Please note: a valid prescription is required for all prescription medication.
Lokelma® Powder for Hyperkalemia
Buy More, Save More: Get 20% off when you buy 3 or more of any one product using code LESS20 at checkout.
Applies to all products originating from Canada. Maximum allowable quantity equal to a 90-day supply per single order.
Black Friday Bonus: Enjoy free standard shipping on all orders over $250.
Offer can be combined with the 20% “Buy More, Save More” discount. Enter each coupon code separately at checkout to claim your offers. Offer ends December 5, 2025.
Price range: $117.99 through $604.99
Secure Encrypted Payments
Lokelma® is a prescription potassium binder for adults with high potassium. It helps remove excess potassium through the gut and supports safer levels. You can order with US shipping from Canada, including options for Lokelma without insurance, and compare choices here.
What Lokelma Is and How It Works
Lokelma® contains sodium zirconium cyclosilicate, a non-absorbed compound that captures potassium in the intestines. By exchanging sodium and hydrogen for potassium, it reduces serum potassium over time. This medicine is mixed in water and taken by mouth as a suspension.
Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
The active ingredient’s structure allows it to preferentially trap potassium in the gastrointestinal tract. As bound potassium moves through the bowel, less returns to the bloodstream. Clinical guidance supports its role in ongoing management after your clinician identifies elevated levels and potential causes.
Who It’s For
This treatment is used for adults who need help lowering potassium levels. It may be considered in chronic kidney disease, heart failure, or when certain medicines raise potassium. The therapy can be part of a broader plan that includes diet and monitoring.
People with bowel obstruction should not use this medicine. Those with severe constipation, significant fluid retention, or heart failure should discuss risks and monitoring plans with a prescriber. Tell your clinician about all medicines and supplements you take, including salt substitutes containing potassium.
Dosage and Usage
Follow the official label and your prescriber’s directions. Typical initiation uses multiple doses over the first 48 hours, followed by a maintenance schedule that may be adjusted based on blood tests. Do not change your regimen on your own.
Stir the full packet contents in water only. Mix well and drink immediately; if powder remains in the glass, add water, stir, and drink again. Do not heat, and do not take the powder dry. This medicine can be administered with or without food.
Separate other oral medicines by at least 2 hours before or after to reduce binding interactions. For specific instructions that fit your situation, the safest approach is to follow the approved prescribing information and your clinician’s advice. If you are unsure about your timing, ask your healthcare professional before making changes.
For clarity and adherence, some patients find reminders or a simple dosing log helpful. If you need an overview of how to take it, review label steps or ask your pharmacist for a quick walkthrough on mixing and timing that fits your day.
For search clarity: Lokelma how to take.
Strengths and Forms
Single-use packets for oral suspension are commonly available. The product is supplied as powder to be mixed in water just before drinking. Availability can vary by supplier.
- Lokelma 10 g powder packets
- Also available as 5 g packets for flexible dosing
Only mix in water. Do not combine with other liquids or medications in the same glass. Your prescriber will choose a dose that aligns with your lab results and overall plan.
Missed Dose and Timing
If you miss a dose, take the next scheduled dose as directed. Do not double doses to make up for a missed one. If you realize a dose was missed near the time of your next dose, resume your regular schedule and contact your prescriber if you have questions about temporary adjustments.
The medicine can be taken with food or between meals. Maintain the 2-hour separation from other oral medicines to help avoid unwanted binding in the gut.
Storage and Travel Basics
Store unopened packets at room temperature in a dry place. Keep them in their original packaging until use. Protect from moisture and keep out of reach of children and pets.
For travel, carry packets in hand luggage with a copy of your prescription. Pack a small cup or bottle for mixing, and clean water for suspension. Maintain your usual schedule across time zones by discussing a plan with your clinician before you depart. If you will be away longer than expected, confirm you have enough packets, and consider bringing an extra few days of supply.
Do not refrigerate or freeze packets. Avoid bathrooms or humid environments. Discard any packet that is damaged or exposed to water. If your itinerary includes security checks, keep the pharmacy label accessible to explain the medicine when needed.
