Aluminum Hydroxide is a phosphorus binder for chronic renal failure patients. Aluminum Hydroxide powder is the most popular form of this medication and currently has an expiration in 2014. Aluminum Hydroxide suspension is sold in multiples of 30 mls and expires 3 months from the date it is compounded. Aluminum Hydroxide capsules are sold individually and expire in 1 year. Aluminum Hydroxide should be administered with food. This is a dose-to-effect medication.
A 2001 study by Peter Markewell (BSc, BVetMed, MRCVS) for the Waltham Centre for Pet Nutrition found that "...using a phosphate- and protein-restricted diet, in combination with oral phosphorus-binding agents in those cats in which control of hyperphosphatemia [high phosphorus] and RHPTH [renal secondary hyperparathyroidism] was not achieved by diet alone, resulted in more than doubling of average survival time from the commencement of treatment."
For dosing information please see Dr. Larry Nagode's dosing recommendations here-David Jacobson's Phosphorus Binder Page
