Iron Deficiency Anemia: Periodic hematologic determination (hemoglobin and hematocrit) is a simple and accurate technique for monitoring hematological response, and should be used as a guide in therapy. (1970) Intravenous iron-dextran: therapeutic and experimental possibilities. Manufacturer advises for slow intravenous injection ( Venofer ), give undiluted at a rate of 1 mL/minute; do not exceed 10 mL (200 mg iron) per injection. This document does not contain all possible drug interactions. Adverse pregnancy outcomes associated with IDA include increased risk for preterm delivery and low birth weight. Do not dilute to concentrations below 1 mg/mL [see How Supplied/Storage and Handling [16.2].) Contact the applicable plan iron sucrose decreases levels of gemifloxacin by inhibition of GI absorption. Applies only to oral form of both agents. Total cumulative Venofer dose = number of 100mg ampoules for Hb increase. It is usually given slowly over 2 to 5 minutes or as directed by your doctor. May increase risk of hypotension. iron sucrose increases levels of calcium carbonate by enhancing GI absorption. Either increases effects of the other by pharmacodynamic synergism. iron sucrose decreases levels of doxycycline by inhibition of GI absorption. This parenteral iron replacement for iron deficiency anemia calculator determines the parenteral dose of iron supplement needed to replenish iron stores and hemoglobin levels. Iron Deficiency Calculator - MDApp Administer Venofer early during the dialysis session (generally within the first hour). Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. 4)Pasricha SR, Flecknoe-Brown SC, Allen KJ, Gibson PR, McMahon LP, Olynyk JK, Roger SD, Savoia HF, Tampi R, Thomson AR, Wood EM, Robinson KL. Venofer treatment may be repeated if necessary. sodium sulfate/potassium sulfate/magnesium sulfate decreases levels of iron sucrose by inhibition of GI absorption. Venofer is given as an infusion into a vein. Monitor Closely (1)didanosine will decrease the level or effect of iron sucrose by increasing gastric pH. Generic name: IRON SUCROSE 20mg in 1mL Venofer may reduce the absorption of concomitantly administered oral iron preparations. Use Caution/Monitor. The dose of Ferinject is based on calculation of ideal body weight and calculation of iron deficit using the Ganzoni formula. David McAuley, Pharm.D. Treatment of anemia due to iron deficiency. For iron maintenance treatment: Administer Venofer at a dose of 0.5 mg/kg, not to exceed 100 mg per dose, every four weeks for 12 weeks given undiluted by slow intravenous injection over 5 minutes or diluted in 0.9% NaCl at a concentration of 1 to 2 mg/mL and administered over 5 to 60 minutes. Applies only to oral form of both agents. Applies only to oral form of both agents. 4. Applies only to oral form of both agents. Venofer (iron sucrose injection, USP) For Intravenous Use Only INDICATION AND USAGE Venofer (iron sucrose injection, USP) is indicated for the treatment of iron deficiency anemia (IDA) in patients with chronic kidney disease (CKD). Formula for calculating the required dose of iron sucrose ONE DOSE. NOTES: Lab and/or medical tests (such as complete blood count, ferritin, transferrin, total iron binding capacity-TIBC) should be done while you are using this medication. Administer Venofer only intravenously by slow injection or by infusion. If you log out, you will be required to enter your username and password the next time you visit. Administer iron products at least 2 hr before and no less than 6 hr after each dose to avoid chelation with magnesium. These adverse reactions have occurred up to 30 minutes after the administration of Venofer injection. For adult CKD patients on ESA therapy who are not receiving iron supplementation, the guideline suggests a trial of IV iron (or in NDD-CKD patients, alternatively, a 1- to 3-month trial of oral iron therapy) if: CKD=chronic kidney disease ESA=erythropoietin-stimulating agent Hb=hemoglobin IV=intravenous RBC=red blood cell WBC=white blood cell. FERAHEME vs Venofer (iron sucrose) - Feraheme Indicated for treatment of iron deficiency anemia associated with chronic kidney disease, Hemodialysis-dependent CKD: 100 mg elemental iron IV (injection or infusion over 2-5 min) per dialysis session not to exceed total cumulative dose of 1000 mg divided in 3 doses/week, Non-dialysis-dependent CKD: 200 mg IV injection for 5 doses in over 14 days (cumulative 1000 mg in 14-day period), Peritoneal dialysis-dependent CKD: 300 mg IV infusion (1.5 hr) for 2 doses 14 days apart, THEN 400 mg IV infusion (2.5 hr) 14 days later (cumulative 1000 mg divided in 3 doses/week), Indicated for maintenance treatment of iron-deficient anemia associated with chronic kidney disease, <2 years: Safety and efficacy not established, Iron replacement treatment in pediatric patients has not been established. Ferrlecit has been administered at sequential dialysis sessions by infusion or by slow intravenous injection during the dialysis session itself. 