Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 8/25/2025

Mechanism of Action and Safety of Lokelma

Mechanism of Action in the Gastrointestinal Tract

  • Lokelma works throughout both the small and large intestines, binding potassium and increasing fecal potassium excretion, which may affect a larger surface area 1
  • Unlike other potassium binders that work primarily in the colon, Lokelma acts throughout the GI tract 1

Clinical Evidence and Comparison with Other Potassium Binders

  • In randomized trials, Lokelma has not been associated with serious adverse events in the gastrointestinal tract, according to the Mayo Clinic Proceedings 2, 3, 4
  • Unlike sodium polystyrene sulfonate (SPS), which has been associated with intestinal necrosis, Lokelma has not shown this specific risk in clinical trials, as reported by the Mayo Clinic Proceedings 1
  • The most common adverse effects of Lokelma are hypokalemia and dose-dependent edema, rather than direct gastrointestinal injury, as noted in the Mayo Clinic Proceedings 2, 3

REFERENCES

1

clinical management of hyperkalemia. [LINK]

Mayo Clinic Proceedings, 2021

2

clinical management of hyperkalemia. [LINK]

Mayo Clinic Proceedings, 2021

3

clinical management of hyperkalemia. [LINK]

Mayo Clinic Proceedings, 2021

4

clinical management of hyperkalemia. [LINK]

Mayo Clinic Proceedings, 2021