Table 1.
Sodium polystyrene sulfonate (SPS) | Sodium zirconium cyclosilicate | Patiromer | |
---|---|---|---|
FDA approval | Approved | Still pending | Approved in adults |
Mechanism of action | Nonspecific sodium-cation exchange resin | Selective potassium cation binding agent | Calcium based cation exchange resin |
Adverse effects | Colon necrosis, GI disturbances, hypokalemia, hypomagnesemia, hypocalcemia, metabolic alkalosis | GI disturbances, hypokalemia | GI disturbances, hypokalemia, hypercalcemia, hypomagnesemia |