KAYCUT Powder 15.3gm

Introduction About KAYCUT POWDER

KAYCUT POWDER contains Calcium Polystyrene Sulphonate which belongs to the group
of medicines called Ion Exchange Resins. It is used to manage increased
potassium levels in blood (hyperkalemia) due to acute and chronic renal failure
that occurs after certain conditions. KAYCUT POWDER is also used in patients
with hyperkalemia associated with anuria, severe oliguria (condition marked by
low urine output) and in patients requiring dialysis. Hyperkalemia is a
condition of abnormally raised levels of potassium in the blood, generally
characterized by symptoms such as abdominal pain, diarrhoea, chest pain,
irregular heartbeat, muscle weakness, numbness, nausea, and vomiting.

Avoid taking KAYCUT POWDER with orange juice or other fruit juices that are
known to raise the blood potassium levels. It is not recommended for use if you
are allergic to calcium polystyrene sulfonate and in patients with other
conditions such as bowel obstruction or blocked intestine, thyroid problems and
high blood calcium levels. KAYCUT POWDER should be used with caution if you have
breathing or chest problems, kidney or heart problems.

KAYCUT POWDER should be used with caution during pregnancy and breastfeeding. It
should be used with caution in children and adolescents (below 18 years of age).
Consult your doctor before taking. The common side effects associated with the
use of KAYCUT POWDER are tiredness, confusion, muscle weakness, muscle cramps,
altered heart rate, nausea and vomiting. Contact your doctor if any of the side
effects worsens.

Uses Of KAYCUT POWDER

It is used to manage:

• hyperkalemia due to acute and chronic renal failure
• hyperkalemia (associated with anuria, severe oliguria and in patients requiring dialysis)

How KAYCUT POWDER Works

KAYCUT POWDER works by releasing calcium ions in the stomach which binds to
hydrogen ions and it gets exchanged with free potassium ions in the large
intestine, that gets eliminated with the faeces along with the excess potassium
ions thereby resulting in reduced potassium levels in the body.

How to use KAYCUT POWDER

Take KAYCUT POWDER as advised by your physician. Avoid using orange juice or
other fruit juices. Your doctor will decide the correct dose and duration for
you depending upon your age, body weight and disease condition.

Side Effects Of KAYCUT POWDER

Common

• tiredness
• confusion
• muscle weakness
• muscle cramps
• altered heart rate
• excessive thirst, frequent urination
• abnormal eye movements, convulsions, weakness
• nausea
• vomiting
• constipation

Uncommon

• loss of appetite
• diarrhoea
• stomach upset
• abdominal pain
• gut blockage
• stomach ulcer
• intestinal obstruction

Rare

• large, dry and hard stool (particularly in children following rectal administration)
• undigested aggregates in the intestine
• intestinal perforations (due to cell damage of large intestine)

Stop taking KAYCUT POWDER and contact your doctor if you experience any of the
following side effects:

• severe stomach or rectal pain
• severe bloating and constipation
• severe nausea and vomiting
• black, bloody or tarry stools
• coughing with blood and vomiting (that looks like coffee grounds)
• signs of allergic reactions such as sneezing, itchy nose, wheezing, itchy and red skin
• stomach irritation and bleeding
• faecal impaction (hard lump of stool causing liquid stool, stomach pain)
• signs of bowel obstruction and perforation such as cramping, severe stomach pain, chills, fever

How To Manage Side Effects

!### Constipation

Try to eat more high-fibre foods such as fresh fruit, vegetables, cereals and
drink plenty of water. Try doing exercise regularly (going for a daily walk or
run). If this does not help, inform your doctor for receiving alternate
managements for constipation.

!### Diarrhea

Drink lot of fluids, such as water to keep yourself hydrated. Try to avoid
taking any medicine on your own to manage diarrhoea and consult your doctor if
the symptom gets worse.

!### Nausea And Vomiting

Stick to simple meals. Avoid eating oily, fried or spicy foods. Do not sleep or
lie down immediately after eating. Consult your doctor if the symptom gets
worse.

!### Tiredness

Drink plenty of fluid and eat balanced diet and frequent meals. Do regular
minimal exercise and follow regular sleep schedule. Consult your doctor if the
symptom does not improve.

Warning & Precautions

!### Pregnancy

Use with CautionKAYCUT POWDER should be used with caution in pregnant women and in women who are
planning to get pregnant. Consult your doctor before taking KAYCUT POWDER.

!### Breastfeeding

Use with CautionKAYCUT POWDER should be used with caution in breastfeeding mothers. Consult your
doctor before taking KAYCUT POWDER.

!### Driving and Using Machines

Use with CautionDo not drive or operate machines if KAYCUT POWDER impairs your ability to drive
or operate machines. Consult your doctor before taking KAYCUT POWDER.

!### Kidney

Use with CautionKAYCUT POWDER should be used with caution in patients with kidney problems such
as renal insufficiency, chronic kidney failure and also in patients undergoing
dialysis. Consult your doctor before taking KAYCUT POWDER.

!### Allergy

ContraindicatedKAYCUT POWDER is not recommended for use if you are allergic or have a history
of allergy to Calcium polystyrene sulfonate, or any other ingredients of this
medicine.

