Table 4.
Recommendations for the treatment of IDA with parenteral iron
| Parenteral iron therapy recommendations | |
|---|---|
| Indications | Intolerance of, or noncompliance with, oral iron preparations Malabsorption Celiac disease with insufficient absorption History of gastrectomy, gastrojejunostomy, and/or bariatric surgery Clinically active inflammatory bowel disease Unresolved bleeding Pregnant women with Hb <10.0 g/dL End-stage renal disease anemia treated with erythropoietin * Moderate (Hb 8.0−10.9 g/dL) to severe (Hb <8.0 g/dL) anemia with significant symptoms |
| Dosage | Ferric carboxymaltose: 1,000−2,000 mg elemental iron based on the body size and anemia severity Iron sucrose: dose as above (see Fig. 3), 100−200 mg per infusion, 3 times/week |
| Follow-up | Monitor hemoglobin and iron stores after the first month of treatment |
Definitions of severity of anemia as defined by WHO, please see Figure 1 for details.
Hb, hemoglobin; IDA, iron deficiency anemia.