Usual Adult Dose for Hyperphosphatemia of Renal Failure:
Initial Dosing for patients not on a phosphate binder: 800 mg to 1600 mg orally 3 times a day with mealsBased on serum phosphorus level: -Phosphorus greater than 5.5 to less than 7.5 mg/dL: 800 mg 3 times a day with meals-Phosphorus greater than or equal to 7.5 mg/dL: 1600 mg 3 times a day with meals-Titrate in increments of 800 mg 3 times a day at 2-week intervals with the goal of controlling serum phosphorus within target range.Average prescribed dose: 7.2 g/day (2.4 g with each meal)Maximum studied dose: 14 g per day (carbonate); 13 g per day (hydrochloride)Switching from the hydrochloride salt to carbonate: Use the same dose, however further titration may be necessary to achieve desired phosphorus levels.  Switching from calcium acetate: Substitute approximately mg for mg Comment: Treatment of hyperphosphatemia includes reduction in dietary intake of phosphate, inhibition of intestinal phosphate absorption with phosphate binders, and removal of phosphate with dialysis.  Use: To control serum phosphorus levels in patients with chronic kidney disease on dialysis.
 Detailed Sevelamer dosage information
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