There is one called Naraquin made by Nutramax. Kai was originally on Phos-Bind — ours always had more of a sandy texture rather than a starchy one, and we purchased it from Chewy. Unfortunately, it just wasn’t a strong enough binder for Kai, so our vet recommended Naraquin.
Unfortunately, Naraquin didn’t agree with Kai, so we switched pretty quickly to Catney One, which is made by the same company that makes Porus One, as mentioned above.
Naraquin is a little different from the other three because it’s not just a straight phosphate binder — it’s more of a combination renal support supplement with phosphate-binding properties. It contains calcium carbonate along with other kidney-support ingredients, whereas something like Phos-Bind is basically just a pure aluminum hydroxide binder.
From what I understand, Naraquin is generally considered stronger than Epakitin, but usually not quite as aggressive as the heavy hitters like Phos-Bind or Catney One when it comes to lowering phosphorus in more advanced CKD cases. That said, every cat responds differently, and some vets really like it because it combines phosphorus control with additional kidney support.
The three phosphate binders I see recommended most often are Phos-Bind, Catney One, and Epakitin. I had ChatGPT help me put together a quick comparison chart that also include Naraquin in case anyone is interested.
| Binder | Main Ingredient | Strength | Constipation Risk | Calcium Risk | Notes |
|---|
| Phos-Bind | Aluminum hydroxide | Strong | Higher | Low | Often considered the “gold standard” binder for CKD cats, but can worsen constipation in some cats. |
| Catney One | Lanthanum carbonate | Strong | Moderate | Low | Newer binder; can work well for cats that don’t tolerate aluminum hydroxide. |
| Naraquin | Calcium carbonate + renal support ingredients | Moderate-Strong | Moderate | Moderate | Combination renal supplement + phosphate binder; some vets report very good results with it. |
| Epakitin | Chitosan + calcium carbonate | Moderate | Lower | Moderate | Often easier on the stomach and easier to feed, but may not be strong enough for severe phosphorus issues. |