1998 Feb;25(1):65-8. 3) Bayraktar UD, Bayraktar S. (2010) Treatment of iron deficiency anemia associated with gastrointestinal tract diseases. Anemia. Deferiprone may bind polyvalent cations (eg, iron, aluminum, and zinc), separate administration by at least 4 hr between deferiprone and other medications (eg, antacids), or supplements containing these polyvalent cations. restrictions. Step 2: Calculation and administration of the maximum individual iron dose(s): . Use Caution/Monitor. Patients may present with shock, clinically significant hypotension, loss of consciousness and/or collapse. Applies only to oral form of both agents. Applies only to oral form of both agents. Modify Therapy/Monitor Closely. The two formulas used are presented below: Iron deficit in mg = Weight in kg x (14 - Hb in g/dL) x 2.145 Volume of product required in mL = Iron deficit in mg / C in mg/mL Where C is the concentration of the iron product: 50 mg/mL for Iron dextran; 20 mg/mL for Iron sucrose; 5 mg/mL for Ferric gluconate. Applies only to oral form of both agents. For iron maintenance treatment: Administer Venofer at a dose of 0.5 mg/kg, not to exceed 100 mg per dose, every two weeks for 12 weeks given undiluted by slow intravenous injection over 5 minutes or diluted in 0.9% NaCl at a concentration of 1 to 2 mg/mL and administered over 5 to 60 minutes. Most The dosing for iron replacement treatment in pediatric patients with HDD-CKD has not been established. Minor/Significance Unknown. The dosing of Monofer was performed according to the Simplified Table as described in section 4.2 above and dosing of iron sucrose was calculated according to Ganzoni and administered as 200 mg infusions. Serious - Use Alternative (1)iron sucrose decreases levels of ofloxacin by inhibition of GI absorption. Administer while the patient is in a reclined or semi-reclined position. I. ------------------------------------------------------------------------- Ferric Carboxymaltose [ Injectafer ] Elemental iron: Injectafer contains 50 mg of elemental iron - 750 mg/15 mL [package insert] Indications: Injectafer is indicated for the treatment of iron deficiency anemia in adult patients: who have intolerance to oral iron or have had unsatisfactory response to oral iron; who have non-dialysis dependent chronic kidney disease. Hemoglobin there are two fields for hemoglobin input, one for the target and another for actual value. The cost of Venofer is $145 for a dose of 300 mg and Monoferric is $274 for a dose of 500mg. Avoid or Use Alternate Drug. Administer Venofer early during the dialysis session (generally within the first hour). Applies only to oral form of both agents. iron sucrose decreases levels of methyldopa by inhibition of GI absorption. Schweiz Med Wochenschr. Applies only to oral form of both agents. For additional Safety Information, please see Full Prescribing Information. Fulminant symptoms may include general paleness, confusion or episodes of passing out. Venofer® (iron sucrose) injection, USP is indicated for the treatment of iron deficiency anemia (IDA) in patients with chronic kidney disease (CKD). HOW TO USE: This medication is given by injection into a vein as directed by your doctor. No data are available regarding overdosage of Venofer in humans. Administer Injectafer intravenously, either as an undiluted slow intravenous push or by infusion. The dosing for iron replacement treatment in pediatric patients with NDD-CKD or PDD-CKD has not been established. 3. Only administer Feraheme as an intravenous infusion over at least 15 minutes and only when personnel and therapies are immediately available for the treatment of anaphylaxis and other hypersensitivity reactions. Assessing new treatment options. This information is not individual medical advice and does not substitute for the advice of your health care professional. Monitor Closely (1)ibuprofen/famotidine will decrease the level or effect of iron sucrose by increasing gastric pH. Either decreases levels of the other by inhibition of GI absorption. Venofer treatment may be repeated if iron deficiency reoccurs. The original formula employs the weight in kg but users can input it in lbs and it gets transformed. For males: LBW = 50 kg + 2.3 kg for each inch of patients height over 5 feet For females: LBW = 45.5 kg + 2.3 kg for each inch of patients height over 5 feet. 1) Ganzoni AM. Consult your doctor for more details.Remember that it is best to get your vitamins and minerals from food whenever possible. By using this form you agree with the storage and handling of your data by this website. Use Caution/Monitor. Iron sucrose can also be mixed in a saline solution and given through an IV over a longer time.Your dosage and length of treatment are based on your medical condition, age, and response to treatment. Applies only to oral form of both agents. Since this is less than the threshold of total dose of 20 mg/kg, the deficit can be eliminated with a single infusion. 