Winchester JF, McGinley M, Wahab A, Hall F, Anderson J, Breifel G, Auerbach M
Comparison of 3 iron dextran infusion methods to correct anemia in erythropoietin treated hemodialysis patients
Am Soc Nephrol
J Am Soc Nephrol (abstract) (Nov) 6:591 1995

Intravenous iron dextran is usually administered in an empiric regimen of 100 mg every hemodialysis for 10 treatments. This group studied 3 dosing protocols in iron deficient HD patients: The standard regimen, 500 mg in one weekly dose, and a total dose infusion in which the entire iron deficit was repleted in one infusion. The investigators found no difference in efficacy or occurrence of side effects between the 3 regimens.

Comment: The total dose infusion is simple to administer, is convenient, and probably cost effective. I am concerned, however, by previous studies showing an increased risk of mild side effects (arthralgias and myalgias). (Fishbane)

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Am Soc Nephrol
CRF by problem area : Anemia/Erythropoietin/Iron