Anemia; 2015: 763576. If you miss a dose, ask your doctor or pharmacist right away for a new dosing schedule. Minor/Significance Unknown. 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. Parenteral iron supplementation. This site contains information for licensed healthcare professionals in the United States. iron sucrose decreases levels of deferiprone by enhancing GI absorption. Use Caution/Monitor. 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. UpToDate. 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). Applies only to oral form of both agents. Applies only to oral form of both agents. Administer Venofer early during the dialysis session (generally within the first hour). Accessed: 4/12/2011. Symptoms of a serious allergic reaction may include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. Use Caution/Monitor. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.In Canada - Call your doctor for medical advice about side effects. Med J Aust; 193(9):525-32. Oral and parenteral products - see background option for oral products. Use Caution/Monitor. These adverse reactions have occurred up to 30 minutes after the administration of Venofer injection. Minor/Significance Unknown. The primary endpoint was the proportion of patients with . Contraindicated. Applies only to oral form of both agents. It is important to note that the above calculations merely provide estimates and that individual dosage should be established by a medical professional based on the current package insert for the elemental iron product used. Studies in monkeys showed concurrent use with calcium, aluminum, or iron caused significantly decreased plasma levels. Give each dose as 750 mg for a total cumulative dose not to exceed 1500 mg of iron per course. Drug Des Devel Ther; 5: 5160. The factor 2.4 is derived from the following assumptions: a) Blood volume 70 ml/kg of body weight ~7% of body weight b) Iron content of hemoglobin 0.34% Factor 2.4 = 0.0034 x 0.07 x 10000 (conversion for g/dL) Ganzoni AM. On the other hand, slow decreases, such as that in chronic occult gastrointestinal bleeding are often difficult to diagnose. Use Caution/Monitor. Monitor Closely (1)esomeprazole will decrease the level or effect of iron sucrose by increasing gastric pH. In key trials, ferric carboxymaltose increased Hb levels and replenished iron stores as effectively as IV iron sucrose . Mode of Administration: Administer Venofer only intravenously by slow injection or by infusion. HONcode standard for trust- worthy health, Pediatric Oncology: Diagnosis And Prognosis Communication. iron sucrose decreases levels of minocycline by inhibition of GI absorption. IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. vitamin E decreases levels of iron sucrose by increasing hepatic clearance. Applies only to oral form of both agents. Applies only to oral form of both agents. Copyright 1993-2021 Applies only to oral form of both agents. Avoid or Use Alternate Drug. Your body may also need more iron if you use the drug erythropoietin to help make new red blood cells.Iron is an important part of your red blood cells and is needed to transport oxygen in the body. 3) Auerbach M, Witt D, Toler W, Fierstein M, Lerner RG, Ballard H. (1988) Clinical use of the total dose intravenous infusion of iron dextran. 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. Applies only to oral form of both agents. Deferoxamine chelates iron. The dosage of Venofer is expressed in mg of elemental iron. 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. Each mL contains 20 mg of elemental iron. Dosing Administration & Considerations . For repletion treatment most patients may require a cumulative dose of 1000 mg of elemental iron administered over 8 dialysis sessions. 2012;2(4):288-335. To provide clinicians with evidence-based guidance for iron therapy dosing in patients with iron deficiency anemia (IDA), we conducted a study examining the benefits of a higher cumulative dose of intravenous (IV) iron than what is typically administered. These can be input in g/dL, g/L or mmol/L. Modify Therapy/Monitor Closely. Applies only to oral form of both agents. J Med. 