Patients who are allergic to Simer and who have low levels of phosphate in blood should avoid taking Simer. Additionally, patients having intestinal obstruction should also avoid using Simer.

A common side effect of Simer is constipation, though it does not occur in everyone. The other common side effects of stomach and intestine include diarrhea, indigestion, flatulence, and pain in abdomen. Immediately consult your doctor if these side effects become severe and disturb you.

Yes, serum phosphate levels should be monitored regularly while you are taking Simer. Also, the use of Simer may decrease the levels of vitamin D, A, E, K, and folic acid and hence the levels need to be monitored during the treatment.

Yes, Simer can be taken with food. It is recommended to take 1-2 tablets (based on individual needs) thrice daily. It is important to take it with meals because Simer works by binding to phosphate from food. Take it exactly as advised by your doctor.

Ciprofloxacin may interfere with the working of Simer and therefore it should not be taken at the same time as Simer. However, if taken together then a gap of at least 2 hours before or 6 hours after taking Simer should be maintained.

No, you should not crush, chew, or break Simer into pieces. You should swallow it as a whole with water.

Continue taking Simer as long as recommended by your doctor. Simer lowers your dietary phosphate levels but does not cure your disease. Hence, you may have to take it life long, as stopping Simer may result in an increase in your phosphate levels.

It is important to take Simer as patients undergoing dialysis cannot control the phosphate levels in their blood, especially after a meal. When the level of phosphate exceeds above the range in the blood, it may cause problems such as itchy skin, red eyes, high blood pressure, bone pain, and also increase the risk of fractures. These increased serum phosphate levels are reduced by Simer, as it binds phosphate from food in the digestive tract.