It is a second Generation parenteral iron preparation. It is only be administered in low doses because of weak iron complexes.
Indication
Iron deficiency anemia in which requires the rapid substitution of iron.
Doses and administration
It is used intravenously only and can be given by injection or infusion. Dose determination of iron need Conventionally calculated using Ganzoni formula:
Cumulative iron deficit [mg] = body weight [kg] x (target Hb – actual Hb) [g/dl] x 2.4 +iron storage depot [mg]
- Below 35Kg body weight: Target Hb = 13gm/dl and storage iron =15mg/kg body weight
- 35 kg body weight and above: Target Hb = 15gm/dl and storage iron = 500mg
Total dosage
The total dosage should not exceed 200mg of iron given not more than three times per week.
Contraindications
- Known hypersensitivity to iron sucrose or any of its excipients
- Iron overload or disturbances in the utilization of iron
- Patients with a history of asthma, eczema or another atopic allergy, because they are more susceptible to experience allergic reactions
- Pregnancy first trimester.
Adverse reactions
Transient taste perversion (metallic taste), hypotension, fever and shivering, arthralgia, injection site reactions and nausea.
Use in special population
Pregnancy: Category B. contraindicated in the first trimester. Should be used in second and third trimester only.
Pediatric use: Safety and efficacy not established.