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. Burns DL, Mascioli EA, Bistrian BR. Generic name: IRON SUCROSE 20mg in 1mL In this study and another study evaluating a single intravenous dose of iron sucrose containing 500-700 mg of iron in 26 anemic patients on erythropoietin therapy (23 female, 3 male; age range 16-60), approximately 5% of the iron was . Adults and Children over 15 kg (33 lbs): Dose (mL) = 0.0442 (Desired Hb - Observed Hb) x LBW + (0.26 x LBW), Desired Hb = the target Hb in g/dl. Monitor Closely (1)iron sucrose decreases levels of thyroid desiccated by inhibition of GI absorption. 1 ,*. Iron deficiency anemia calculator (diagnosis), Iron deficiency anemia vs. Although anaphylactic reactions known to occur following INFeD administration are usually evident within a few minutes, or sooner, it is recommended that a period of an hour or longer elapse before the remainder of the initial therapeutic dose is given. calcium gluconate decreases levels of iron sucrose by inhibition of GI absorption. Objective. Use Caution/Monitor. DICP. We first individually analyzed 5 clinical studies, averaging the total iron deficit across all patients utilizing a . This may be helped by giving the medication more slowly or at a lower dose. Do not administer Venofer to patients with evidence of iron overload. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. This medicine is sometimes given slowly, and the infusion can take up to 2.5 hours to complete. The dose of Ferinject is based on calculation of ideal body weight and calculation of iron deficit using the Ganzoni formula. Applies only to oral form of both agents. This site complies with the HONcode standard for trust- worthy health information: verify here. Serious - Use Alternative (1)iron sucrose decreases levels of oxytetracycline by inhibition of GI absorption. INFED- iron dextran injection [Package insert], Hemoglobin iron deficit (mg) = weight (kg) x (14 - Hgb) x (2.145) Note: Hbg (current hemoglobin level) units: (g/dL) Alternatively: Volume of product required (mL) = [weight (kg) x (14 - Hgb) x (2.145)] / C Where C= concentration of elemental iron (mg/ml) in the product being used: Iron dextran: 50 mg/mL. Pediatric Patients (2 Years of Age and Older). Applies only to oral form of both agents. Accessed: 4/12/2011. Elemental iron product this is a choice between three iron supplement products: Iron dextran 50 mg/mL, Iron sucrose 20 mg/mL and Ferric gluconate 12.5 mg/mL. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. 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. Multivalent cation-containing products may impair absorption of tetracyclines, which may decrease its efficacy. . Applies only to oral form of both agents. 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. Avoid or Use Alternate Drug. The therapeutic management of IDA focuses on the replenishment of the iron stores through methods that have been mentioned above. Applies only to oral form of both agents. Use Caution/Monitor. 1995 Mar-Apr;11(2):163-8. Minor (1)iron sucrose, captopril. March 2, 2015 [IRON SUCROSE REQUIREMENT CALCULATION FOR SEVERE ANEMIA] DPMU Anantapuramu | National Health Mission 1 Formula for calculating the required dose of Iron sucrose 2.4 X Pre-pregnancy Weight in Kgs X Hb% deficit{11-actual Hb%} in mgs Plus Iron required to replenish the iron stores = 500mg Prepregnancy Weight = 45 kgs . informational and educational purposes only. Applies only to oral form of both agents. This website also contains material copyrighted by 3rd parties. (2010) Diagnosis and management of iron deficiency anaemia: a clinical update. Transferrin saturation (TSAT) values increase rapidly after intravenous administration of iron sucrose; do not perform serum iron measurements for at least 48 hours after intravenous dosing. IV iron sucrose (Venofer) given as divided dosages, and low molecular weight iron dextran (CosmoFer) this can be given as divided dose or as a total dose infusion . LBW = Lean body weight in kg. There are three fields in the parenteral iron replacement for iron deficiency anemia calculator: Weight can be input in either lbs or kilograms and the required transformations are performed by the calculator. Iron sucrose: 20 mg/mL. Methods. Auerbach M, Witt D, Toler W, Fierstein M, Lerner RG, Ballard H. Clinical use of the total dose intravenous infusion of iron dextran. 