Regulatory PathRegulatory requirements compared

Active substance

Sodium zirconium cyclosilicate

Open in the medicines table

SFDA Saudi Arabia — SFDA human drug list

Trade nameStrengthForm · routePackPublic priceTypeCompanyStatus
Lokelma5 gPowder for oral suspension · Oral use30 SachetSAR 1057.40NCE · PrescriptionAstraZeneca ABValid
Lokelma10 gPowder for oral suspension · Oral use30 SachetSAR 1500.85NCE · PrescriptionAstraZeneca ABValid
Indications — CHI Daman Drug Formulary

HYPERKALEMIA

US FDA United States — FDA approvals (Drugs@FDA)

ProductStrengthForm · routeApplicantStatusFirst approved
LOKELMA5GM/PACKET; 10GM/PACKETfor suspension · oralASTRAZENECAPrescription18 May 2018
SODIUM ZIRCONIUM CYCLOSILICATE5GM/PACKET; 10GM/PACKETfor suspension · oralLUPINPrescription7 Aug 2026

EMA European Union — centrally authorised medicines

Lokelma AstraZeneca AB · Authorised · authorised 22 Mar 2018 · ATC V03AE10

Therapeutic indication (EMA)

Lokelma is indicated for the treatment of hyperkalaemia in adult patients.

Canada Canada — marketed products (Health Canada)

BrandDINStrengthForm · routeCompany
LOKELMA024907145 G / SACHETPOWDER FOR SUSPENSION · ORALASTRAZENECA CANADA INC
LOKELMA0249072210 G / SACHETPOWDER FOR SUSPENSION · ORALASTRAZENECA CANADA INC

Prices — United States and England

SourceProduct as listedPriceUnit / packDate
US NADACLOKELMA 10 GRAM POWDER PACKET$28.33002per EA23 Sep 2026
US NADACLOKELMA 5 GRAM POWDER PACKET$28.36158per EA23 Sep 2026
NHS Drug TariffSodium zirconium cyclosilicate 10g oral powder sachets£31.203 sachet1 Oct 2026
NHS Drug TariffSodium zirconium cyclosilicate 10g oral powder sachets£312.0030 sachet1 Oct 2026
NHS Drug TariffSodium zirconium cyclosilicate 5g oral powder sachets£156.0030 sachet1 Oct 2026

NADAC: average price US retail pharmacies pay to buy the medicine. NHS Drug Tariff Part VIIIA: basic price reimbursed to pharmacies in England and Wales.

Safety signals and safety-related labeling changes

All safety entries for sodium zirconium cyclosilicate →

Values as published by each source: SFDA human drug list (4-2026, as published by the Council of Health Insurance; indications from the CHI Daman Drug Formulary), Drugs@FDA, EMA medicines data, Health Canada Drug Product Database (Open Government Licence – Canada), CMS NADAC, NHS Drug Tariff Part VIIIA (NHSBSA Copyright, Open Government Licence v3.0), WHO Model List of Essential Medicines (CC BY 3.0 IGO; regrouped by active substance, not created by WHO), EMA PRAC, US FDA safety-related labeling changes and MHRA Drug Safety Update (Open Government Licence v3.0). Sources and reuse. Not a substitute for the official registers or the product information.