By Maria Karalis, RD, LD, CSR Yes, different binders bind different amounts of phosphorus. The most widely used binders include Renagel and PhosLo, which are two very different binders. Renagel is a calcium-free and aluminum-free binder and PhosLo is a calcium acetate-based binder. If you are taking a calcium based binder you can substitute over the counter Tums until you get your prescription filled. This is not recommended if you have been prescribed Renagel because of the risk of developing high calcium levels. Always check with your nephrologist and renal dietitian before making any substitutions on your binders.
Table 1: High Phosphorus Foods Milk Cheese Yogurt Ice Cream Pudding Custard Cream Soup Casseroles with
cheese & milk Bran Bran Flakes Bran Muffins | | Brown Rice Wheat Germ Raisin Bran 100% Bran 100% Whole-grain Navy Beans Kidney Beans Lima Beans Pinto Beans Blackeyed Peas Lentils Soybeans | | Almonds Cashews Coconut Pecans Walnuts Peanuts Peanut Butter Pumpkin Seeds Sunflower Seeds Cola (RC,Coke,
Pepsi, etc.) Chocolate | | Cocoa Molasses Dried Fruit Pizza Beer Beef Liver Calf Liver Liver Sausage Liverwurst Livercheese |
Maria Karalis is a Registered Dietitian and Staff Developer in Staff Development with Fresenius Medical Care. She is a Board Certified Specialist in Renal Nutrition (CSR) and has been working in the renal industry for over 11 years. The information contained herein is intended for educational purposes only. It is not intended and should not be construed as the delivery of medical care. Persons requiring diagnosis or treatment, or those with specific questions, are urged to contact their local healthcare provider for appropriate care. This article originally appeared in the March 2003 issue of aakpRENALIFE, Vol. 18, No. 5.
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