1996 Aug;11(4):139-46. Use Caution/Monitor. Anemia of chronic disease (ACD), Calculation of the Total Iron Deficit equation appears in Cosmofer PI, Iron Dextran Dosing Calculator (iron deficit). Initial infusion rate. Venofer must only be administered intravenously either by slow injection or by infusion. Use Caution/Monitor. . Monitor Closely (1)iron sucrose decreases levels of levothyroxine by inhibition of GI absorption. The dosing for iron replacement treatment in pediatric patients with NDD-CKD or PDDCKD has not - been established. Pregnancy: Risk Summary-Clinical Considerations. This document does not contain all possible drug interactions. Each costs about $0.46 to $0.55 per mg of iron. Applies only to oral form of both agents. Avoid or Use Alternate Drug. SIDE EFFECTS: Muscle cramps, nausea, vomiting, strange taste in the mouth, diarrhea, constipation, headache, cough, back pain, joint pain, dizziness, or swelling of the arms/legs may occur. Avoid or Use Alternate Drug. In case a pediatric patient with a weight below 35 kg is assessed, iron stores are calculated as 15 mg iron for each kg. The prevention and treatment of iron deficiency is a major public health goal, especially in women, children, and individuals in low-income countries. Monitor Closely (1)lansoprazole will decrease the level or effect of iron sucrose by increasing gastric pH. The usual adult total treatment course of Venofer is 1000 mg. Venofer treatment may be repeated if iron deficiency reoccurs. Copyright 2021 GlobalRPH - Web Development by. You are encouraged to report Adverse Drug Events to American Regent, Inc. at 1-800-734-9236 or to the FDA by visiting www.fda.gov/medwatch or calling 1-800-FDA-1088. iron sucrose decreases levels of manganese by inhibition of GI absorption. iron sucrose decreases levels of oxytetracycline by inhibition of GI absorption. Pain, swelling, or redness at the injection site may occur. This health tool computes the required parenteral iron replacement dose for the iron deficit extracted from the patient weight and hemoglobin level from complete blood count test. Applies only to oral form of both agents. Use alternatives if available. Monitor Closely (1)aluminum hydroxide will decrease the level or effect of iron sucrose by increasing gastric pH. Both the 200- and 300-mg doses of IV iron sucrose administered over 2 hours appear to be safe. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Use Caution/Monitor. Recommended dosage for patients weighing less than 50kg (110lb): Give Injectafer in Dosing for patients who weigh 50 kg or more For patients weighing 50 kg (110 lb) or more: Give Injectafer in two doses separated by at least 7 days. Either increases effects of the other by pharmacodynamic synergism. Use Caution/Monitor. 2. Calcs that help predict probability of a disease, Subcategory of 'Diagnosis' designed to be very sensitive, Disease is diagnosed: prognosticate to guide treatment. Applies only to oral form of both agents. 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 over a period of 15 minutes. This drug is available at a middle level co-pay. You will have to pay for your IV iron. Use Caution/Monitor. ------------------------------------------------------------------------- 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. [. Am J Kid Dis 2001; 38 988991. Injection: 50 mg/2.5 mL, 100 mg/5 mL, or 200 mg/10 mL (20 mg/mL) in single-dose vials. Oral iron therapy is the first method while IV therapy comes in place when there are contraindications or the body doesnt respond to the oral one. Observed Hb = the patients current hemoglobin in g/dl. Observed Hb = the patients current hemoglobin in g/dl. Applies only to oral form of both agents. 