Auryxia (Ferric Citrate)

Prescription medicineOnly Available By Prescription

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What if I find a lower price with another pharmacy?

We guarantee the lowest price on all of our prescription products. If you find your medications cheaper at any other recognized licensed mail order pharmacy, we will not only match their price, we will beat it by 25% of the difference. It is our 125% price match guarantee!

Example: If you find a product on Canada Drugs Direct for $50.00 and find the same product for $40.00 at another mail order pharmacy, we will provide you with a $12.50 discount, bringing your total to $37.50.

To get the discount please make sure to mention the price match to the customer service team when they call to collect payment for your order. Or call toll free at 1-888-904-8467 to place the order through the phone.

Terms & Conditions of Program

  • Guaranteed lowest price is only valid at the time of sale.
  • We will only match the current advertised price.
  • Products must be identical and in stock at the time of placing an order with a licensed mail order pharmacy. They must be an online Canadian pharmacy with an address in Canada.
  • Products must be authentic in brand and size (same manufacturer, same country of manufacture, same pack size, same strength and same quantity).
  • Products must be new. We cannot match the price of any used, short expiry or expired product.
  • Price match can only be issued over the phone with our customer service team. Please note at this time we cannot offer price matching for the products Ozempic or Saxenda.
What is a Generic Drug?

A generic drug is a copy of the brand-name drug with the same dosage, safety, strength, quality, consumption method, performance, and intended use. Before generics become available on the market, the generic company must prove it has the same active ingredients as the brand-name drug and works in the same way and in the same amount of time in the body.

The only differences between generics and their brand-name counterparts is that generics are less expensive and may look slightly different (eg. different shape or color), as trademarks laws prevent a generic from looking exactly like the brand-name drug.

Generics are less expensive because generic manufacturers don't have to invest large sums of money to develop a drug. When the brand-name patent expires, generic companies can manufacture a copy of the brand-name and sell it at a substantial discount.


Auryxia (Ferric Citrate) is a phosphate binder and iron replacement product. It works by binding to the phosphate in the digestive tract and then excreting it in the stool. This helps manage phosphorus levels in people with chronic kidney disease (CKD). Ferric citrate also helps treat iron deficiency anemia by increasing iron levels in the blood.


Auryxia is taken orally. The starting dosage is one or two pills three times a day, taken with meals. The dosage will depend on the condition being treated. The maximum daily dosage is 12 tablets. Swallow the tablets whole; do not chew or crush them, as doing so may cause mouth and teeth discoloration.


Ferric Citrate is the active ingredient in Auryxia.


Avoid taking or using this medication if any of the following apply:

  • Iron overload syndromes (e.g., hemochromatosis)
  • Allergy to Ferric Citrate or any other ingredient in Auryxia
  • Pre-existing conditions that could cause complications with iron regulation

Taking Auryxia with existing conditions or allergies can lead to serious health risks. Always consult your healthcare provider before starting any new medication.


  • Before initiating treatment with Auryxia, make sure to disclose the following to your healthcare provider:
    • Any existing health conditions
    • Known allergies
    • A complete list of medications you are currently using
    • Your status regarding pregnancy or breastfeeding
  • Taking Auryxia can lead to high iron levels. Before starting Auryxia and during treatment, your doctor will check your iron levels, such as serum ferritin and transferrin saturation, to manage any excess.
  • Keep Auryxia out of reach of children. Iron-containing products like Auryxia, when ingested accidentally by children under 6, can lead to severe, even fatal, poisoning.

Side Effects

Auryxia, while effective, does come with some potential side effects. Common issues include diarrhea, stool discoloration, nausea, constipation, vomiting, and occasional coughing. These side effects are generally mild but can cause discomfort.

In rare cases, Auryxia may cause more severe health problems, such as increased potassium levels, which could affect heart function. In addition, some people may experience severe gastrointestinal distress that could require discontinuing the medication. If you encounter serious symptoms such as intense stomach pain or persistent issues with digestion, seek medical attention.


  1. Auryxia (Ferric Citrate) Product Monograph. Cambridge, MA: Akebia Therapeutics, Inc.; 2024.
  2. Auryxia (Ferric Citrate) Drug Label Information. Cambridge, MA: Akebia Therapeutics, Inc.; 2024.

IMPORTANT NOTE: The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.

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