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Molecule

Lanthanum carbonate

Phosphate Binder
Available on requestNephrology and urology
Presentations
8
Brands
1
Manufacturers
1
Available from stock
0

Lanthanum carbonate is a phosphate binder indicated to reduce serum phosphate in patients with end-stage renal disease (ESRD). It is available as chewable tablets and oral powder. MedsAcross supplies Lanthanum carbonate for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Phosphate Binder, Phosphate Chelating Activity
ATC classification
V03AE03 Lanthanum carbonate · Antihyperkalemic agents
US FDA first approval
26 October 2004
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Chewable tablet, Oral powder
Identifiers
UNII 0M78EU4V9HRxCUI 234416CAS 587-26-8DrugBank DB06792Q421317

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

LANTHANUM CARBONATE is a phosphate binder indicated to reduce serum phosphate in patients with end-stage renal disease (ESRD). Management of elevated serum phosphorus levels in patients with ESRD usually includes all of the following: reduction in dietary intake of phosphate, removal of phosphate by dialysis, and reduction of intestinal phosphate absorption with phosphate binders.

Source: US FDA prescribing information

How it works

LANTHANUM CARBONATE is a phosphate binder that reduces absorption of phosphate by forming insoluble lanthanum phosphate complexes that pass through the GI tract unabsorbed. Both serum phosphate and calcium phosphate product are reduced as a consequence of the reduced dietary phosphate absorption.

Source: US FDA prescribing information

Dosing overview

Divide the total daily dose of LANTHANUM CARBONATE and take with or immediately after meals. The recommended initial total daily dose of LANTHANUM CARBONATE is 1,500 mg. Titrate the dose every 2 to 3 weeks until an acceptable serum phosphate level is reached. Monitor serum phosphate levels as needed during dose titration and on a regular basis thereafter. LANTHANUM CARBONATE has the potential to bind other orally administered drugs, consider separating the administration of other oral medications. In clinical studies of patients with ESRD, LANTHANUM CARBONATE doses up to 4,500 mg were evaluated. Most patients required a total daily dose between 1,500 mg and 3,000 mg to reduce plasma phosphate levels to less than 6.0 mg/dL. Doses were generally titrated in increments of 750 mg/day. Chew or crush LANTHANUM CARBONATE completely before swallowing.

Source: US FDA prescribing information

Contraindications

Contraindicated in patients with: - hypersensitivity to LANTHANUM CARBONATE or to any ingredient in the formulation. - bowel obstruction, including ileus and fecal impaction. Hypersensitivity to LANTHANUM CARBONATE or to any ingredient in the formulation. Bowel obstruction, ileus, and fecal impaction.

Source: US FDA prescribing information

Warnings and precautions

Serious cases of gastrointestinal obstruction, ileus, subileus, gastrointestinal perforation, and fecal impaction. Risks include altered gastrointestinal anatomy, hypomotility disorders, and concomitant medications. Advise patients to chew or crush the tablet completely. LANTHANUM CARBONATE has radio-opaque properties and, therefore, may give the appearance typical of an imaging agent during abdominal X-ray procedures.

Source: US FDA prescribing information

Side effects

The following adverse reactions are discussed in greater detail in other sections of the labeling: Gastrointestinal Adverse Effects In controlled trials, the most common adverse reactions that were more frequent (≥5% difference vs. placebo) in LANTHANUM CARBONATE were nausea, vomiting, and abdominal pain. The following adverse reactions have been identified during post-approval use of LANTHANUM CARBONATE: constipation, dyspepsia, allergic skin reactions, and tooth injury while chewing the tablet.

Source: US FDA prescribing information

Interactions

There is a potential for LANTHANUM CARBONATE to interact with compounds that bind to cationic antacids (i.e., aluminum-, magnesium-, or calcium-based), therefore, do not take such compounds within 2 hours of dosing with LANTHANUM CARBONATE. Oral quinolone antibiotics must be taken at least 1 hour before or 4 hours after LANTHANUM CARBONATE. Do not take thyroid hormone replacement therapy within 2 hours of dosing with LANTHANUM CARBONATE. Monitoring of TSH levels is recommended in patients receiving both medicinal agents. For oral medications where a reduction in the bioavailability of that medication would have a clinically significant effect on its safety or efficacy, consider separation of the timing of the administration of the two drugs.

Source: US FDA prescribing information

Storage

Store LANTHANUM CARBONATE Chewable Tablets at 25°C (77°F): excursions permitted to 15°C to 30°C (59°F to 86°F).

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

8 presentations of Lanthanum carbonate, sorted by availability.

MedicineManufacturerRegisterAvailability
Lanthanum carbonate 1000 mg chewable tabletOralGeneric name—US FDAAvailable on request
Lanthanum carbonate 500 mg chewable tabletOralGeneric name—US FDAAvailable on request
Lanthanum carbonate 750 mg chewable tabletOralGeneric name—US FDAAvailable on request
Fosrenol 1000 mg chewable tabletOralTakeda PharmaceuticalsUS FDAAvailable on request
Fosrenol 1000 mg oral powderOralTakeda PharmaceuticalsUS FDAAvailable on request
Fosrenol 500 mg chewable tabletOralTakeda PharmaceuticalsUS FDAAvailable on request
Fosrenol 750 mg oral powderOralTakeda PharmaceuticalsUS FDAAvailable on request
Fosrenol 750 mg chewable tabletOralTakeda PharmaceuticalsUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 26 October 2004Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Lanthanum carbonate in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Lanthanum carbonate available for export from India?

Yes, on request. MedsAcross lists 8 presentations of Lanthanum carbonate and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Lanthanum carbonate have?

The catalogue lists 1 brand names for Lanthanum carbonate, including Fosrenol.

Is Lanthanum carbonate approved by the US FDA?

Yes. The US FDA first approved Lanthanum carbonate on 26 October 2004, according to Drugs@FDA.

Does Lanthanum carbonate need cold chain shipping?

No listed presentation of Lanthanum carbonate is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Lanthanum carbonate in?

Lanthanum carbonate is classified under ATC code V03AE03 (Lanthanum carbonate).

References

  1. Lanthanum carbonate prescribing information (Prasco Laboratories). U.S. National Library of Medicine, DailyMed. Retrieved 15 December 2025

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