1970; 100(7):301-3. Hypotension following administration of Venofer may be related to rate of administration and/or total dose delivered. In the text below the tool there is more information on how the iron deficit is calculated. Only administer Venofer when personnel and therapies are immediately available for the treatment of serious hypersensitivity reactions. (3) Known hypersensitivity to Venofer. Give each dose as 750 mg for a total cumulative dose of 1500 mg of iron per course. Oral and parenteral products - see background option for oral products. There are four variables, all patient parameters, required in the iron deficiency calculator: The patients weight is used in the Ganzoni equation and also when establishing the iron stores. Coadministration of ciprofloxacin with multivalent cation-containing products may reduce the bioavailability of ciprofloxacin by 90%. Applies only to oral form of both agents. Patients measured hemoglobin can be input in g/dL or mmol/L. 20 mg/mL for Iron sucrose; 5 mg/mL for Ferric gluconate. Diagnosis and management of iron deficiency anaemia: a clinical update. If we don't have the calculator you need we'll try to make it for you and add it to the website. Follow your doctor's directions carefully.Tell your doctor right away if you have any serious side effects, including: abdominal pain, chest pain, irregular heartbeat (arrhythmias), pressure in the chest, severe headache and blurred vision (hypertension), problems with your dialysis access site (graft).A very serious allergic reaction to this drug is unlikely, but get medical help right away if it occurs. Each mL contains 20 mg of elemental . The dosage of Venofer is expressed in mg of elemental iron. Use Caution/Monitor. Monitor for signs and symptoms of hypotension following each Feraheme infusion. 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. A patients lean body weight (or actual body weight if less than lean body weight) should be utilized when determining dosage. Am J Hosp Pharm. Serious - Use Alternative (1)iron sucrose decreases levels of ofloxacin by inhibition of GI absorption. Applies only to oral form of both agents. Human studies not conducted. INFeD is given undiluted at a slow gradual rate not to exceed 50 mg (1 mL) per minute. Administer on 5 different occasions over a 14 day period. Interaction only with oral iron administration. Use alternatives if available. Iron supplements, regardless of their way of administration, are used to replete body stores and to correct anemia. Avoid or Use Alternate Drug. A healthcare provider will give you this injection. Minor/Significance Unknown. Applies only to oral form of both agents. Minor (2)calcium citrate decreases levels of iron sucrose by inhibition of GI absorption. Use Caution/Monitor. iron sucrose, captopril. Applies only to oral form of both agents. Administer Venofer only intravenously by slow injection or by infusion. Either decreases levels of the other by inhibition of GI absorption. Corrected Sodium and Effective Osmolality. Most Here are the steps to follow for using this drug dosage calculator: First, enter the value of your Weight and choose the unit of measurement from the drop-down menu. 2 *Venofer is an iron replacement product indicated for the treatment of iron deficiency anemia in patients with CKD. Use Caution/Monitor. Adult Dosage and Administration: The recommended dosage of Ferrlecit for the repletion treatment of iron deficiency in hemodialysis patients is 10 mL of Ferrlecit (125 mg of elemental iron). 1998 Feb;25(1):65-8. Most Consult your pharmacist or local waste disposal company. Ren Fail. For patients receiving hemodialysis, administer Feraheme once the blood pressure is stable and the patient has completed at least one hour of hemodialysis. Use Caution/Monitor. 2.1 . Modify Therapy/Monitor Closely. For liquid medications, also enter the value of the Medicine Concentration and choose . Iron metabolism needs to be balanced and bleeding, the major cause of iron deficiency (for instance in menstruation in females and chronic occult gastrointestinal bleeding) needs to be addressed. iron sucrose decreases levels of ibandronate by inhibition of GI absorption. Where: Medicine concentration Amount of active substance per a given volume of your drug. 2 Protocol for Intravenous iron sucrose - Venofer 2.1 Dosage The total cumulative dose of Venofer should be calculated using the table below. Each mL contains 20 mg of elemental iron. Separate by at least 4 hours. Use Caution/Monitor. 