Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Acosev 400mg Tablet should be taken with or after food.

- Alcohol : CONSULT YOUR DOCTOR

It is not known whether it is safe to consume alcohol with Acosev 400mg Tablet. Please consult your doctor. | - Pregnancy : CONSULT YOUR DOCTOR

Acosev 400mg Tablet is not recommended during pregnancy as there is positive evidence of fetal risk based on animal studies. However, it may still be prescribed by a doctor in situations where the benefits outweigh the risks. | - Breast feeding : CONSULT YOUR DOCTOR

Acosev 400mg Tablet may be unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby. It should be used only if the expected benefit outweighs the potential risk. Please consult your doctor. | - Driving : SAFE

Acosev 400mg Tablet does not usually affect your ability to drive. | - Kidney : CONSULT YOUR DOCTOR

There is limited data available on the use of Acosev 400mg Tablet in patients with kidney disease. Please consult your doctor. | - Liver : SAFE IF PRESCRIBED

Acosev 400mg Tablet is probably safe to use in patients with liver disease. Limited data suggest dose adjustment may not be needed.

If you miss a dose of Acosev 400mg Tablet, skip it and continue with your normal schedule. Do not double the dose.

Is Acosev 400mg Tablet taken with food?::: Yes, Acosev 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 Acosev 400mg Tablet works by binding to phosphate from food. Take it exactly as advised by your doctor.| Can Acosev 400mg Tablet be crushed?::: No, you should not crush, chew, or break Acosev 400mg Tablet into pieces. You should swallow it as a whole with water.| Why is it important for me to take Acosev 400mg Tablet?::: It is important to take Acosev 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 Acosev 400mg Tablet, as it binds phosphate from food in the digestive tract.| Does Acosev 400mg Tablet cause constipation?::: A common side effect of Acosev 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.| Who should not take Acosev 400mg Tablet?::: Patients who are allergic to Acosev 400mg Tablet and who have low levels of phosphate in blood should avoid taking Acosev 400mg Tablet. Additionally, patients having intestinal obstruction should also avoid using Acosev 400mg Tablet.| Can I take ciprofloxacin while I am taking Acosev 400mg Tablet?::: Ciprofloxacin may interfere with the working of Acosev 400mg Tablet and therefore it should not be taken at the same time as Acosev 400mg Tablet. However, if taken together then a gap of at least 2 hours before or 6 hours after taking Acosev 400mg Tablet should be maintained.| How long do I need to take Acosev 400mg Tablet?::: Continue taking Acosev 400mg Tablet as long as recommended by your doctor. Acosev 400mg Tablet lowers your dietary phosphate levels but does not cure your disease. Hence, you may have to take it lifelong, as stopping Acosev 400mg Tablet may increase your phosphate levels.| Do I need to have any tests while taking Acosev 400mg Tablet?::: Yes, serum phosphate levels should be monitored regularly while you are taking Acosev 400mg Tablet. Also, the use of Acosev 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.

Acosev 400mg Tablet inhibits the absorption of phosphate from the intestine and lower the phosphate levels in the blood.

-Ofloxacin (Oral Route): Moderate

To take Ofloxacin, ensure a gap of at least 1 hour before and 3 hours after taking Sevelamer. Sevelamer may reduce blood levels of Ofloxacin.

| -Sparfloxacin (Oral Route): Moderate

To take Sparfloxacin, ensure a gap of at least 1 hour before and 3 hours after taking Sevelamer. Sevelamer may reduce blood levels of Sparfloxacin.

| -Norfloxacin (Oral Route): Moderate

To take Norfloxacin, ensure a gap of at least 1 hour before and 3 hours after taking Sevelamer. Sevelamer may reduce blood levels of Norfloxacin.

| -Levofloxacin (Oral Route): Moderate

To take Levofloxacin, ensure a gap of at least 1 hour before and 3 hours after taking Sevelamer. Sevelamer may reduce blood levels of Levofloxacin.

| -Ciprofloxacin (Oral Route): Moderate

To take Ciprofloxacin, ensure a gap of at least 1 hour before and 6 hours after taking Sevelamer. Sevelamer may reduce blood levels of Ciprofloxacin.

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