Evaluation of Magnesium Carbonate Effectiveness and Safety in Hyperphophatemia Patients on Chronic Hemodialysis

Document Type : Original Article (s)

Authors

1 Student of Medicine, School of Medicine And Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran

2 Associate Professor, Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 Assistant Professor, Kidney Diseases Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Magnesium salts bind dietary phosphorus, but their use in renal patients is limited due to their potential side effects. The aim of this study was to evaluate the efficacy and safety of magnesium carbonate (MgCO3) as a phosphate binder in hemodialysis patients.Methods: Forty one stable hemodialysis patients were randomly allocated to receive either MgCO3 (n = 20) or calcium carbonate (CaCO3), (n = 21) for 6 weeks.Findings: All of the patients finished the study. Mean calcium level was 8.51 mg/dl and 9.1 mg/dl in MgCo3 and CaCo3 groups respectively (P < 0.05). The mean serum albumin was higher in the trial group in the 6th week (P < 0.001). There were no significant differences in BP, lipid profile, serum phosphorus and CRP levels between the two groups.Conclusion: Our study shows that MgCO3, administered for a period of 6 weeks, is an effective and inexpensive agent in controlling serum phosphate levels in hemodialysis patients.

Keywords


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