condition Nephrology
Overview
Nephrology is the branch of medicine that studies and treats kidney diseases. At least 1 in every 75 adults in the United States has chronic kidney disease (CKD). Diabetes, high blood pressure, obesity, and other factors can damage the kidneys over time. Once damaged, the kidneys are not able to remove waste, balance minerals, or help maintain blood pressure. Symptoms can be hard to notice at first. They can include foamy urine, itchy skin, nausea, and needing to urinate more or less often than usual. If the damage continues, the kidneys may no longer be able to work at all. Dialysis is needed to remove waste and extra water from the body when the kidneys no longer work. Many different medications may be needed to balance minerals and help make red blood cells.
Drug Therapies
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calcitriol
Calcitriol is a synthetic vitamin D analog that helps regulate the absorption of calcium from the gastrointestinal tract and its use in the body.Manufacturer:MiscRoute of Administration:OralSite of Care:OutpatientWebsite:Enrollment Forms:Synergen Prescription FormApproved Indication:
- managing secondary hyperparathyroidism and resultant metabolic bone disease in patients with moderate to severe chronic renal failure (Ccr 15-55 mL/min)
- managing hypocalcemia and the resultant metabolic bone disease in patients undergoing chronic renal dialysis
- managing hypocalcemia and its clinical manifestations in patients with postsurgical hypoparathyroidism, idiopathic hypoparathyroidism, and pseudohypoparathyroidism
Conditions:
- Hypocalcemia
- Secondary Hyperparathyroidism
Therapeutic Area:
- Oncology
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cinacalcet
Cinacalcet is a calcium-sensing receptor agonist that lowers circulating parathyroid hormone and serum calcium levels to help prevent progressive bone disease.Manufacturer:MiscRoute of Administration:OralSite of Care:OutpatientWebsite:Enrollment Forms:Synergen Prescription FormApproved Indication:
- secondary hyperparathyroidism in adult patients with chronic kidney disease on dialysis
- hypercalcemia in adult patients with parathyroid carcinoma
- hypercalcemia in adult patients with primary hyperparathyroidism for whom parathyroidectomy would be indicated on the basis of serum calcium levels but who are unable to undergo parathyroidectomy
Conditions:
- Hypercalcemia
- Secondary Hyperparathyroidism
Therapeutic Area:
- Oncology
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Epogen (epoetin alfa)
Epogen (epoetin alfa) is a synthetic protein that promotes the production of new red blood cells in patients with certain types of anemia.Manufacturer:AmgenRoute of Administration:Subcutaneous, IntravenousSite of Care:OutpatientWebsite:phone:866-264-2778Enrollment Forms:Synergen Prescription FormApproved Indication:
- treatment of anemia due to chronci kidney disease in patients on dialysis and not on dialysis
- treatment of anemia due to zidovudine in patients with HIV infection
- treatment of anemia due to the effects of concomitant myelosuppressive chemotherapy (upon initiation, a minimum of two additional months of planned chemotherapy required)
- reducing allogenic red blood cell transfusions in patients undergoing elective, noncardiac, nonvascular surgery
Conditions:
- Anemia
Therapeutic Area:
- Nephrology
- Oncology
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Feraheme (ferumoxytol)
Feraheme (ferumoxytol) is an iron oxide infusion used to treat anemia by supporting the formation of hemoglobin.Manufacturer:Amag PharmaceuticalsRoute of Administration:IntravenousSite of Care:OutpatientWebsite:phone:1-844-635-2624Approved Indication:
treatment of iron deficiency anemia in adult patients with chronic kidney disease
Conditions:
- Anemia
Therapeutic Area:
- Nephrology
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Fosrenol (lanthanum carbonate)
Fosrenol (lanthanum carbonate) is a lanthanum salt that binds to phosphous in the GI tract to prevent its absorption and to lower its levels in the blood.Manufacturer:Misc.Route of Administration:OralSite of Care:OutpatientWebsite:Enrollment Forms:Synergen Prescription FormConditions:
- Hyperphosphatemia
- Chronic Kidney Disease
Therapeutic Area:
- Endocrinology
- Nephrology
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Injectafer (ferric carboxymaltose)
Injectafer (ferric carboxymaltose) is an iron infusion used to treat anemia by supporting the formation of hemoglobin.Manufacturer:Daiichi-SankyoRoute of Administration:IntravenousSite of Care:OutpatientWebsite:Approved Indication:
- treatment of iron deficiency anemia in adult and pediatric patients 1 year of age and older who have either intolerance or an unsatisfactory response to oral iron
- treatment of iron deficiency anemia in adult patients with non-dialysis dependent chronic kidney disease
- treatment of iron deficiency in adult patients with heart failure and New York Heart Association class II/III to improve exercise capacity
Conditions:
- Iron Deficiency Anemia
Therapeutic Area:
