Iron Dextran Complex

DEA Class; Rx

Common Brand Names; INFeD, Dexferrum

  • Iron Products

Parenteral iron supplement of ferric oxyhydroxide complexed with dextrans; rapidly repletes iron stores in deficiency from anemia or blood loss; sometimes associated with severe hypersensitivity.

Indicated for the treatment of iron-deficiency anemia in patients in whom oral iron administration is unsatisfactory or impossible.

For the treatment of anemia of prematurity.

History of hypersensitivity to product or excipients

  • Abdominal pain
  • Diarrhea
  • Nausea
  • Vomiting
  • Arthralgia
  • Arthritis
  • Soreness
  • Inflammation
  • Pruritus
  • Rash
  • Urticaria
  • Brown discoloration of skin

There are no adequate and well-controlled studies in pregnant women; should be used during pregnancy only if potential benefit justifies potential risk to fetus

Exercise caution when product is administered to a nursing woman; traces of unmetabolized iron dextran are excreted in human milk

Total dosage with iron dextran must be individualized according to the patients age, weight, and the degree of the iron-deficiency anemia. Excess accumulation may occur if iron therapy is continued after the correction of the deficiency. The following are generally accepted limits in the treatment of iron-deficient patients.

Adults

100 mg/day IV or IM. See individual dosage if using total dose IV infusion methods.

Geriatric

100 mg/day IV or IM. See individual dosage if using total dose IV infusion methods.

Adolescents

100 mg/day IV or IM. See individual dosage if using total dose IV infusion methods.

Children

10 kg or more: 100 mg/day IV or IM. See individual dosage if using total dose IV infusion methods.
5 to 9.9 kg: 50 mg/day IV or IM.

Infants

4 months and older (weight 5 to 9.9 kg): 50 mg/day IV or IM.
4 months and older (weight less than 5 kg): 25 mg/day IV or IM.
1 to 3  months: Safety and efficacy have not been established.

Neonates

Safety and efficacy have not been established.

Iron dextran complex

injectable solution

  • 50mg (Fe)/mL

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