Patiromer for treating hyperkalaemia

2.1 Patiromer (Veltassa, Vifor Pharma) has a marketing authorisation in the UK 'for the treatment of hyperkalaemia in adults'.

2.2 Patiromer is administered orally. The recommended starting dose is 8.4 g once a day and the maximum dose is 25.2 g. The dose can be increased or decreased after a minimum interval of 1 week based on serum potassium levels. The dose should be reduced or stopped if serum potassium is below the desired range. Patiromer should be taken with or without food and separated by 3 hours from other oral medication. The onset of action for patiromer is 4 to 7 hours and patiromer should not replace emergency treatment for life-threatening hyperkalaemia.

2.3 The list price of patiromer is £172.50 per 30‑sachet pack, available as 8.4 g sachets or 16.8 g sachets (excluding VAT, Department of Health and Social Care communication, November 2019). Costs may vary in different settings because of negotiated procurement discounts.