1. Venofer can be given as a maximum of 200mg not more than 3 times per week; doses must be 24 hours apart. Iron deficiency anemia calculator (diagnosis), Iron deficiency anemia vs. All you have to do is use the following formula: Liquid\ dose = Dose / Medicine\ concentration Liquid dose = Dose/M edicine concentration. Monitor Closely (1)esomeprazole will decrease the level or effect of iron sucrose by increasing gastric pH. Ferrlecit may also be administered undiluted as a slow intravenous injection (at a rate of up to 12.5 mg/min) per dialysis session. iron sucrose will decrease the level or effect of omadacycline by inhibition of GI absorption. If no signs or symptoms of anaphylactic-type reactions follow the test dose, administer the full therapeutic INFeD dose. View the formulary and any restrictions for each plan. Applies only to oral form of both agents. Access your plan list on any device mobile or desktop. Serious - Use Alternative (1)iron sucrose decreases levels of tetracycline by inhibition of GI absorption. calcium acetate decreases levels of iron sucrose by inhibition of GI absorption. and formulary information changes. 200-800 mg/kg (2-8 mL/kg) every 3-4 weeks. Minor (1)iron sucrose, benazepril. Serious - Use Alternative (1)iron sucrose decreases levels of ciprofloxacin by inhibition of GI absorption. Iron deficiency can occur at any stage of life, due to physiological demands, for example, during pregnancy, childhood growth or prolonged periods of sickness. Assessing new treatment options, Intravenous iron-dextran: therapeutic and experimental possibilities. iron sucrose decreases levels of mycophenolate by inhibition of GI absorption. Applies only to oral form of both agents. All Rights Reserved. Hanson DB, Hendeles L. Guide to total dose intravenous iron dextran therapy. iron sucrose decreases levels of levofloxacin by inhibition of GI absorption. Copyright 1993-2021 The weight of the patient is taken into account in order to estimate iron stores, while haemoglobin is required as both current measured and target. 2 DOSAGE AND ADMINISTRATION 2.1 Recommended Dosage Recommended dosage for patients weighing 50kg (110lb) or more: Give Injectaferin two doses separated by at least 7 days. Symptoms associated with Venofer total dosage or infusing too rapidly included hypotension, dyspnea, headache, vomiting, nausea, dizziness, joint aches, paresthesia, abdominal and muscle pain, edema and cardiovascular collapse. Auerbach M, Witt D, Toler W, Fierstein M, Lerner RG, Ballard H. Clinical use of the total dose intravenous infusion of iron dextran. Case G. Maintaining iron balance with total-dose infusion of intravenous iron dextran. Iron Sucrose Monograph for Professionals - Drugs.com Iron Sucrose [ Venofer ] Elemental iron: 20 mg/mL (2.5 mL, 5 mL, 10 mL) Solution, Intravenous [preservative free]: [package insert] INDICATIONS: Venofer is an iron replacement product indicated for the treatment of iron deficiency anemia in patients with chronic kidney disease (CKD). Kumpf VJ, Holland EG. Adult Patients with Non-Dialysis Dependent-Chronic Kidney Disease (NDD-CKD): Administer Venofer 200 mg undiluted as a slow intravenous injection over 2 to 5 minutes or as an infusion of 200 mg in a maximum of 100 mL of 0.9% NaCl x 15 minutes. A healthcare provider will give you this injection. Indications: Feraheme is indicated for the treatment of iron deficiency anemia (IDA) in adult patients: who have intolerance to oral iron or have had unsatisfactory response to oral iron or who have chronic kidney disease (CKD). Modify Therapy/Monitor Closely. Use Caution/Monitor. Iron Sucrose - Injection - Alberta FOR PATIENTS WEIGHING 50 kg OR MORE: Administer 1000 mg of Monoferric by intravenous infusion 20 minutes as a single dose 1. 1982;13(4):309-21. Do not start, stop, or change the dosage of any medicines without your doctor's approval.Some products that may interact with this drug include: vitamin products, other iron-containing products. Our dosage calculator can help you with this as well. There are four fields that need to be completed: Weight body weight is used to establish iron deficit and is also taken into account when estimating the iron stores. rabeprazole will decrease the level or effect of iron sucrose by increasing gastric pH. Applies only to oral form of both agents. Treatment of anemia due to iron deficiency. If these effects continue or worsen, tell your doctor.Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects.
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