Benefits
This therapy helps lower high potassium by binding it in the gut. It is not absorbed into the bloodstream. Packets are portable and simple to mix with water, which supports consistency. The approach can be combined with diet guidance and close lab monitoring to track progress and safety.
Many patients value that this treatment may fit alongside other chronic therapies. Your prescriber will decide how it complements other steps in your care plan.
Side Effects and Safety
Common effects can include mild gastrointestinal discomfort, swelling in the legs or feet, or changes in bowel habits such as constipation. Headache or nausea may occur. Not everyone experiences these effects, and many are manageable.
Serious reactions are uncommon but can include severe constipation, bowel obstruction, or significant fluid retention. Hypokalemia is possible if potassium becomes too low. Get medical help for signs of allergic reaction such as hives, trouble breathing, or swelling of the face, lips, or throat. For search clarity: Lokelma side effects.
Drug Interactions and Cautions
This medicine may bind other oral medicines in the gut. Separate other oral drugs by at least 2 hours before or after. Ask your pharmacist about timing for sensitive medicines such as thyroid replacement, certain antibiotics, or seizure medicines.
The treatment contains sodium, which can contribute to fluid retention and edema. Patients with heart failure, uncontrolled hypertension, or on salt-restricted diets should review risks and monitoring with their prescriber. For search clarity: Lokelma sodium content.
Drugs affecting potassium balance need careful consideration. ACE inhibitors such as Perindopril, potassium-sparing diuretics like Spironolactone, and potassium products such as Potassium Chloride or Potassium Citrate can raise potassium and may require monitoring or adjustments. Learn more about this class in our quick guide to ACE Inhibitors. Do not stop or start any medicine without professional guidance.
What to Expect Over Time
Your clinician will schedule lab tests to follow potassium trends. The binder may reduce elevated values and help maintain a safer range with regular use. Individual responses vary based on kidney function, diet, and interacting medicines. Keep scheduled labs and report symptoms such as muscle weakness, palpitations, or swelling.
Consistency matters. Mixing and taking doses at the same times each day can support smoother changes. If your potassium target is reached, your prescriber may adjust the dose or frequency according to the label and your results.
Compare With Alternatives
Another approved oral binder is Veltassa (patiromer), which also works in the gut but has different interaction and electrolyte considerations. Older resins may be used in some settings at a clinician’s discretion, though tolerability and use cases differ.
Choice depends on your clinical scenario, concurrent medicines, and your prescriber’s judgment. Review pros and cons of each option during your visit, and consider how dosing schedules fit your routine.
Pricing and Access
Compare options and see Lokelma Canadian pricing alongside helpful guidance for U.S. patients. We offer US delivery from Canada with transparent information to help you and your prescriber plan refills.
If you are looking for ways to save, check our site Promotions page for current offers when available. Savings may vary by dose and quantity. For search clarity: sodium zirconium cyclosilicate price.
Secure checkout uses encrypted processing and supports simple reorders when your prescription is on file. You can browse related therapies in the Hyperkalemia category and discuss options with your clinician.
Availability and Substitutions
Supply can vary. If a specific packet size is unavailable, your prescriber may recommend an alternative or a temporary adjustment consistent with the label. We do not guarantee restock dates. Your pharmacist and prescriber will confirm the best path forward based on your lab results and medical history.
Patient Suitability and Cost-Saving Tips
This therapy may suit adults who need non-systemic potassium reduction and can follow mixing and timing steps. It may not be appropriate for people with bowel obstruction, severe constipation, or significant, uncontrolled edema. Patients on sodium-restricted diets should review the plan in detail.
To reduce overall costs, consider multi-month fills if your prescriber is comfortable with a stable dose. Set refill reminders aligned with your lab schedule to avoid gaps. Travel with enough packets and a copy of your prescription. If affordability is a concern, ask your clinician about comparable options and check site updates for seasonal offers.
