Acosev 400mg Tablet

Reviewed By Dr. Sachin Gupta, MD Pharmacology, MBBS

Last updated on 19 Jan 2026 | 11:11 AM (IST)

Acosev 400mg Tablet is used to treat increased phosphate levels in the blood. It is used in patients who are on dialysis due to severe kidney disease. It inhibits the absorption of phosphate from the intestine and lowers the phosphate levels in the blood.

Genuine

Authenticity Assured

Prescription

required

₹195 MRP ₹215.6310% off

Acosev 400mg Tablet is currently sold out

Same composition alternative:

Phosgood 400mg Tablet

₹256~~₹328~~

Available alternative from Top Brand

Sold out

Acosev 400mg Tablet

strip of 10 tablets

₹195

~~₹215.63~~

Same composition

Phosgood 400mg Tablet

strip of 10 tablets

Sevelamer (400mg)

by Morepen Laboratories Ltd

Get by 11pm

₹256

₹21.8 per tablet

₹218

order for

₹1200

Save more with additional offers

Pay with Amazon Pay Balance and get cashback up to Rs. 100 with minimum cashback of Rs. 20

Earn cashback up to Rs. 100 with Amazon Pay Later

Assured cashback up to ₹300 on minimum payment of ₹300 using Paytm UPI*

Save more with additional offers

Pay with Amazon Pay Balance and get cashback up to Rs. 100 with minimum cashback of Rs. 20

Earn cashback up to Rs. 100 with Amazon Pay Later

Assured cashback up to ₹300 on minimum payment of ₹300 using Paytm UPI*

10% cashback up to 200 on Min Transaction of Rs.1000, for first time users of Airtel Payments Bank.

Get cashback up to ₹500

Get upto Rs.500 Cashback on minimum transaction of Rs.999/- with Mobikwik Wallet.

Get upto Rs.150 Cashback

General Information

Contains

Sevelamer (400mg)

Marketer

Accord Pharmaceuticals

Storage

Store below 30°C

The content is shown in English

Product introduction

Acosev 400mg Tablet should be taken with food. Take it in the dose and duration as advised by your doctor. Take it regularly and at a fixed time each day to get the maximum benefit of the medicine.

Acosev 400mg Tablet may cause side effects such as nausea, vomiting, abdominal pain, constipation, and diarrhea. You may also develop low levels of calcium, folic acid, and vitamins A, D, E, and K in your blood. Take necessary supplements as advised by your doctor.

Uses of Acosev Tablet

High phosphate levels in blood

Benefits of Acosev Tablet

High phosphate levels in blood
Acosev 400mg Tablet is used to manage high phosphate levels in the blood, especially in people with chronic kidney disease on dialysis. It helps control phosphate buildup, which supports healthy bones and prevents problems like bone pain, itching, and complications related to the heart and blood vessels.

Side effects of Acosev Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Acosev

Abdominal pain
Diarrhea
Flatulence
Nausea
Vomiting
Constipation

How to use Acosev Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Acosev 400mg Tablet should be taken with or after food.

How Acosev Tablet works

Acosev 400mg Tablet inhibits the absorption of phosphate from the intestine and lower the phosphate levels in the blood.

All substitutes for Acosev 400mg Tablet

For information purposes only. Consult a doctor before taking any medicine.

Quick tips

Acosev 400mg Tablet is used to control blood phosphate level in patients that are on dialysis treatment.
You must take it with food and stick to the diet prescribed by your doctor.
You may develop low levels of calcium, folic acid, and vitamins A,D,E, and K in your blood. Your doctor may prescribe supplements, if necessary.
Avoid taking any other medicine 1 hour before or 3 hours after taking Acosev 400mg Tablet.
Inform your doctor if you have nausea, vomiting, constipation, pain in the abdomen, or if you have undergone any major stomach surgery.

Safety advice

Alcohol

CONSULT YOUR DOCTOR

It is not known whether it is safe to consume alcohol with Acosev 400mg Tablet. Please consult your doctor.

Pregnancy

CONSULT YOUR DOCTOR

Acosev 400mg Tablet is not recommended during pregnancy as there is positive evidence of fetal risk based on animal studies. However, it may still be prescribed by a doctor in situations where the benefits outweigh the risks.

Breast feeding

CONSULT YOUR DOCTOR

Acosev 400mg Tablet may be unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby. It should be used only if the expected benefit outweighs the potential risk. Please consult your doctor.

Driving

SAFE

Acosev 400mg Tablet does not usually affect your ability to drive.

Kidney

CONSULT YOUR DOCTOR

There is limited data available on the use of Acosev 400mg Tablet in patients with kidney disease. Please consult your doctor.

Liver

SAFE IF PRESCRIBED

Acosev 400mg Tablet is probably safe to use in patients with liver disease. Limited data suggest dose adjustment may not be needed.

Interaction with drugs

Taking Acosev with any of the following medicines can modify the effect of either of them and cause some undesirable side effects

Moderate

Ofloxacin (Oral Route)

To take Ofloxacin, ensure a gap of at least 1 hour before and 3 hours after taking Sevelamer. Sevelamer may reduce blood levels of Ofloxacin.

Moderate

Sparfloxacin (Oral Route)

To take Sparfloxacin, ensure a gap of at least 1 hour before and 3 hours after taking Sevelamer. Sevelamer may reduce blood levels of Sparfloxacin.

Moderate

Norfloxacin (Oral Route)

To take Norfloxacin, ensure a gap of at least 1 hour before and 3 hours after taking Sevelamer. Sevelamer may reduce blood levels of Norfloxacin.

