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Page: Administration
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Iron can be supplemented using various pharmacological forms, such as iron(II) sulphate (this is the most common and cheapest salt, e.g. Feratab® , Fer-Iron ® , Slow-FE ®,…) , and in complex with gluconate, dextran, carbonyl iron, and other salts. Sometimes ascorbic acid is added for better absorption.
Generally, iron supplementation therapy is an oral therapy, and parenteral iron therapy (intravenously or intramuscular) is only given when resorption is seriously compromised (by illnesses, or when the patient cannot swallow) and benefit from oral therapy cannot be expected. It’s more expensive and has increased morbidity.
Since iron stores in the body are generally depleted, and there is a limit to what the body can process (about 100mg per day) without iron poisoning, this is a chronic therapy which may take 3-6 months. In some conditions (e.g. after gastrectomy), in which there is production of intrinsic factor by the parietal cells of the stomach is complicated), even permanent iron substitution is necessary.
Patients at risk of acute complications may be candidates for transfusion. Patients with anemia of chronic disease may benefit from erythropoietin.
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Important notice:
The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other
qualified health provider with any questions you may have regarding a medical condition.
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