Sodium polystyrene sulphonic acid

Generic name
Sodium polystyrene sulphonic acid
Brand name
ATC Code
V03AE01

Sodium polystyrene sulphonic acid

Dosages
Side effects in children
Warnings & precautions in children
Contra-indications in children

Interactions
PK
Renal impairment
References

Pharmacokinetics in children

No information

dose recommendation of formulary compared to licensed use (on-label versus off-label)

No information is present at this moment.

Available formulations

No information is present at this moment.

Dosages

Hyperkalaemia
  • Rectal
    • 0 years up to 18 years
      • 1.000 mg/kg/day in 1 dose
      • The dosage can be reduced to 500 mg/kg/day in maintenance therapy.

Prevention of hyperkaliaemia in chemotherapy
  • Rectal
    • 1 month up to 18 years
      [2]
      • 500 - 1.000 mg/day in 1 dose
    • 1 month up to 18 years
      • 500 - 1.000 mg/day in 1 dose
    • 1 month up to 18 years
      • 500 - 1.000 mg/day in 1 dose

Renal impaiment in children > 3 months

GFR ≥10 ml/min/1.73m2: Dose adjustment not required.

GFR <10 ml/min/1.73m2: A general recommendation on dose adjustment cannot be provided.

The complete list of all undesirable drug reactions can be found in the national Summary of Product Characteristics (SmPC) – click here

Side effects in children

Constipation. After rectal administration, especially in children: there is a risk of intestinal obstruction due to clumping of the resin, and of haematochezia in premature infants and neonates with a low birthweight.

The complete list of all contra-indications can be found in the national Summary of Product Characteristics (SmPC) – click here

Contra-indications in children

Neonates (oral administration). Neonates of ≤ 28 weeks pregnancy or in reduced intestinal activity (oral and rectal administration).

The complete list of all warnings and precautions can be found in the national Summary of Product Characteristics (SmPC) – click here

Warnings & precautions in children

Watch out for obstipation. Check the plasma concentrations of sodium and potassium regularly. Rectal administration requires special care in low birthweight neonates and premature infants due to the risk of digestive haemorrhage or colon necrosis, especially in cases of excessive dosing or inadequate dilution. 

Interactions

The complete list of all interactions can be found in the national Summary of Product Characteristics (SmPC) – click here

ALL OTHER THERAPEUTIC PRODUCTS

This pages provides a list of drugs from the same ATC class for comparison. This does not necessarily mean that these drugs are interchangeable.

Antidotes
V03AB27
V03AB16
V03AB24
V03AB25
V03AB33
V03AB17
V03AB15
V03AB13
V03AB19
V03AB14
V03AB06
V03AB35
Iron chelating agents
V03AC03
V03AC02
V03AC01
Drugs for treatment of hyperkalemia and hyperphosphatemia
V03AE07
V03AE01
V03AE02
Detoxifying agents for antineoplastic treatment
V03AF03
V03AF01
V03AF07
Drugs for treatment of hypoglycemia
V03AH01
Other therapeutic products
V03AX03
DETOXIFYING AGENTS FOR ANTINEOPLASTIC TREATMENT
V03AF03
V03AF01
V03AF07
OTHER THERAPEUTIC PRODUCTS
V03AX03

References

  1. Sanofi-Aventis Netherlands BV, SPC Resonium A (RVG 08071), www.cbg-meb.nl, Geraadpleegd 11 aug 2010, http://db.cbg-meb.nl/IB-teksten/h08071.pdf
  2. Kamps WA et al, Werkboek ondersteundende behandeling kinderoncologie, VU Uitgeverij, 2005

Changes

Therapeutic Drug Monitoring


Overdose