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Chronic Kidney Disease in Cats - Phosphate Binders

    • 354 posts
    December 9, 2020 5:39 PM EST

    This question was submitted during our webinar titled: What Works for Cats with Chronic Kidney Disease? - A Nutritionist's Perspective


    Question: 
    Do you recommend Epakitin Powder for phosphate binding?


    Dr. Donna Raditic, DVM, DACVN, CVA responded:

    Below is some information from Dr. Joe Bartges who is a nutritionist and internist with sub-specialty in urology / nephrology. He has Epakitin listed as a phosphate binder, but it is not one he routinely uses because of concerns with calcium ... i.e. feline idiopathic hypercalcemia.

    Phosphate Binders: 

    • Aluminum hydroxide 
      • 60-90 mg/kg divided

    • Lanthanum
      • 30-50 mg/kg divided

    • Ca acetate
      • 20-40 mg/kg/meal

    • Sevelamer

    • Epakitin