Prescribing Information Lokelma® (sodium zirconium cyclosilicate)
Adverse Event Reporting

This website is intended for UK Healthcare Professionals only. Other UK residents please visit astrazeneca.co.uk

LOKELMA (sodium zirconium cyclosilicate) is indicated for the treatment of hyperkalaemia in adult patients.

  • astrazenca-logo
  • About LOKELMA
  • Hyperkalaemia
    About hyperkalaemia Hyperkalaemia management and treatment guidelines
  • Unmet needs
  • Why LOKELMA
    Mode of action Efficacy Safety profile
  • Dosing and administration
  • Resources
    Resources Videos and webinars

About LOKELMA

About hyperkalaemia Hyperkalaemia management and treatment guidelines
Unmet needs

Mode of action Efficacy Safety profile
Dosing and administration

Resources Videos and webinars

Effectively manage
hyperkalaemia with LOKELMA® and maintain RAASi therapy

so that you can achieve cardiorenal protection in your patients with CKD or HF1-7

Developed to help support you in managing chronic hyperkalaemia, this suite of materials provides practical advice and guidance on using LOKELMA in primary care.

Click here for safety information on LOKELMA

Explore LOKELMA
in primary care
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Hear from
your peers
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Hyperkalaemia is a barrier to optimal RAASi therapy8,9

Hyperkalaemia can be a major burden for people living with CKD or HF, including poor physical health, and an increased risk of hospitalisation* and death.†10-13 For patients on RAASi therapy, there is an increased risk of hyperkalaemia, which can lead to their therapy being reduced or withdrawn.8,9,14 This can increase the risk of all-cause mortality and adverse cardiorenal outcomes.5,9,15

*Increases the risk of hospitalisation in patients with HF with/without CKD.
†Higher all-cause mortality in CKD and HF patients who have hyperkalaemia vs those with no hyperkalaemia.

 

Explore LOKELMA in primary care

With updates in 2022 to the NICE TA599 guidance, LOKELMA is recommended and available in both primary and secondary care.16 Following specialist initiation, prescription management can be continued in primary care.16 This means that you can now implement this treatment into your integrated care system (ICS).

By taking action, you can optimise RAASi therapy for your eligible patients.

Interested in learning more about LOKELMA in primary care?

Take a look at our interactive e-book that delves into the clinical and personal impact of hyperkalaemia on patients, showing how you can use LOKELMA to effectively manage hyperkalaemia and maintain optimal RAASi therapy for cardiorenal protection in patients with CKD or HF.

10 min read

 

Hear from your peers

Many primary and secondary care healthcare professionals are taking action with LOKELMA to manage chronic hyperkalaemia. Watch these videos to hear what they have to say about their experiences in practice and the importance of providing holistic care within a multidisciplinary team to improve patient outcomes.

Dr-Smeeta_desktopDr-Smeeta_desktop

A nephrologist’s perspective

Explore the interplay between primary and secondary care from Dr Smeeta Sinha’s perspective, as they provide guidance on optimal management of patients with hyperkalaemia.

Barbara-Byrne_desktopBarbara-Byrne_desktop

A heart failure specialist nurse’s perspective

Discover the role of a heart failure specialist nurse in hyperkalaemia management and how Barbara Byrne works with primary care to support patients throughout their treatment journey.

Dr-Naresh_desktopDr-Naresh_desktop

A GP’s perspective

Hear from Dr Naresh Kanumilli as they describe their role in hyperkalaemia management and RAASi therapy maintenance, including how they work with secondary care colleagues, and how you can apply this in practice.

Explore additional practical resources to help you implement LOKELMA in your clinical practice 

Click here

For your eligible patients with CKD/HF and hyperkalaemia, consider LOKELMA and think about how your role in primary care could make a difference.

ABBREVIATIONS

CKD=chronic kidney disease; GP=general practitioner; HF=heart failure; NICE=National Institute for Health and Care Excellence; RAASi=renin-angiotensin-aldosterone system inhibitor.

REFERENCES

    1.
    Kosiborod M, et al. JAMA. 2014;312:2223–2233.
    2.
    Roger SD, et al. Am J Nephrol. 2019;50(5):473-480.
    3.
    Spinowitz BS, et al. Clin J Am Soc Nephrol. 2019;14:798–809.
    4.
    Fishbane et al. JASN. 2019;30:1723-1733.
    5.
    Kanda E, et al. BMC Nephrol. 2023;24(1):18.
    6.
    Rastogi A, et al. Clin Kidney J. 2024;17(5):sfae083.
    7.
    Svensson MK, et al. Nephrol Dial Transplant. 2024 [Online ahead of print].
    8.
    Yildrim T, et al. Ren Fail. 2012;34(9):1095-1099.
    9.
    Epstein M, et al. Am J Manag Care. 2015;21(11):S212-S220.
    10.
    Grandy S, et al. Int J Clin Pract. 2021;75(8):e14326.
    11.
    Thomsen RW, et al. Nephrol Dial Transplant. 2018;33:1610-1620.
    12.
    Thomsen RW, et al. J AM Heart Assoc. 2018;7:e008912.
    13.
    Hougen I, et al. Kidney Int Rep. 2021;6(5):1309-1316.
    14.
    Rosano GMC, et al. Eur Heart J Cardiovasc Pharmacother. 2018;4(3):180–188.
    15.
    Linde C, et al. J Am Heart Assoc. 2019;8(22):e012655.
    16.
    NICE. Technology appraisal guidance: sodium zirconium cyclosilicate for treating hyperkalaemia (TA599) [online], 2022. Available at: https://www.nice.org.uk/guidance/ta599/resources/sodium-zirconium-cyclosilicate-for-treating-hyperkalaemia-pdf-82607272135621. Accessed March 2025.

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