Table 2.
Drug | Trade name | Maximum approved dose (mg) | # of doses | Duration (min) | Benefit | Side Effect |
---|---|---|---|---|---|---|
Low Molecular Weight Iron Dextran | INFeD | 1000 | 1 | 60 | Total dose infusion; cost effective | Although initially there were concerns for a slightly higher risk of anaphylaxis, more recent data has shown a similar safety profile to other common products. |
Ferric gluconate | Ferrlecit | 125 | 8 | 60 | Safe in history of dextran induced anaphylaxis | Hypotension, flushing, headache |
Iron sucrose | Venofer | 200–300 per dose, 1000 mg total | 3–5 | 15 | Safe in history of dextran induced anaphylaxis | Diarrhea, headache, nausea, dizziness, hypotension |
Ferumoxytol | Feraheme | 510 | 2 | 15 | Total dose in 2 infusions | interferes with certain MRIs. Diarrhea, headache, nausea, dizziness, hypotension |
Iron isolamtoside | Monoferric | 1000 | 1 | 15 | Total dose infusion; no test dose required | Appears similar to other commonly used products |
Ferric carboxymaltose | Ferinject or Injectafer | 750 | 2 | 15 | Multiple clinical trials in pregnancy | May have higher rates of hypophosphatemia then other products. |
Hypersensitivity reactions are common with all intravenous formulation and are often mild and transient. Severe reactions are generally a response to the carbohydrate shell, and most individuals will be able to tolerate a different formulation with a different carbohydrate molecule.