Moderate

Levofloxacin (Oral Route)

To take Levofloxacin, ensure a gap of at least 1 hour before and 3 hours after taking Sevelamer. Sevelamer may reduce blood levels of Levofloxacin.

Moderate

Ciprofloxacin (Oral Route)

To take Ciprofloxacin, ensure a gap of at least 1 hour before and 6 hours after taking Sevelamer. Sevelamer may reduce blood levels of Ciprofloxacin.

Frequently asked questions

Is Acosev 400mg Tablet taken with food?

Yes, Acosev 400mg Tablet 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 Acosev 400mg Tablet works by binding to phosphate from food. Take it exactly as advised by your doctor.

Can Acosev 400mg Tablet be crushed?

No, you should not crush, chew, or break Acosev 400mg Tablet into pieces. You should swallow it as a whole with water.

Why is it important for me to take Acosev 400mg Tablet?

It is important to take Acosev 400mg Tablet 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 Acosev 400mg Tablet, as it binds phosphate from food in the digestive tract.

Does Acosev 400mg Tablet cause constipation?

A common side effect of Acosev 400mg Tablet is constipation, though it does not occur in everyone. The other common side effects of the stomach and intestine include diarrhea, indigestion, flatulence, and pain in the abdomen. Immediately consult your doctor if these side effects become severe and disturb you.

Who should not take Acosev 400mg Tablet?

Patients who are allergic to Acosev 400mg Tablet and who have low levels of phosphate in blood should avoid taking Acosev 400mg Tablet. Additionally, patients having intestinal obstruction should also avoid using Acosev 400mg Tablet.

Can I take ciprofloxacin while I am taking Acosev 400mg Tablet?

Ciprofloxacin may interfere with the working of Acosev 400mg Tablet and therefore it should not be taken at the same time as Acosev 400mg Tablet. However, if taken together then a gap of at least 2 hours before or 6 hours after taking Acosev 400mg Tablet should be maintained.

How long do I need to take Acosev 400mg Tablet?

Continue taking Acosev 400mg Tablet as long as recommended by your doctor. Acosev 400mg Tablet lowers your dietary phosphate levels but does not cure your disease. Hence, you may have to take it lifelong, as stopping Acosev 400mg Tablet may increase your phosphate levels.

Do I need to have any tests while taking Acosev 400mg Tablet?

Yes, serum phosphate levels should be monitored regularly while you are taking Acosev 400mg Tablet. Also, the use of Acosev 400mg Tablet may decrease the levels of vitamin D, A, E, K, and folic acid and hence the levels need to be monitored during the treatment.

Fact Box

Chemical Class

Epoxides

Habit Forming

Therapeutic Class

BLOOD RELATED

Action Class

Phosphorus Binders

Related lab tests

Calcium

Phosphorus, Serum

Phosphorus, Urine

References

Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. p. 1259.
Sevelamer hydrochloride. Guildford, Surrey: SANOFI; 2000 [revised 20 Dec. 2018]. [Accessed 30 Jan. 2019] (online) Available from:
Sevelamer. Cambridge, USA: Genzyme Corporation; 1998. [Accessed 6 Apr. 2019] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 6 Apr. 2019] (online) Available from:
Sevelamer Carbonate [Product Information]. Ahmedabad, Gujarat: La Renon. [Accessed 06 Aug. 2023]. (online) Available from:
National Center for Biotechnology Information. PubChem Compound Summary for , Sevelamer. [Accessed 06 Aug. 2023]. (online) Available from:

Want to know more

We provide you with authentic, trustworthy and relevant information

Have issue with the content

Disclaimer

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

Marketer details

Name: Accord Pharmaceuticals
Address: 9B, 1st Floor, Chanayak Complex, Opp Murlidhar Society, Odhav, Ahmedabad.

Vendor Details

Country of origin: India

Lab tests offered by us

Why we need a prescription?

Provide right medicines

Prescriptions are complex documents. We proof read and recheck at various steps to provide you the right medication in the correct form and dose

In accordance with the law

Most medicines cannot be sold without a valid prescription, as per the Drugs and Cosmetics Act, 1940 and Rules, 1945

Acosev 400mg Tablet

Save more with additional offers

Save more with additional offers

General Information

Contains

Marketer

Storage

Product introduction

Uses of Acosev Tablet

Benefits of Acosev Tablet

Side effects of Acosev Tablet

How to use Acosev Tablet

How Acosev Tablet works

All substitutes for Acosev 400mg Tablet

Revlamer 400 Tablet

Sevcar 400 Tablet

Acutrol C 400 Tablet

Acutrol 400 Tablet

Phoscut 400 Tablet

Quick tips

Safety advice

Alcohol

Pregnancy

Breast feeding

Driving

Kidney

Liver

Interaction with drugs

Ofloxacin (Oral Route)

Sparfloxacin (Oral Route)

Norfloxacin (Oral Route)

Levofloxacin (Oral Route)

Ciprofloxacin (Oral Route)

Frequently asked questions

Is Acosev 400mg Tablet taken with food?

Can Acosev 400mg Tablet be crushed?

Why is it important for me to take Acosev 400mg Tablet?

Does Acosev 400mg Tablet cause constipation?

Who should not take Acosev 400mg Tablet?

Can I take ciprofloxacin while I am taking Acosev 400mg Tablet?

How long do I need to take Acosev 400mg Tablet?

Do I need to have any tests while taking Acosev 400mg Tablet?

Fact Box

Chemical Class

Habit Forming

Therapeutic Class

Action Class

Related lab tests

Calcium

Phosphorus, Serum

Phosphorus, Urine

References

Want to know more

Have issue with the content

Disclaimer

Marketer details

Vendor Details

Lab tests offered by us

Related/Popular tests