- Nephrology
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PhosLo (calcium acetate)
PhosLo (calcium acetate) is a calcium salt given to decrease the absorption of phosphorus from the gastrointestinal tract in patients with chronic kidney disease and high serum phosphorus levels.Manufacturer:MiscRoute of Administration:OralSite of Care:OutpatientWebsite:Enrollment Forms:Synergen Prescription FormApproved Indication:
reduction of serum phosphorus in patients with end stage renal disease
Conditions:
- Hyperphosphatemia
- Chronic Kidney Disease
Therapeutic Area:
- Endocrinology
- Nephrology
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Procrit (epoetin alfa)
Procrit (epoetin alfa) is a synthetic protein that promotes the production of new red blood cells in patients with certain types of anemia.Manufacturer:Johnson & JohnsonRoute of Administration:Subcutaneous, IntravenousSite of Care:OutpatientWebsite:Enrollment Forms:Synergen Prescription FormApproved Indication:
- treatment of anemia due to chronci kidney disease in patients on dialysis and not on dialysis
- treatment of anemia due to zidovudine in patients with HIV infection
- treatment of anemia due to the effects of concomitant myelosuppressive chemotherapy (upon initiation, a minimum of two additional months of planned chemotherapy required)
- reducing allogenic red blood cell transfusions in patients undergoing elective, noncardiac, nonvascular surgery
Conditions:
- Anemia
Therapeutic Area:
- Nephrology
- Oncology
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Renvela (sevelamer carbonate)
Renvela (sevelamer) is a non-metallic, non-calcium-based binding agent given to decrease the absorption of phosphorus from the gastrointestinal tract in patients with chronic kidney disease and high serum phosphorus levels.Manufacturer:SanofiRoute of Administration:OralSite of Care:OutpatientWebsite:Enrollment Forms:Synergen Prescription FormApproved Indication:
control of serum phosphorus in adults and children 6 years of age and older with chronic kidney disease on dialysis
Conditions:
- Hyperphosphatemia
- Chronic Kidney Disease
Therapeutic Area:
- Endocrinology
- Nephrology
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Retacrit (epoetin alfa-epbx)
Retacrit (epoetin alfa-epbx) is a biosimilar to Epogen. Like Epogen, Retacrit is a synthetic protein that promotes the production of new red blood cells in patients with certain types of anemia.Manufacturer:PfizerRoute of Administration:Subcutaneous, IntravenousSite of Care:OutpatientWebsite:phone:1-877-744-5675Approved Indication:
- treatment of anemia due to chronci kidney disease in patients on dialysis and not on dialysis
- treatment of anemia due to zidovudine in patients with HIV infection
- treatment of anemia due to the effects of concomitant myelosuppressive chemotherapy (upon initiation, a minimum of two additional months of planned chemotherapy required)
- reducing allogenic red blood cell transfusions in patients undergoing elective, noncardiac, nonvascular surgery
Conditions:
- Anemia
Therapeutic Area:
- Nephrology
- Oncology
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Vafseo (vadadustat)
Vafseo (vadadustat) inhibits the enzyme hypoxia-inducible factor prolyl hydroxylase to increase levels of erythropoietin and promote the production of red blood cells in patients with anemia due to kidney failure.Manufacturer:Akebia TherapeuticsRoute of Administration:OralSite of Care:OutpatientWebsite:phone:1-855-686-8601Approved Indication:
treatment of anemia due to chronic kidney disease in adults who have been receiving dialysis for at least three months
Conditions:
- Anemia
- Chronic Kidney Disease
Therapeutic Area:
- Nephrology
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Venofer (iron sucrose)
Venofer (iron sucrose) is an iron infusion used to treat anemia by supporting the formation of hemoglobin.Manufacturer:American RegentRoute of Administration:IntravenousSite of Care:OutpatientWebsite:phone:877-448-4766Approved Indication:
treatment of iron deficiency anemia in adult patients with chronic kidney disease
Conditions:
- Iron Deficiency Anemia
Therapeutic Area:
- Nephrology
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Xphozah (tenapanor)
Xphozah (tenapanor) inhibits an exchange protein in the lining of the colon and small intestine, preventing absorption of sodium and phosphate from the GI tract. Xphozah does not directly bind phosphate but is used in addition to (and occasionally in place of) direct phosphate binders.Manufacturer:ArdelyxRoute of Administration:OralSite of Care:OutpatientWebsite:phone:877-527-3927Approved Indication:
reduce serum phosphorus in adults with chronic kidney disease (CKD) on dialysis as add-on therapy in patients who have an inadequate response to phosphate binders or who are intolerant of any dose of phosphate binder therapy
Conditions:
- Chronic Kidney Disease
Therapeutic Area:
- Nephrology

Resources
Understanding a diagnosis can feel overwhelming. These resources link to well-established organizations, for in-depth education, research, and support.