Questions to Ask Your Clinician
- Appropriate role: how this binder supports my potassium plan
- Target range: how often to check potassium and adjust
- Timing rules: spacing from my other oral medicines
- Diet guidance: potassium intake and salt substitutes
- Safety watch: signs of edema or low potassium
- Travel steps: mixing on the go and packing needs
- Alternatives: when to consider another binder
Authoritative Sources
Lokelma Prescribing Information (Manufacturer)
Health Canada Drug Product Database
Ready to get started? Place your order today for prompt, express shipping, and we will coordinate with your prescriber as required. Our content is educational and does not replace professional medical advice.
Express Shipping - from $25.00
Shipping with this method takes 3-5 days
Prices:
- Dry-Packed Products $25.00
- Cold-Packed Products $35.00
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
Standard Shipping - $15.00
Shipping with this method takes 5-10 days
Prices:
- Dry-Packed Products $15.00
- Not available for Cold-Packed products
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
How fast does this medicine start working?
The onset can be relatively quick, because the binder acts in the gut rather than requiring absorption into the bloodstream. Many patients see improvement as their clinician monitors levels after initiation, though the timing and degree of change vary by baseline potassium, kidney function, diet, and interacting medicines. Your prescriber will schedule labs and may adjust your plan according to the approved label and your latest results. Avoid self-adjusting doses without guidance.
Can I take it with meals or other drinks?
You can take Lokelma with food or between meals. Mix only in water and drink immediately after stirring well. If powder remains, add water, stir, and drink again. Do not heat or take the powder dry. To help prevent binding of other oral medicines, separate them by at least 2 hours before or after your dose. Ask your pharmacist if you are unsure about timing for a specific medicine.
What should I know about sodium and swelling?
This binder contains sodium, which can contribute to edema or fluid retention. People with heart failure, uncontrolled hypertension, or on sodium-restricted diets should review risks and monitoring plans with their prescriber. Report swelling in the legs or sudden weight changes. Your clinician may adjust diet, diuretics, or the binder schedule to balance potassium control and fluid status based on lab results and symptoms.
How does it compare with other potassium binders?
This therapy and Veltassa both bind potassium in the gut, but they differ in specific interaction profiles and electrolyte effects. Choice depends on your medical history, concurrent medicines, dosing preferences, and lab monitoring plans. Your prescriber can explain which option aligns with your situation. If one product is not a fit, another binder or a modified plan may be considered based on response and tolerability.
What if I miss a dose?
Take the next scheduled dose and continue your usual plan. Do not double doses to catch up. If your initiation schedule includes several doses close together, contact your clinician for advice on whether to skip or shift the next dose. Consistent timing and separation from other oral medicines help maintain effectiveness and reduce interactions.
Will it affect my other medications?
Because it works by binding in the gut, it can attach to some oral medicines if taken too close together. Separate other oral drugs by at least 2 hours before or after your binder dose. This spacing helps limit unwanted binding and supports reliable absorption of other therapies. Your pharmacist can suggest a daily schedule that minimizes conflicts with sensitive medications.
Any tips for travel and storage?
Keep packets dry at room temperature and carry them in your hand luggage with a copy of your prescription. Pack a small cup or bottle for mixing and make sure you have safe drinking water. Avoid bathrooms or humid environments. Plan for time zone changes by confirming a dosing schedule with your clinician before you leave. Bring a few extra packets in case your trip lasts longer than expected.
Rewards Program
Earn points on birthdays, product orders, reviews, friend referrals, and more! Enjoy your medication at unparalleled discounts while reaping rewards for every step you take with us.
You can read more about rewards here.
POINT VALUE
How to earn points
- 1Create an account and start earning.
- 2Earn points every time you shop or perform certain actions.
- 3Redeem points for exclusive discounts.
How to book an appointment
- 1Create Begin by completing a profile or log into your existing account. This step ensures we have the necessary information to provide you with a service that's tailored to your needs. account and start earning.
- 2Scheduling an appointment with our online booking system is easy. Pick a day and time that suits you. You’ll receive an immediate confirmation, without the wait.
- 3Discuss your concerns and symptoms and receive a thorough diagnosis from one of our licensed doctors during a confidential video appointment.
- 4If you've been prescribed medication, your Rx is sent directly to one of our licensed pharmacies and delivered right to your door.
Get Started
To book an online doctor appointment, register for an account or login. After doing so, you can book your visit on this page.

