ThrivingPets Aluminum Hydroxide Fine Powder 15g Jar
Aluminum Hydroxide is a phosphorus binder that is used to reduce phosphorus levels in cats and dogs with renal failure.
ThrivingPets Aluminum Hydroxide is a phosphorus binder for cats and dogs with renal failure. This product is odorless and tasteless- making it a great choice to mix into food or administer with a treat. ThrivingPets Aluminum Hydroxide powder is the most popular form of this medication and currently has an expiration of 6/30/25. The technical name of ThrivingPets Aluminum Hydroxide Powder is Dried Aluminum Hydroxide Gel Powder. Returns of ThrivingPets Aluminum Hydroxide Powder are prohibited by law.
Aluminum Hydroxide should be administered with food. This is a dose-to-effect medication. Aluminum Hydroxide powder contains a minimum of 1,200 mg of Aluminum Hydroxide per teaspoon. There are approximately 6 teaspoons of powder in the 15 gram jar. For dosing recommendations, please see Dr. Larry Nagode's dosing recommendations.
For wet food: Place the food in the serving bowl, add the ThrivingPets Aluminum Hydroxide Powder to the food, add water equal to 3 times the amount of the powder, mix thoroughly, and let the food sit for at least 15 minutes before serving. The water and letting the food sit are to help the powder hydrate and the particles to break down so your pet can't detect the powder in the food.
For dry food: Place the daily amount of food and ThrivingPets Aluminum Hydroxide Powder into a ziplock bag and shake well. Let sit for at least 4 hours to allow the powder to absorb into the oil in the food.
Why ThrivingPets Aluminum Hydroxide?
ThrivingPets Aluminum Hydroxide Powder is the highest quality, most potent, and safest product on the market. ThrivingPets Aluminum Hydroxide Powder contains minimum 1,200 mg per teaspoon- the highest concentration available. Other products in the marketplace contain only 1,000mg per teaspoon. With ThrivingPets Aluminum Hydroxide Powder you administer less powder, save money, and can be confident in the purity and safety of our binder compared to Phos-Bind.
A 2001 study by Peter Markewell (BSc, BVetMed, MRCVS) for the Waltham Centre for Pet Nutrition found that "...using a phosphate- and protein-restricted diet, in combination with oral phosphorus-binding agents in those cats in which control of hyperphosphatemia [high phosphorus] and RHPTH [renal secondary hyperparathyroidism] was not achieved by diet alone, resulted in more than doubling of average survival time from the commencement of treatment."
As Prescribers' Digital Reference mentions, products containing citrate may increase the absorption of aluminium, which could increase the risk of aluminium toxicity (though apparently these findings have not been replicated in cats). The most commonly used citrate-containing products in CKD cats are potassium citrate (perhaps to treat metabolic acidosis), and many therapeutic kidney diets.
If you are using potassium citrate, give this at least two hours apart from aluminium-based binders.
Chronic kidney disease (CKD) in dogs and cats — staging and management strategies (2015) Chew D A Presentation to the Virginia Veterinary Medical Association 2015 Virginia Veterinary Conference says "Due to varying effects of intestinal phosphate binders to limit absorption of drugs, it is advisable to give other drugs 1 hour before or 3 hours after any intestinal phosphate binder is given."
The following specific interactions are noted:
According to Plumb's Veterinary Drug Handbook, aluminium hydroxide should be given two hours apart from enrofloxacin (Baytril), an antibiotic. It is probably wise to keep aluminium hydroxide away from antibiotics generally, particularly those in the same family as Baytril (this includes marbofloxacin (Zeniquin).
Plumb's also recommends separating aluminium hydroxide from corticosteroids.
Aluminium hydroxide should ideally be given separately from oral iron supplements because the aluminium hydroxide may reduce the absorption of the iron.
Plumb's Veterinary Drug Handbook also advises giving aluminium hydroxide two hours apart from famotidine (Pepcid AC), which is used to treat excess stomach acid, because it may interfere with the absorption of the treatment, which would make it less effective. However, RX Med states that "concomitant use of aluminum hydroxide/magnesium hydroxide at commonly used doses, does not influence the pharmacodynamics or bioavailability of Pepcid AC." I would try to err on the side of caution and still separate famotidine from phosphorus binders and ACE inhibitors if you can, but if this is difficult for you, e.g. because of work commitments, just do the best you can.
Shipping & Returns
Delivery & Return
The cutoff time for same day shipping is 2:00 pm mountain time each day.
We work hard to keep shipping affordable by providing a variety of options, extending to you our volume-discounted shipping rates, and charging a modest handling fee of $1/order to cover packaging and handling.
USPS First Class Mail, when available, will generally provide you with the best value. First Class Mail is an air service and is very reasonably priced. Please note that the Postal Service does not guarantee delivery times for First Class Mail but estimates 2-5 delivery days.
Your satisfaction is our first priority. If you aren't 100% satisfied with your purchase, you may return the items you ordered at any time up to 30 days from the date of purchase.
The cost of return shipping is the purchaser's responsibility.
We cannot accept returns or exchanges on prescription products by law. ThrivingPets will be happy to replace any medication you received that is incorrect or damaged. We may provide a refund or credit toward a future order on a case-by-case basis.
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ThrivingPets is a US pet medication supplier serving pet families since 2006. We’re your home for all the veterinary medications and supplies you need. We compound medications and supply over the counter and prescription medications and medical supplies straight to your home. We have everything your pet needs at amazing prices, every day. And with AutoShip & Save, we are making it even easier to help your pet thrive with convenient, automatic deliveries. Depend on ThrivingPets for the most reliable and up-to-date information on chronic conditions, a full range of products for your pet in stock and ready to ship, and the best value on every medication your pet needs. We love pets and we love to see them thrive.