Patient leaflet - Calcium Resonium 99.934Percentage w/w powder for oral/rectal suspension
1. What Calcium Resonium is and what it is used for
Calcium Resonium contains a medicine called calcium polystyrene sulfonate.
This belongs to a group of medicines called ‘ion exchange resins’.
Calcium Resonium is used to treat something called ‘hyperkalaemia’. This is when there is too much potassium in your blood. It works by removing this extra potassium to bring your levels back to normal. It is often given to people who have kidney problems and people on dialysis.
2. What you need to know before you use Calcium Resonium
Do not use Calcium Resonium if:
x You are allergic to calcium polystyrene sulfonate or any of the other ingredients in this medicine (listed in section 6).
Signs of an allergic reaction include: a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue
- x You have been told that you have a low level of potassium in your blood
- x You have been told you have problems that result in high levels of calcium in your body such as thyroid problems or some types of cancer
- x Your gut is partially or completely blocked (obstructive bowel disease)
- x You are taking a sweetener called sorbitol (a «sugar-free» sweetener used to sweeten food). This is because taking sorbitol and Calcium Resonium at the same time can cause narrowing of the gut wall (gastrointestinal stenosis) and reduced blood flow to the gut wall (intestinal ischemia) causing severe damage to your gut (necrosis and perforation). You must not take any sorbitol whilst using Calcium Resonium.
Do not use this medicine if any of the above applies to you. If you are not sure, talk to your doctor, nurse or pharmacist before using Calcium Resonium.
Warnings and precautions
Talk to your doctor, nurse or pharmacist before using Calcium Resonium if:
- ▲ You have abnormal bowel movements due to your medical condition (including conditions after surgery or drug usage) as these may cause a variety of disorders including bloating, severe constipation, reduced blood supply to your gut or ruptured bowel
- ▲ It is for your baby, and they were premature, had a low birth-weight or have reduced gut movement
If you are not sure if any of the above apply to you, talk to your doctor, nurse or pharmacist before using Calcium Resonium.
Other medicines and Calcium Resonium
Tell your doctor, nurse or pharmacist if you are using, have recently used or might use any other medicines. This includes medicines you can buy without prescription, including herbal medicines. This is because Calcium Resonium can affect the way other medicines work. Also some medicines can affect the way Calcium Resonium works.
In particular, check with your doctor if you are taking the following medicines:
- Medicines that contain salts such as magnesium, potassium or calcium. Ask your doctor if you are not sure
- Some medicines for constipation (laxatives) that contain magnesium
- Some medicines for indigestion (antacids) that contain magnesium or aluminium
- Digoxin or similar medicines from digitalis - for heart problems
- Levothyroxine or thyroxine - for an under-active thyroid
- Lithium - for mental illness
If you are not sure if any of the above applies to you, talk to your doctor, nurse or pharmacist before using Calcium Resonium.
Pregnancy and breast-feeding
Talk to your doctor before using this medicine if:
- You are pregnant, might become pregnant, or think you may be pregnant
- You are breast-feeding or planning to breast-feed
Ask your doctor or pharmacist for advice before taking any medicine.
Calcium Resonium contains sodium
This medicine contains less than 1mmol sodium (23mg) per 15g dose, that is to say essentially ‘sodium free’.
3. How to use Calcium Resonium
Your doctor or nurse will normally give you this medicine. Always use this medicine exactly as your doctor has told you. Check with you doctor if you are not sure.
The recommended dose is:
- The dose will depend on the results of blood tests
- For children the dose is also worked out according to how much the child weighs
Having the medicine
- Calcium Resonium can be given by mouth or put into the back passage (rectum)
- If given by mouth the powder can be swallowed with a little water or be made into a paste with something sweet, such as jam or honey
- It should not be mixed with fruit juice, this will stop the medicine working properly
- If given by mouth, it is important to sit up while taking the medicine so that you do not breathe in any powder into your lungs
- If given by the back passage you should try to keep the medicine in your back passage for at least 9 hours. Then it needs to be thoroughly washed out
How much is normally given:
Adults (including the elderly)
By mouth
- The usual dose is 15g (one spoonful) three or four times a day
- Use at least 3 hours before or 3 hours after other oral medicines you may be taking. If you suffer from gastroparesis (a condition where your stomach can’t empty itself in the normal way), leave at least 6 hours before or after taking other medicines.
