Medication Information Sheets

For your records

Download a printer friendly version of the Dialysis Formulary and Formulary for Kidney Patients Not on Dialysis

BCPRA’s Formulary is a list of medications essential in the care and treatment of patients with kidney disease. It has been developed by the Pharmacy & Formulary Review Committee.

The Renal Formulary has been separated into a Dialysis Formulary and a formulary for kidney patients not on dialysis, depending on your condition. The medications listed on the Dialysis Formulary are for dialysis patients (and all pediatric patients). Kidney patients not on dialysis are covered only for those medications listed on the
Formulary for Kidney Patients Not on Dialysis. BCPRA has developed information sheets on different medications for use by patients, listed below.

Also, check out the Ask a Pharmacist page to find a pharmacist who specializes in kidney disease near you. BCPRA partners with a number of community pharmacies to dispense these renal medications.

The information provided on this website is designed to help you understand how the medications you are taking work, possible side effects and precautions. It is not a substitute for talking to your doctor or pharmacist.

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Acidosis Infections
Anemia Mineral Metabolism
Cardiovascular Disease Neuromuscular Disorders
Chelation Therapy Nutritional Disorders
Gastrointestinal Disorders Pediatrics
Gout Pruritus
Hyperkalemia Chronic Renal Insufficiency/ Predialysis Group

Treatment


Drug Name

ACIDOSIS sodium bicarbonate


ANEMIA
Iron Bivalent, Oral Preparations darpepoetin (Aransep) [restricted]*^
erythropoetin (Eprex) [restricted]*^
ferrous fumarate
ferrous gluconate
ferrous sulfate

iron gluconate ^
iron sucrose [restricted]^
iron dextran ^
Vitamin B12 cyanocobalamin ^


CARDIOVASCULAR DISEASE
Angiotensin Converting Enzyme (ACE) Inhibitors



captopril
quinapril
ramipril
trandolapril
enalapril
 (restricted to pediatrics)

Angiotensin II Receptor Antagonists candesartan**
irbesartan**
losartan potassium**
telmisartan**
valsartan**

(**restrictions)
Anticoagulants ASA (enteric-coated; all strengths)
dipyridamole
warfarin
Beta-adrenergic Blockers acebutolol
atenolol
labetolol
metoprolol
propranolol

bisoprolol
Calcium Channel Blockers amlodipine
diltiazem
felodipine
nifedipine
verapamil
Diuretics furosemide
Vasodilators hydralazine
minoxidil

nitroglycerin patch
nitroglycerin sublingual spray and tablets
isosorbide dinitrate


CHELATION THERAPY desferoxamine ^


GASTROINTESTINAL DISORDERS
Dopamine Antagonists prochlorperazine
Histamine (H2) Receptor Antagonist ranitidine hydrochloride
Osmotic Laxatives sorbitol
lactulose
Stimulate Laxatives sennosides
Stool Softeners docusate sodium
Upper Gastrointestinal Tract Agents domperidone maleate
metoclopramide


GOUT
Antimitotics allopurinol
colchicine
Corticosteroids prednisone


HYPERKALEMIA
Exchange Resins sodium polystyrene sulfonate
calcium polystyrene sulfonate


INFECTIONS
Topical Antibacterials chlorhexidine
gentamicin cream and ointment
mupirocin cream and ointment


MINERAL METABOLISM alfacalcidol
aluminum hydroxide
calcitrol (oral only)
calcium acetate
calcium carbonate (not Calsan brand)
calcium liquid
lanthanum***(restricted)
sevelamer***(restricted)
cinacalcet****(restricted)


NEUROMUSCULAR DISORDERS
Leg Cramps quinine
Neuropathic Pain amitriptyline
carbamazepine
gabapentin
Restless Leg Syndrome clonazepam
sinemet
clonidine hydrochloride


NUTRITIONAL DISORDERS Replavite/Renavite
folate/folic acid
zinc gluconate


PEDIATRICS Note: All formulary medications are available to both dialysis pediatric patients and those not on dialysis. Any compounded formulations of formulary medication or commercially available liquid forms of formulary medication will also be funded.


PRURITUS
Antihistamines diphenhydramine
hydroxyzine
Topical Cream
10% uremol in glaxal base


CHRONIC RENAL INSUFFICIENCY/PREDIALYSIS GROUP alfacalcidol
aluminum hydroxide
calcium acetate
calcium carbonate (not Calsan brand)
calcium polystyrene sulfonate
darbepoetin (Aranesp) [restrictred]*^
erythropoetin (Eprex) [restricted]*^
ferrous sulfate, gluconate, & fumarate
iron gluconate ^
iron sucrose (restricted)^
iron dextran ^
Replavite
lanthanum***(restricted)
sevelamer***(restricted)
sodium bicarbonate
sodium polystyrene sulfonate
zinc gluconate


^ Injectable medication
*Needs approval through PROMIS
**Restricted to patients with an intractable cough to ACE inhibitors (as per pharmacare)
***Application for sevelamer required to be completed and send to BC Renal Agency (not for prior approval but for audit purposes)
****Cinacalcet (Sensipar) is very restricted and approval will be granted on a case-by-case basis. Nephrologists may contact the BCPRA office.

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