磷水能否與母奶和配方奶同時服用？真相大揭秘-兒科

裴仁生 醫師回覆-兒科

您好: 根據資料顯示; 磷水儘量不要和含鈣的食物併用, 以免發生鈣磷沉澱, 影響吸收。
下表中最後一行也是有如是提醒。
健康快樂!仁生 謹上Neutral PhosphateSupply: 每包藥粉含NaH2PO4．H2O 17.5g及Na2HPO4 28g;每包共含元素磷10g (in 500mL dist water：磷 20 mg / mL)鈉 38.23g (in 500mL dist water：鈉76.5 mg / mL)Description: Neutral Phosphate is an agent for oral phosphate supplementation in hypophosphatemia therapy.Pharmacokinetics: Bioavailibility: ~1% to 20%Indication: 低磷性佝僂症、補充磷Dosage and Administration:Phosphate depletion: oral,0.5 ~ 1 g elemental phosphorus 2-3 times/day (25 ~50 mL bid~ tid)Hypophosphatemic rickets: oral,1 ~ 4 g elemental phosphorus per day in divided dosesAdverse drug reaction: edema, hypotension; dizziness; headache; calcium phosphate precipitation; hypernatremia; hyperphosphatemia; hypocalcemia; abdominal bloating; abdominal pain; diarrhea; mucosal bleeding; nausea; superficial mucosal ulcerations; vomiting; acute renal failureContraindications: Contraindicated use in patient with acute colitis, acute phosphate nephropathy (biopsy proven), bowel obstruction, bowel perforation, congenital megacolon, gastric retention, hypomotility syndromes, ileus, pseudo-obstruction, severe chronic constipation, toxic megacolon, unstable anginaNote:1) 每包Neutral Phosphate請以500ml溫開水沖泡溶解; 再依照醫囑劑量及服法服用。
2) 1 mmol phosphate = 31 mg phosphorus; 1 mg phosphorus = 0.031 mmol phosphate3) 請與antacids、calcium salts 、iron salts、 magnesium salts、Sucralfate、 Bisphosphonate derivatives分開使用以免降低磷的吸收