Have one Velphoro chewable tablet before, during, or after eating a meal or snack. Your tablet has to be crushed or chewed before eating it, and itis important to not swallow the tablet wholewithout with crushing it up first or chewing it well before swallowing it. Do not concern if you forget to take Velphoro before, during, or after a meal. You do not need to take a make-up dose, and instead just take your next tablet at your next snack or meal. Taking Velphoro without food or snack means the medication will not be ineffective. Always take with a meal or snack. People submitting reviews for this dialysis medication have said its helpful to set a reminder on their smartphone a short time before the 3 different times of a day they’ll usually be eating.