Sivel

Yes, Sivel 400mg Tablet can be taken with food. It is recommended to take 1-2 tablets (based on individual needs) thrice daily. It is important to take it with meals because Sivel 400mg Tablet works by binding to phosphate from food. Take it exactly as advised by your doctor.

No, you should not crush, chew, or break Sivel 400mg Tablet into pieces. You should swallow it as a whole with water.

It is important to take Sivel 400mg Tablet as patients undergoing dialysis cannot control the phosphate levels in their blood, especially after a meal. When the level of phosphate exceeds above the range in the blood, it may cause problems such as itchy skin, red eyes, high blood pressure, bone pain, and also increase the risk of fractures. These increased serum phosphate levels are reduced by Sivel 400mg Tablet, as it binds phosphate from food in the digestive tract.

A common side effect of Sivel 400mg Tablet is constipation, though it does not occur in everyone. The other common side effects of the stomach and intestine include diarrhea, indigestion, flatulence, and pain in the abdomen. Immediately consult your doctor if these side effects become severe and disturb you.

Patients who are allergic to Sivel 400mg Tablet and who have low levels of phosphate in blood should avoid taking Sivel 400mg Tablet. Additionally, patients having intestinal obstruction should also avoid using Sivel 400mg Tablet.

Ciprofloxacin may interfere with the working of Sivel 400mg Tablet and therefore it should not be taken at the same time as Sivel 400mg Tablet. However, if taken together then a gap of at least 2 hours before or 6 hours after taking Sivel 400mg Tablet should be maintained.

Continue taking Sivel 400mg Tablet as long as recommended by your doctor. Sivel 400mg Tablet lowers your dietary phosphate levels but does not cure your disease. Hence, you may have to take it lifelong, as stopping Sivel 400mg Tablet may increase your phosphate levels.

Yes, serum phosphate levels should be monitored regularly while you are taking Sivel 400mg Tablet. Also, the use of Sivel 400mg Tablet may decrease the levels of vitamin D, A, E, K, and folic acid and hence the levels need to be monitored during the treatment.