Into the back passage
- The usual dose is 30g (two spoonfuls) once a day
In some cases, the medicine may be given both by mouth and into the back passage. This is where your potassium levels need to be lowered more quickly.
Children
If your child cannot take the medicine by mouth, it may be given into the back passage.
- The daily dose is 1g for each kilogram of bodyweight
- Once the medicine has started working the dose may be lowered to 0.5g daily for each kilogram of bodyweight
New-born babies
Calcium Resonium is only given into the back passage
- The daily dose is between 0.5g and 1g for each kilogram of bodyweight
It is important to give the right dose for children and babies. If too much is given, children and babies could get serious constipation.
If you use more Calcium Resonium than you should
It is unlikely that your doctor or nurse will give you too much medicine. Your doctor and nurse will be checking your progress, and checking the medicine that you are given. Ask them if you are not sure why you are getting a dose of medicine.
- If you are given too much Calcium Resonium the following effects may happen:
- Feeling irritable or confused
- Being unable to concentrate
- Muscle weakness and poor reflexes leading to paralysis
- Breathing problems
- Faster or pounding heartbeat
- Muscle cramps
If you forget to use Calcium Resonium
Your doctor or nurse will give instructions about when to have your medicine. It is unlikely that a dose will be missed. If you think that you may have missed a dose, talk to your doctor or nurse.
If you stop using Calcium Resonium
Keep using Calcium Resonium until your doctor tells you to stop. If you stop using Calcium Resonium, your illness may come back.
Blood Tests
Your doctor may do regular blood tests while you are taking this medicine. This is to check the levels of salts (potassium, sodium, calcium and magnesium) in your blood.
If you have any further questions on the use of this product, ask your doctor, nurse or pharmacist.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Tell a doctor or nurse straight away if you notice any of the following serious side effects:
- You have an allergic reaction. The signs may include: a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue
- Severe stomach pain, rectal pain
- Bloating, severe constipation
- Severe nausea and vomiting
- Black, bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds
- Blood in your sick (vomit)
Talk to your doctor or nurse if you get any of the following side effects:
Feeling tired, confused, having muscle weakness, cramps or a change in heart rate. These may be due to having low levels of potassium in your body
- Feeling jittery, having fits or muscle cramps. This may be due to low levels of calcium or magnesium in your body
- Increased thirst or needing to go to the toilet more often
- High blood pressure, kidney problems, heart problems or swelling in your limbs. This may be due to high levels of sodium in your body
- Stomach upset, pain in your gut, narrowing or blockage of the gut
- Reduced blood flow to the gut wall causing severe abdominal (tummy) pain, or collapse
- Loss of appetite
- Feeling sick, being sick, constipation or diarrhoea
- Feeling short of breath or coughing. This could be the first sign of a serious chest infection. This can be caused by accidentally breathing in this medicine
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.
By reporting side effects, you can help provide more information on the safety of this medicine.
5. How to store Calcium Resonium
Keep out of the sight and reach of children.
Do not store above 25°C.
Protect from moisture.
The suspension should be prepared immediately before use. Do not store for longer than 24 hours after reconstitution.
Do not take the Calcium Resonium after the expiry date which is stated on the bottle or carton labels after ‘Exp’. The expiry date refers to the last day of the month.
If the medicine becomes discoloured or shows any signs of deterioration, seek the advice of your pharmacist.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
6. Contents of the pack and other information
What Calcium Resonium contains
The active ingredient in the Calcium Resonium is calcium polystyrene sulfonate.
One level measuring spoon contains 15g of Calcium Resonium.
The other ingredients are saccharin and vanillin.
What Calcium Resonium looks like and contents of the pack
Calcium Resonium is a buff coloured powder in white plastic container with tamper evident seal and measuring spoon.
It is available as 300g in bottle pack.
Manufactured by: Sanofi-Synthelabo Limited, Edgefield Avenue, Fawdon, Newcastle Upon Tyne NE3 3TT, UK.
Or
Sanofi Winthrop Industrie, rue du Marechal Juin, 196, F - 45200 Amilly, France.
Procured from within the EU and repackaged by the Product Licence holder: B&S Healthcare, Unit 4, Bradfield Road, Ruislip, Middlesex, HA4 0NU, UK.
Calcium Resonium® 99.934% w/w powder for oral/rectal suspension; PL 18799/3022
Leaflet date: 01.03.2024
P
Resonium is the registered trademark of SANOFI.
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