements, and learn what each nutrient means for them.

Additional Resources

Patient ID Guide

A resource to help identify patients who may benefit from the addition of XPHOZAH as a treatment option.

Patient Starter Guide

A summary of important information to share with patients getting started on XPHOZAH.

Descargar en Español Download

Downloadable Forms & Access Support

Find forms and resources to help support your patients in getting their XPHOZAH prescription.

Connect With Ardelyx on Social

Follow us for the latest news as well as access to RD-specific programs and resources.

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RELATED LINKS

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REFERENCES

1.

Fishbane SN, Nigwekar S. Phosphate absorption and hyperphosphatemia management in kidney disease: a physiology-based review. Kidney Med. 2021;3(6):1057-1064.

2.

XPHOZAH® (tenapanor) full Prescribing Information. Waltham, MA: Ardelyx, Inc.; 2023.

Indication

XPHOZAH (tenapanor) 30 mg BID is indicated to reduce serum phosphorus in adults with chronic kidney disease (CKD) on dialysis as add-on therapy in patients who have an inadequate response to phosphate binders or who are intolerant of any dose of phosphate binder therapy.

Important Safety Information

Contraindications

XPHOZAH is contraindicated in:

  • Pediatric patients under 6 years of age
  • Patients with known or suspected mechanical gastrointestinal obstruction

Warnings and precautions

Diarrhea

Patients may experience severe diarrhea. Treatment with XPHOZAH should be discontinued in patients who develop severe diarrhea.

Most Common Adverse Reactions

Diarrhea, which occurred in 43-53% of patients, was the only adverse reaction reported in at least 5% of XPHOZAH-treated patients with CKD on dialysis across trials. The majority of diarrhea events in XPHOZAH-treated patients were reported to be mild-to-moderate in severity and resolved over time, or with dose reduction. Diarrhea was typically reported soon after initiation but could occur at any time during treatment with XPHOZAH. Severe diarrhea was reported in 5% of XPHOZAH-treated patients in these trials.

For additional safety information, please see full Prescribing Information.

Indication

XPHOZAH (tenapanor) 30 mg BID is indicated to reduce serum phosphorus in adults with chronic kidney disease (CKD) on dialysis as add-on therapy in patients who have an inadequate response to phosphate binders or who are intolerant of any dose of phosphate binder therapy.

Important Safety Information

Contraindications

XPHOZAH is contraindicated in:

  • Pediatric patients under 6 years of age
  • Patients with known or suspected mechanical gastrointestinal obstruction

Warnings and precautions

Diarrhea

Patients may experience severe diarrhea. Treatment with XPHOZAH should be discontinued in patients who develop severe diarrhea.

Most Common Adverse Reactions

Diarrhea, which occurred in 43-53% of patients, was the only adverse reaction reported in at least 5% of XPHOZAH-treated patients with CKD on dialysis across trials. The majority of diarrhea events in XPHOZAH-treated patients were reported to be mild-to-moderate in severity and resolved over time, or with dose reduction. Diarrhea was typically reported soon after initiation but could occur at any time during treatment with XPHOZAH. Severe diarrhea was reported in 5% of XPHOZAH-treated patients in these trials.

For additional safety information, please see full Prescribing Information.

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