Country of origin: International Inc. Switzerland, Lek DD Slovenia
Pharm-Group: Preparations containing iron
Manufacturers: Vifor (International) Inc (Switzerland), Lek DD (Slovenia)
International name: Iron (III) hydroxide sucrose complex
Synonyms: Dextrafer
Dosage forms: solution for injection 100mg/5ml, solution for injection 100mg
Composition: Active ingredient - Iron(III)-hydroxide sucrose complex.
Indications for use: Iron deficiency anemia due to impaired absorption of iron from the gastrointestinal tract, insufficient effectiveness or intolerance to oral iron preparations.
Contraindications: Hypersensitivity to mono- or disucrose iron complexes; anemia not associated with iron deficiency; signs of oversaturation of the body with iron or impairment of its utilization.
Side effect:
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From the nervous system and sensory organs: less than 1% - headache, paresthesia.
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From the cardiovascular system and blood (hematopoiesis, hemostasis): less than 1% - hypotension.
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From the gastrointestinal tract: less than 1% - nausea, vomiting, abdominal pain, metallic taste in the mouth.
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From the musculoskeletal system: less than 1% - muscle pain.
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Other: pain, redness and swelling may occur at the injection site, as well as the development of phlebitis.
Interaction: Should not be prescribed simultaneously with dosage forms of iron for oral administration (the absorption of iron from the gastrointestinal tract is reduced).
Overdose: No information.
Special instructions:
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You can only mix it with saline solution in one syringe.
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Precautions: Not intended for intramuscular administration. It is also not permissible to administer a full dose, i.e. a dose that would completely compensate for the lack of iron in the patient’s body, in the form of a one-time infusion.
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Prescribe with caution to patients with severe liver dysfunction, bronchial asthma, acute and chronic infections, and a history of allergic diseases.
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In the case of the development of moderately severe allergic reactions, the use of antihistamines is recommended; in the case of the development of a severe allergic reaction, the urgent administration of adrenaline.
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It is necessary to avoid damaging the vessel wall with the needle and penetrating the perivenous space.
Literature: Encyclopedia of Medicines 2003