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. Author manuscript; available in PMC: 2023 Dec 1.
Published in final edited form as: Eur J Haematol. 2022 Oct 4;109(6):633–642. doi: 10.1111/ejh.13870

Table 2.

Characteristics of different IV iron formulations.

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.