!### Lungs

Use with CautionKAYCUT POWDER should be used with caution in patients with breathing, lung or
chest problems. Consult your doctor before taking KAYCUT POWDER.

!### Heart Disease

Use with CautionKAYCUT POWDER should be used with caution in patients with heart problems.
Consult your doctor before taking KAYCUT POWDER.

!### Use In Pediatrics

Use with CautionKAYCUT POWDER should be used with caution in children and adolescents (below 18
years of age). It should be used with extreme caution when indicated for use in
premature or low birth weight infants. Consult child’s doctor for advice.

!### Use In Geriatrics

Use with CautionKAYCUT POWDER should be used with caution in elderly patients (aged above 65
years). Consult your doctor before taking KAYCUT POWDER.

Others

KAYCUT POWDER is not recommended for use if you have:

• low levels of potassium in the blood
• conditions associated with high blood calcium levels such as hyperparathyroidism (thyroid disease), or multiple myeloma, sarcoidosis or metastatic carcinoma
• obstructive bowel disease

Before taking KAYCUT POWDER, inform your doctor if you:

• have history of intestinal disease or surgery
• are under immunosuppressant therapy
• have severe burns
• have constipation
• have gastroparesis (delayed gastric emptying)
• have low blood volume due to dehydration or bleeding.
• have signs of electrolyte imbalance (condition marked by loss of large amount of body fluids)

Interactions

A. Drug-Drug Interactions:

Before taking KAYCUT POWDER, inform your doctor, if you are taking any of the
following medicines:

• medicines used to manage heart problems (ex. Digitalis)
• medicines used for acid reflux or constipation such as non-absorbable cation-donating antacids and laxatives (ex. magnesium hydroxide, aluminium carbonate)
• medicines used to manage heart burn or pe
• medicines used to manage underactive thyroid (ex. levothyroxine, thyroxine)
• medicines used to manage depression (ex. Lithium)
• calcium (used as a calcium supplement in diet)

B. Drug-Food Interactions:

Avoid taking KAYCUT POWDER with orange juice or other fruit juices that are
known to raise the blood potassium levels.

Overdosage:

If you or anyone else accidentally takes too much of KAYCUT POWDER, consult your
doctor immediately or visit the nearby hospital. Overdosage symptoms of KAYCUT
POWDER are irritability, confusion, muscle weakness, diminished reflexes,
paralysis, inability to concentrate, delayed thought process, breathing
problems, fast/pounding heartbeat, muscle cramps, sleep apnea (serious sleep
disorder) and irregular heartbeat.

Synopsis

Drug	:	Calcium polystyrene sulphonate
Pharmacological Category	:	Ion exchange resins
Therapeutic Indication	:	Hyperkalaemia
Dosage Forms	:	Powder, Sachet

More Information

• Keep the medicine out of reach of children
• Store KAYCUT POWDER at room temperature

FAQs About KAYCUT POWDER

Q: What is KAYCUT POWDER used for?

A: It is used to manage increased potassium levels in blood (hyperkalemia) due
to acute and chronic renal failure that occurs after certain conditions. KAYCUT
POWDER is also used in patients with hyperkalemia associated with anuria, severe
oliguria (condition marked by low urine output) and in patients requiring
dialysis.

Q: What happens if you take more KAYCUT POWDER than your required dose?

A: If you or anyone else accidentally takes too much of KAYCUT POWDER, consult
your doctor immediately or visit the nearby hospital. Overdosage symptoms of
KAYCUT POWDER are irritability, confusion, muscle weakness, diminished reflexes,
paralysis, inability to concentrate, breathing problems, pounding heartbeat, or
muscle cramps.

Q: Who should avoid taking KAYCUT POWDER?

A: KAYCUT POWDER is not recommended for use if you are allergic to calcium
polystyrene sulfonate and in patients with other conditions such as bowel
obstruction or blocked intestine, thyroid problems or high levels of calcium in
your blood such as excessive thirst, frequent urination.

Q: How does KAYCUT POWDER work?

A: KAYCUT POWDER works by releasing calcium ions in the stomach which binds to
hydrogen ions and it gets exchanged with free potassium ions in the large
intestine, that gets eliminated with the faeces along with the excess potassium
ions thereby resulting in reduced potassium levels in the body.

Q: How to take KAYCUT POWDER?

A: Take KAYCUT POWDER as advised by your physician. Avoid using orange juice or
other fruit juices. Your doctor will decide the correct dose of KAYCUT POWDER
and duration for you depending upon your age, body weight and disease condition.

Q: When to stop taking KAYCUT POWDER?

A: Stop taking KAYCUT POWDER and contact your doctor if you experience any of
the serious side effects such as severe stomach or rectal pain, bloating, severe
constipation, severe nausea and vomiting, abnormal stools (black, bloody, or
tarry), coughing with blood, or vomit resembling coffee grounds.

Useful Diagnostic Tests

• C Reactive Protein (CRP)
• Bilirubin Profile
• Kidney Function Test (KFT)
• Liver Function Test (LFT)
• Lipid Profile Test/Cholesterol-Total, Serum
• Lipid Profile-Extended
• Creatinine, Serum
• Uric Acid, Serum
• Albumin, Serum
• Alkaline Phosphatase, Serum
• Hdl Cholesterol Direc