Because Epikacin is calcium based, and excess calcium levels are another very detrimental
side effect that dogs often experience secondarily to primary
kidney disorders. Today, Board Certified Veterinary Internal Medicine Specialists, including the kidney vets at the Dialysis Center for Pets at UC Davis have replaced it with Aluminum Hydroxide (ALOH) based agents. The ALOH effectively lowers excess phosphorus and calcium blood with no adverse side effects.