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Prescribing Information LOKELMA® (sodium zirconium cyclosilicate)
Adverse Event Reporting

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LOKELMA® (sodium zirconium cyclosilicate) is indicated for the treatment of hyperkalaemia in adult patients.

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LOKELMA® ( sodium zirconium cyclosilicate)

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About LOKELMA (sodium zirconium cyclosilicate)

RAASi downtitration is linked to over two times greater mortality risk vs optimal RAASi therapy.1 Prescribe LOKELMA to manage hyperkalaemia and maintain RAASi therapy

Are your patients at risk?

What is LOKELMA (sodium zirconium cyclosilicate)

LOKELMA® (sodium zirconium cyclosilicate) is indicated for the treatment of hyperkalaemia in adult patients2

 

LOKELMA is a powder for oral suspension, available in 5g or 10g doses. The dosing of LOKELMA varies for hyperkalaemia patients depending on their dialysis status. LOKELMA’s dosing regimen has been established based on findings from relevant clinical trials.

How to prescribe LOKELMA


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Prescribe LOKELMA for hyperkalaemia in your high-risk patients to support sustained RAASi therapy:1,2,5

Down-titration or discontinuation of RAASi therapy in response to hyperkalemia can lead to 2x mortality risk1

See the data

Prescribing LOKELMA long-term results in lower rates of hyperkalaemia-related hospitalisations vs short-term therapy4

See the data

Guidelines state that RAASi down-titration should be last resort.5

See the latest guidelines

How LOKELMA (sodium zirconium cyclosilicate) works for the treatment of hyperkalaemia

Watch this video to learn about the mechanism of action of LOKELMA (sodium zirconium cyclosilicate)

LOKELMA video resources

Safety profile

Addresses key safety considerations regarding the use of LOKELMA in patients

Learn more

Who makes Lokelma?2

Lokelma (sodium zirconium cyclosilicate) is developed and manufactured by AstraZeneca, a global, science-led biopharmaceutical company focused on the discovery, development, and commercialisation of prescription medicines, including treatments for cardiovascular, renal, and metabolic diseases.

When was Lokelma approved for hyperkalaemia?2

LOKELMA received European Commission approval in 2018  for the treatment of hyperkalaemia in adult patients. It has since been approved and made available in multiple countries worldwide, including the UK.

What type of drug is Lokelma?2

Lokelma is a highly selective, non-absorbed potassium binder. It works by exchanging sodium and hydrogen ions for potassium in the gastrointestinal tract, helping to reduce elevated serum potassium levels (hyperkalaemia).

Is Lokelma prescribed for long-term use?2

Yes. Lokelma can be used for both the correction and maintenance of normal serum potassium levels. Once potassium levels have been corrected, ongoing treatment can help maintain control of hyperkalaemia and enable patients to continue guideline-directed RAASi therapy for cardiorenal protection.

Latest information and resources

All Resources

Explore informative videos and guides to help you understand more about LOKELMA and support your patients

View all resources

LOKELMA dosing and administration card

This resource clarifies the dosing and administration information for LOKELMA

Download this resource

Patient resource:
Guide to LOKELMA for hyperkalaemia

A quick guide that introduces your patients to LOKELMA and helps them to better understand hyperkalaemia

Download this resource

Contact Us

If you have any questions about LOKELMA or would like to speak to an
AstraZeneca representative, please contact us

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CKD; chronic kidney disease; HF, heart failure; RAASi, renin-angiotensin-aldosterone system inhibitor.

 
  1. Epstein M, et al. Am J Manag Care. 2015;21(11 Suppl):S212-S220.
  2. LOKELMA (sodium zirconium cyclosilicate) Summary of Product Characteristics.
  3. LOKELMA (sodium zirconium cyclosilicate) Patient Information Leaflet.
  4. Rhee C, et al. Poster presented at: National Kidney Foundation (NKF) Spring Clinical Meetings 2024; May 14-18, 2024; Long Beach, CA. Am. J. Kidney Dis. 2024;83(4)(S104): Poster #341.
  5. Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney Int. 2024;105(4S):S117-S314.

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Adverse events should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. Adverse events should also be reported to AstraZeneca by visiting https://contactazmedical.astrazeneca.com/ or by calling ‌‌‌0‌‌‌8‌‌‌‌‌0‌‌‌‌0‌‌‌ ‌‌7‌‌‌‌‌‌8‌‌‌3‌‌‌ ‌‌0‌‌‌‌‌0‌‌‌‌3‌‌‌‌3‌‌‌.

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