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IV iron

Iron sucrose

Brand names: Venofer

Adult dose

Dose: 100–200mg IV up to 3×/week (max 600mg/week); refer to BNF
Route: IV
Frequency: per replacement

Clinical pearls

  • Common in dialysis patients; smaller doses than ferric carboxymaltose

Contraindications

  • Iron overload
  • First trimester pregnancy
  • Severe hypersensitivity

Side effects

  • Hypersensitivity
  • Hypotension
  • Phlebitis
  • Metallic taste
  • Skin staining at extravasation

Interactions

  • Oral iron — separate

Monitoring

  • Ferritin
  • TSAT
  • Hb

Reference: BNF; NICE NG8; https://bnf.nice.org.uk/drugs/iron-sucrose/. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.