Illustrative image.
Lokelma
sodium zirconium cyclosilicate
$1350.00
10g · 3 × 1 box · 3 months supply
BrandBranded medicine· By Astra Zeneca
$450.00 per month
Strength
How long a supply?
Test mode: no payment is taken. View cart
Annual cost
$5400a year at this pack size
Prescription required
Upload your prescription after ordering, or send it to our pharmacy team. We dispense only against a valid prescription.
5g
10g
About Lokelma
Overview
Lokelma contains sodium zirconium cyclosilicate, a potassium binder used to treat hyperkalemia (high blood potassium) in adults. It binds potassium in the digestive tract so more potassium leaves the body in stool, lowering potassium levels in the blood. Lokelma should not be used as an emergency treatment for life-threatening hyperkalemia because it does not act quickly enough.
What it treats
- Hyperkalemia (high blood potassium) in adults. Not for emergency treatment of life-threatening hyperkalemia because it has a delayed onset of action.
Safety information
Side effects
The most common side effect is mild to moderate edema (swelling). Other important risks include gastrointestinal problems in people with conditions that affect movement through the stomach or intestines, and low blood potassium in people receiving hemodialysis. Contact your doctor if you develop swelling or gastrointestinal problems, or if you are told your blood potassium is low.
When to call your doctor
If symptoms are severe or getting worse quickly, seek emergency care rather than waiting.
Before taking this medicine
The FDA label lists no contraindications for Lokelma. Caution is needed in people with gastrointestinal motility disorders (problems with movement through the stomach or bowel), because of the risk of gastrointestinal adverse effects. Other warnings include edema (swelling caused by fluid buildup) and hypokalemia (low blood potassium) in people receiving hemodialysis. Lokelma may appear like an imaging agent on abdominal X-rays because it blocks X-rays.
Interactions
Lokelma can temporarily make the stomach less acidic, changing how some medicines taken by mouth are absorbed. This may affect how well they work or their safety. In general, other oral medicines should be taken at least 2 hours before or 2 hours after Lokelma. Spacing is not needed if your doctor has confirmed that a medicine’s absorption is not affected by changes in stomach acidity. Tell your doctor if you take furosemide, atorvastatin, dabigatran or tacrolimus. In studies, taking these medicines at the same time as Lokelma increased exposure to furosemide and atorvastatin and decreased exposure to dabigatran and tacrolimus.
Using Lokelma
Dosing
Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.
Storage
Store below 25°C in a dry place, in the original sachet until you use it, away from direct light and moisture. Keep all medicines out of the sight and reach of children.
Clinical information on this page is summarised from the US FDA label LOKELMA (SODIUM ZIRCONIUM CYCLOSILICATE) POWDER, FOR SUSPENSION [A-S MEDICATION SOLUTIONS] (DailyMed, retrieved 19 September 2026).
Reviews
No reviews yet. Mail Order Drugs opened recently, and we publish reviews only from verified customers of this site, so this space stays empty until real ones arrive.
- Every prescription order is checked by a licensed pharmacist before dispensing.
- Payment pages are encrypted and card details never reach our servers.
- We ship internationally, with cold-chain packing where a medicine needs it.
Related medicines
Zokinvy
Lonafarnib
By Sentynl Therapeutics
Capsules · from 30 per pack
Also for metabolic disorders
Brand from $40,895.00
Elaprase
Idursulfase
By Takeda
Pack · from 6 per pack
Also for metabolic disorders
Brand $4,920.00
Oxlumo
Lumasiran
By Alnylam
Vial · from 1 per pack
Also for metabolic disorders
Brand $100,890.00
Strensiq
Asfotase Alfa
By Alexion Pharmaceuticals
Vial · from 12 per pack
Also for metabolic disorders
Brand from $22,790.00