What are the benefits of an Iron Infusion?
- Rapid return to normal Iron levels.
- Gets around the gastro side effects of oral Iron supplements.
What are the risks of an Iron Infusion?
Anaphylaxis is a rare but potentially very serious allergic reaction and the risk will be discussed with you in the clinic. The best formulation for use in a walk-clinic is Ferric carboxymaltose ‘as it can deliver up to 1 g of iron in 15 minutes and has an excellent safety profile.‘
It is considered normal practice for Iron Infusions to be administered in the general practice setting when full Resuscitation facilities are available.
A rare but troublesome risk is permanent staining of the skin. Meticulous confirmation that the cannula is sited in the vein access may possibly reduce this risk.
Side effects of an iron infusion
Symptoms that may occur at the time of the infusion include headache, nausea, vomiting, muscle aches, joint aches and a metallic taste.
Side effects that may occur a day or two later are headache, joint ache, muscle ache or mild fever.
Headache occurs in around 3% of people and can last a few days.
Which Iron Product do you use?
Ferric Carboxymaltose is also known as Ferinject® that allows up to 1000mg of intravenous iron in one sitting. Around 70% of patients attending the clinic require under 1000mg. The dose is calculated using an equation that takes account of your weight and haemoglobin level. Patients who are anaemic will usually require more than one infusion.
How is The Iron Infusion given?
An intravenous cannula is inserted and The infusion is given into a vein over 15 minutes.
Iron Infusion and Kidney Disease or Heart Failure
Iron absorption is poor in people with kidney disease or heart failure, meaning that oral iron supplementation is not usually sufficient. The ferritin is a poor measure of iron deficiency in these conditions. Iron Infusion is therefore often recommended.