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N Z Med J ; 134(1534): 118-127, 2021 04 30.
Artículo en Inglés | MEDLINE | ID: mdl-33927444

RESUMEN

There are several newer intravenous iron formulations to treat iron deficiency and its anaemia. Its use in the primary care setting has been infrequent compared to tertiary centres, due to historical concerns such as anaphylaxis. There is a lack of overall comparison among the intravenous formulations of iron. Compared to oral iron therapy, the newer intravenous formulations, which allow a complete or near-complete replacement in a single sitting of 15-30 minutes, have an improved safety profile with better tolerability, efficacy and effectiveness. They are suited for administration in the primary care setting. The four non-dextran formulations (ferric carboxymaltose, iron sucrose, iron isomaltoside and ferumoxytol) share an equal or near equal efficacy and safety profile. This article also outlines how to provide iron infusion safely and effectively in the community.


Asunto(s)
Anemia Ferropénica/tratamiento farmacológico , Compuestos Férricos/uso terapéutico , Óxido Ferrosoférrico/uso terapéutico , Compuestos Ferrosos/uso terapéutico , Complejo Hierro-Dextran/uso terapéutico , Humanos , Infusiones Intravenosas , Nueva Zelanda
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