Ferric hydroxide sucrose complex (equiv elemental Fe 20 mg)
Indications/Uses
Fe deficiency in patients who clinically need rapid Fe supply or cannot tolerate oral Fe therapy or non-compliant; in active inflammatory bowel disease or CKD where oral Fe prep is ineffective.
Adult Individualized dosage. 5-10 mL (100-200 mg Fe) 1-3 times wkly. IV drip infusion 2.5 mL (50 mg Fe) diluted soln for at least 8 min infusion time, or 5 mL (100 mg Fe) diluted soln for at least 15 min infusion time, or 10 mL (200 mg Fe) diluted soln for at least 30 min infusion time. Slow IV inj Rate: 1 mL (20 mg Fe) undiluted soln/min not exceeding 10 mL (200 mg Fe)/inj.
View Irsuc overdosage for action to be taken in the event of an overdose.
Contraindications
Hypersensitivity to Fe sucrose or to other Fe parenteral products. Anemias not caused by Fe deficiency. Evidence of Fe overload or hereditary disturbances in utilisation of Fe.
For single use only. Risk of hypersensitivity reactions; increased risk in patients w/ history of severe asthma, eczema, other atopic allergy; SLE, RA. Discontinue administration in patients w/ bacteraemia. Avoid paravenous leakage. Use w/ caution in case of acute or chronic infection. Reports of hypotension related to rate & total dose administered in patients w/ CKD. Periodically monitor hematologic & hematinic parameters; w/hold therapy in patients w/ evidence of Fe overload. Perform careful risk/benefit assessment in patients w/ liver dysfunction. Avoid in patients w/ hepatic dysfunction where Fe overload is precipitating factor particularly porphyria cutanea tarda. No adequate & well-controlled studies in pregnancy & lactation. Not recommended for use in childn.