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. 2023 Mar 29;13:10. doi: 10.5334/tohm.752

Table 4.

Intravenous Iron Therapy for RLS-A-CKS.


TREATMENT NUMBER OF PATIENTS STUDY DESIGN DOSE, DURATION RESULTS SIDE EFFECTS

Intravenous (IV) iron dextran [58] 25
Iron dextran: 11
Placebo: 14
Double blind- placebo controlled Iron dextran: 1000 mg
Study duration: 4 weeks.
IRLS intensity scores were assessed weekly
At weeks 1 and 2 post-injection, patients in the Iron treated group showed significant reduction of IRLS scores (P = 0.01 and P = 0.03). At week 4, though still lower than placebo, the difference was not statistically significant No difference in adverse effects between the two groups

Intravenous iron sucrose [59] 30
IV Iron Sucrose: 16
Placebo: 16
Randomized, placebo-controlled Iron sucrose: 100 mg, three times/week for a total of 1000 mg. Study duration: 3 weeks After two weeks, IRLS scores (compared to baseline) were significantly reduced compared to placebo group (P = 0.000). Improvement of IRLS score in the iron group continued for 4–24 weeks. No adverse effects

Intravenous iron sucrose [60] 18
Iron sucrose:11
Placebo:7
Double blind- placebo controlled 500 mg of Iron sucrose was administered IV in two successive days for a total of 1000 mg
Study duration: 4 weeks
Primary outcome for RLS symptom improvement was global rating scale (GRS)
The trial was aborted half- way into the study since despite some improvement in GRS (at two weeks), authors predicted lack of robust response at the end of the study Edema in either hands or feet (36%). Nausea or vomiting (36%). Hypotension (18%). dizziness (18%). abdominal pain (9%). All noted during infusion only.

GRS: Global rating Scale.