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Lanthanum Carbonate is used for:

Reducing serum phosphate in patients with end-stage kidney disease. It may also be used for other conditions as determined by your doctor.

Lanthanum Carbonate is a phosphate binder. It works by blocking the absorption of phosphate, which reduces phosphate and calcium phosphate levels in the blood.

Do NOT use Lanthanum Carbonate if:

• you are allergic to any ingredient in Lanthanum Carbonate

Contact your doctor or health care provider right away if any of these apply to you.

Before using Lanthanum Carbonate :

Some medical conditions may interact with Lanthanum Carbonate . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have stomach or bowel problems (eg, an ulcer, ulcerative colitis, Crohn disease, bowel obstruction)

Some MEDICINES MAY INTERACT with Lanthanum Carbonate . However, no interactions are known at this time. Tell your health care provider if you are taking any other medicines.

This may not be a complete list of all interactions that may occur. Ask your health care provider if Lanthanum Carbonate may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Lanthanum Carbonate :

Use Lanthanum Carbonate as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take this medicine with or immediately after a meal.
• Chew thoroughly before swallowing. Do not swallow unchewed tablets.
• Medicines known to interact with antacids may interact with Lanthanum Carbonate and should not be taken within 2 hours of taking Lanthanum Carbonate .
• Take Lanthanum Carbonate regularly to receive the most benefit from it.
• Continue to take Lanthanum Carbonate even if you feel well.
• If you miss a dose of Lanthanum Carbonate , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Lanthanum Carbonate .

Important safety information:

• Lanthanum Carbonate may cause dizziness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Lanthanum Carbonate . Using Lanthanum Carbonate alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.
• Do not take nonprescription antacids while taking Lanthanum Carbonate without approval from your doctor.
• Tell your doctor or dentist that you take Lanthanum Carbonate . It could have an effect on the medical or dental care, emergency care, or surgery you may receive.
• If you are on dialysis, Lanthanum Carbonate may affect your dialysis procedure. Be sure that the dialysis nurses and technicians know you are taking Lanthanum Carbonate .
• Lab tests, including blood phosphate levels, may be required to monitor your progress. Be sure to keep all doctor and lab appointments.
• Lanthanum Carbonate is not recommended for use in CHILDREN. Safety and effectiveness have not been confirmed.
• PREGNANCY and BREAST-FEEDING: Do not use Lanthanum Carbonate if you are pregnant. If you suspect that you could be pregnant, contact your doctor immediately. It is unknown if Lanthanum Carbonate is excreted in breast milk. If you are or will be breast-feeding while you are using Lanthanum Carbonate , check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Lanthanum Carbonate :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Bronchitis; constipation; diarrhea; headache; nausea; runny nose; stomach pain; vomiting.

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); dizziness; fainting; fatigue; unusual weakness.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately.

Store Lanthanum Carbonate at 77 degrees F (25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Keep Lanthanum Carbonate out of the reach of children and away from pets.

General information:

• If you have any questions about Lanthanum Carbonate , please talk with your doctor, pharmacist, or other health care provider.
• Lanthanum Carbonate is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Lanthanum Carbonate . If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.