Iron Hydroxide Polymaltose

Indications

Iron Hydroxide Polymaltose is used for: Iron-deficiency anemia

Adult Dose

Dosage and duration of therapy are dependent upon the extent of iron deficiency. Adults: 10 ml once or twice daily

Child Dose

Dosage and duration of therapy are dependent upon the extent of iron deficiency. Children (6 - 12 years): 10 ml daily Children (2 - 6 years): 5 ml daily Premature infants & Infants: 3.33 mg of elemental iron/kg body weight (0.06 ml drops/kg body weight) daily.

Renal Dose

Administration

Contra Indications

Hypersensitivity or intolerance to iron and overloading of iron in the body. Anaemia not caused by iron deficiency. Disturbances in iron utilisation, thalassemia. Patients receiving repeated blood transfusion. Parenteral: Iron overload, Ostler-Rendu-Weber syndrome, chronic polyarthritis, bronchial asthma, inflammation or infection of kidney or liver, uncontrolled hyperparathyroidism, decompensated liver cirrhosis. Pregnancy (1st trimester).

Precautions

Avoid concomitant parenteral and oral iron admin, oral iron therapy should start at least 1 wk after last iron inj. Parenteral: Pregnancy (2nd and 3rd trimester), allergies, hepatic and liver insufficiency, low iron binding capacity and or folic acid deficiency. Facilities for CPR should be available during admin. Excessive IV infusion rate may cause nausea and epigastric upset. IV infusion route should be used only if IM route is unacceptable and when there is no stored iron in the bone marrow.

Pregnancy-Lactation

Interactions

Concurrent use with psychotropic drugs may worsen constipation. Increased systemic side effects with concomitant ACE inhibitors and parenteral iron admin.

Adverse Effects

Side effects of Iron Hydroxide Polymaltose : GI irritation, epigastric pain, stomach cramping, constipation, nausea, vomiting, diarrhoea, dark stools, heart burn, discoloured urine, teeth staining. IM: pain at inj site, abdominal pain at lower quadrant and local inflammation with inguinal lymphadenopathy. IV: Joint and muscle pain, bronchospasm, hypotension, tachycardia, flushing, sweating, dizziness. Potentially Fatal: Parenteral: Anaphylactoid reactions, circulatory collapse.

Mechanism of Action

Iron polymaltose is a water soluble, macro-molecular complex of iron (III) hydroxide and isomaltose. It is used in the treatment of iron-deficiency anaemia.