Table 3.
When diarrhea occurs | When diarrhea resolves |
---|---|
Primary care | |
Use an anti-diarrheal therapy (e.g., loperamide) | Reintroduce deferasirox at a lower dose and gradually escalate |
If necessary, reduce dose of deferasirox by half (by 10 mg/kg) | |
If diarrhea persists, take deferasirox at night |
When rash occurs | When rash resolves |
---|---|
Mild to moderate | |
Rash often resolves spontaneously | |
Deferasirox may be continued without dose adjustment | Reintroduce deferasirox at 10 mg/kg (half dose) with or without low-dose prednisolone and gradually escalate |
Severe | |
Interrupt deferasirox if necessary | |
Initiate prednisolone |