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. Intravenous therapy is preferred for urgent intervention and when oral iron cannot be absorbed or the patient suffers from chronic renal impairment. Anemia; 2015: 763576. rabeprazole will decrease the level or effect of iron sucrose by increasing gastric pH. Applies only to oral form of both agents. Where C= concentration of Use (s): Iron deficiency anemia in patients with chronic kidney disease (CKD) Use Caution/Monitor. The usual total treatment course of Venofer is 1000 mg. Venofer treatment may be repeated if iron deficiency reoccurs. Iron stores are input as default 500 mg on the assumption that the patient weight is greater or equal to 35 kg (77 lbs). Severe adverse reactions including circulatory failure (severe hypotension, shock including in the context of anaphylactic reaction) may occur in pregnant women with parenteral iron products (such as Venofer) which may cause fetal bradycardia, especially during the second and third trimester. I. Anaphylaxis may occur with IV iron and resuscitation facilities should be available.11 It would appear that iron polymaltose may have a higher incidence of severe systemic reactions than iron sucrose and ferric carboxymaltose. Schrier SL, Mentzer WC, Landaw SA. Your doctor will do laboratory tests to monitor your response. Applies only to oral form of both agents. Applies only to oral form of both agents. VENOFER at IV doses up to 15 mg iron/kg/dose [about 10 times the maximum recommended human dose for a 70 kg person] given three times a week was found to have no effect on fertility . 300-500 mg Iron Sucrose in NS 250 mL administered over three (3) hours; may repeat as needed in 3-7 days to reach 1 gm. Monitor Closely (1)iron sucrose will decrease the level or effect of omadacycline by inhibition of GI absorption. 4. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Applies only to oral form of both agents. David McAuley, Pharm.D. Where C= concentration of elemental iron (mg/ml) in the product being used: Data from Ferrlecit postmarketing spontaneous reports indicate that individual doses exceeding 125 mg may be associated with a higher incidence and/or severity of adverse events, Adult Patients with Hemodialysis Dependent-Chronic Kidney Disease (HDD-CKD), Adult Patients with Non-Dialysis Dependent-Chronic Kidney Disease (NDD-CKD), WARNING: RISK FOR SERIOUS HYPERSENSITIVITY/ANAPHYLAXIS REACTIONS, Iron Deficiency and Anemia- signs and therapeutic options. Applies only to oral form of both agents. commonly, these are "non-preferred" brand drugs or specialty Monitor Closely (1)iron sucrose decreases levels of liothyronine by inhibition of GI absorption. Intravenous (IV) iron products (use in adults) Dosing information in this table is for adults and includes some dosing recommendations not listed in the approved product information. 4. Adverse pregnancy outcomes associated with IDA include increased risk for preterm delivery and low birth weight. Applies only to oral form of both agents. It should be recognized that iron storage may lag behind the appearance of normal blood morphology. Injection site discoloration has been reported following extravasation. Otherwise, call a poison control center right away. calcium chloride decreases levels of iron sucrose by inhibition of GI absorption. Available for Android and iOS devices. Use Caution/Monitor. The dosage of Venofer is expressed in mg of elemental iron. Iron stores 500 mg for body weight greater than or equal to 35 kg (77 lbs) and 15 mg/kg for body weight less than 35 kg. however iron sucrose requires multiple small intermittent doses over days to weeks. Total cumulative Venofer dose = number of 100mg ampoules for Hb increase. HOW TO USE: This medication is given by injection into a vein as directed by your doctor. Crown Rump Length and Nuchal Translucency. US residents can call their local poison control center at 1-800-222-1222. Uses for Iron Sucrose Minor/Significance Unknown. https://www.uptodate.com/ (Requires subscription). Please confirm that you would like to log out of Medscape. Most studies have used IV iron sucrose (maximum dose of 200 mg per setting) or ferric carboxymaltose (maximum dose of 1000 mg per week). Ganzoni AM. Minor/Significance Unknown. Have resuscitation equipment and personnel trained in the detection and treatment of anaphylactic-type reactions readily available during INFeD administration. Contact the applicable plan There are physiological variation in iron reserves such as the decrease during menstruation period. Intravenous Injection - PRIOR TO THE FIRST INTRAVENOUS INFeD THERAPEUTIC DOSE, ADMINISTER AN INTRAVENOUS TEST DOSE OF 0.5 ML. Consult your doctor for more details.Remember that it is best to get your vitamins and minerals from food whenever possible. Monitor for signs and symptoms of hypotension following each administration of Venofer. esomeprazole will decrease the level or effect of iron sucrose by increasing gastric pH. Applies only to oral form of both agents. IMPORTANT SAFETY INFORMATION DOSAGE AND ADMINISTRATION Pediatric Patients (2 Years of Age and Older) Applies only to oral form of both agents. