Table 2.
Most important clinical features and side effects of available intravenous iron preparations
Iron preparation | Brand name | Maximal single dose (mg) | Plasma half‐life (h) | Side effects | Tested in heart failure |
---|---|---|---|---|---|
Sodium ferric gluconate | Ferrlicit® | 125 | 1 | Hypersensitivity, nausea, hypotension, cramps, hypertension, dizziness, and chest pain | No |
Ferric carboxymaltose | Ferinject®/Injectafer® | 15 mg/kg (max 1000 mg in one infusion) | 16 | Hypersensitivity, hypertension, nausea, flushing, hypophosphatemia, and dizziness | Yes 56 , 57 , 58 |
Iron sucrose | Venofer® | 200–300 | 6 | Hypersensitivity, hypotension, iron overload, diarrhoea, nausea, vomiting, headache, dizziness, hypotension, pruritus, and leg/back cramps | Yes 50 , 54 , 55 , 65 |
Iron dextran | Dexferrum® | 20 mg/kg | 60 | Fatal and serious hypersensitivity–anaphylaxis, diarrhoea, nausea, vomiting, headache, and dizziness | No |
Ferumoxytol | FeraHeme® | 510 | 15 | Fatal and serious hypersensitivity–anaphylaxis, diarrhoea, nausea, dizziness, hypotension, and constipation | No |