Tums, Calcium Carbonate, Phos-Lo, and Alucaps are some trade names for phosphate binders.

These pills bind the phosphorus in the foods you eat, reducing the amount of phosphorus that enters your blood. It is important to take your "binders" when you eat. If you forget to take them or skip a meal, it may be difficult to get your full binder dose. Check with your dietitian, doctor, nurse, or pharmacist to work out a "binder plan" that you can follow. Equally important are: (1) the total amount of binders taken each day and (2) taking them when you eat.

If you have trouble taking your binders, check the following helpful tips you might try:

• Each morning take out the number of binders you need that day. Put them in a small container like an empty pill bottle and carry this with you. At the end of the day it should be empty

• Carry a spare bottle of binders in your car. When you travel, they are always close at hand.

• If you have trouble swallowing your binders or dislike the type you are taking, check with your doctor or pharmacist about a change. There are many types of binders, including liquids, powders, or chewable tablet forms.

• Constipation may be a side effect of your phosphate binders. If this is a problem, ask your dietitian for information on controlling constipation.

When your phosphorus remains high, there are several things you can do to bring it down to normal. Check the suggestions you will try.