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9yZWZlcmVuY2UubWVkc2NhcGUuY29tL2RydWcvdmVub2Zlci1pcm9uLXN1Y3Jvc2UtMzQyMTYy, View explanations for tiers and )If you are using this medication at home, learn all preparation and usage instructions from your health care professional. Step 2: Calculation and administration of the maximum individual iron dose(s): . Administer on 5 different occasions over a 14 day period. 1) Ganzoni AM. * Calculators are available in UpToDate to determine ideal body weight and lean body weight. Divide the calculated dose by the patient's weight (IBW if BMI >30, or actual body weight (ABW) if BMI30) to ensure it does NOT exceed 20mg/kg. (1970) Intravenous iron-dextran: therapeutic and experimental possibilities. Use Caution/Monitor. Applies only to oral form of both agents. and formulary information changes. You may report side effects to Health Canada at 1-866-234-2345. Venofer must only be administered intravenously either by slow injection or by infusion. Dilute Venofer in a maximum of 250 mL of 0.9% NaCl [see How Supplied/Storage and Handling (16.2).] Always ask your health care professional for complete information about this product and your specific health needs. iron sucrose increases levels of calcium carbonate by enhancing GI absorption. Administer Feraheme as an intravenous infusion in 50-200 mL 0.9% Sodium Chloride Injection, USP or 5% Dextrose Injection, USP over at least 15 minutes. Coadministration of ciprofloxacin with multivalent cation-containing products may reduce the bioavailability of ciprofloxacin by 90%. After administration of iron dextran complex, evidence of a therapeutic response can be seen in a few days as an increase in the reticulocyte count. 2010niferex-hytinic-polysaccharide-iron-342160Drugs, You are being redirected to Monitor Closely (1)trientine, iron sucrose. Minor/Significance Unknown. Serious - Use Alternative (1)iron sucrose decreases levels of tetracycline by inhibition of GI absorption. Test Dose: Not required. 2) Koch TA, Myers J, Goodnough LT. (2015) Intravenous Iron Therapy in Patients with Iron Deficiency Anemia: Dosing Considerations. Administer Venofer 100 mg undiluted as a slow intravenous injection over 2 to 5 minutes, or as an infusion of 100 mg diluted in a maximum of 100 mL of 0.9% NaCl over a period of at least 15 minutes, per consecutive hemodialysis session [see How Supplied/Storage and Handling (16.2).] Separate dosing of tetracyclines from these products. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Monitor Closely (1)dexlansoprazole will decrease the level or effect of iron sucrose by increasing gastric pH. Serious - Use Alternative (1)iron sucrose decreases levels of gemifloxacin by inhibition of GI absorption. Minor/Significance Unknown. All Rights Reserved. Official Journal of the International Society of Nephrology. Maintain a well-balanced diet, and follow any dietary guidelines as directed by your doctor. iron sucrose decreases levels of demeclocycline by inhibition of GI absorption. USES: This medicine is used to treat "iron-poor" blood (anemia) in people with long-term kidney disease. WARNING: RISK FOR SERIOUS HYPERSENSITIVITY/ANAPHYLAXIS REACTIONS Fatal and serious hypersensitivity reactions including anaphylaxis have occurred in patients receiving Feraheme. The above information is provided for general OVERDOSE: If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Iron supplements, whether administered orally, intramuscular or intravenous, are used to replenish body stores and correct anemia. Manage and view all your plans together even plans in different states. Serious - Use Alternative (1)iron sucrose decreases levels of fleroxacin by inhibition of GI absorption.

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