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Chloramine Facts for Dialysis Facilities and Patients

What do dialysis patients and providers need to know?

Like chlorine, chloramine can harm kidney dialysis patients during the dialysis process if it is not removed from water before entering the bloodstream. It is safe for dialysis patients to drink, cook with and bathe in chloraminated water because the digestive process neutralizes chloramine before it enters the bloodstream.

Dialysis units are prepared for a chloramine concentration of 2 to 4 milligrams per liter. The maximum concentration allowed by law is 4 milligrams per liter.

Two methods are typically used to remove chloramine from water before dialysis:

  • Ascorbic acid, or
  • A granular-activated carbon filtration system specifically designed to remove chloramine.

Home dialysis patients work with their home dialysis facility and physician to make necessary adjustments to their equipment.

For further information, contact your dialysis provider or the
Trans Pacific Renal Network:
(415) 897-2400
www.esrdnet17.org

Last updated: 6/28/2011 6:29:57 AM