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Sodium zirconium cyclosilicates are available as powders that can be mixed in water and administered orally. By selectively binding to potassium in the gastrointestinal (GI) tract, they are able to lower the concentration of free potassium in the GI lumen, resulting in lower serum potassium levels as rapidly as one hour after ingestion. Normal serum potassium levels can potentially be achieved within 24 to 48 hours.
1. Packham DK, Rasmussen HS, Lavin PT, et al. Sodium Zirconium Cyclosilicate in Hyperkalemia. N Engl J Med. 2015. 372:222-31.
2. Montford JR, Linas S. How Dangerous Is Hyperkalemia?. J Am Soc Nephrol. 2017;28(11):3155-3165.
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Veeva ID: Z4-66299
Date of preparation: July 2024