Ferumoxytol

Ferumoxytol Brand Name– Feraheme

What is Ferumoxytol

Ferumoxytol is an intravenous iron replacement product indicated for the treatment of iron deficiency anemia in adults with chronic kidney disease.

Compared to oral iron (200 mg/day for 21 days) in patients with chronic kidney disease and iron deficiency anemia, ferumoxytol use produced a significantly higher increase in hemoglobin over baseline at 35 days.

Ferumoxytol was well tolerated; however, fatal and serious hypersensitivity reactions have been reported with ferumoxytol, and patients should be monitored for at least 30 minutes after ferumoxytol administration

Indications

  • iron-deficiency anemia
  • magnetic resonance imaging (MRI)

For the treatment of iron-deficiency anemia in patients with chronic kidney disease or intolerance or unsatisfactory response to oral iron

Side Effects

  1. abdominal pain
  2. angioedema
  3. back pain
  4. chest pain (unspecified)
  5. constipation
  6. cough
  7. cyanosis
  8. diarrhea
  9. dizziness
  10. dyspnea
  11. edema
  12. fever
  13. headache
  14. hypertension
  15. hypotension
  16. muscle cramps
  17. nausea
  18. peripheral edema
  19. pruritus
  20. rash
  21. serious hypersensitivity reactions or anaphylaxis
  22. sinus tachycardia
  23. syncope
  24. urticaria
  25. vomiting
  26. wheezing

Monitoring Parameters

  • ferritin
  • hemoglobin/hematocrit
  • serum iron
  • transferrin

Contraindications

  • breast-feeding
  • dialysis
  • geriatric
  • hemochromatosis
  • hemoglobinopathy
  • hemosiderosis
  • hepatic disease
  • hypotension
  • laboratory test interference
  • magnetic resonance imaging (MRI)
  • pregnancy
  • requires a specialized care setting
  • serious hypersensitivity reactions or anaphylaxis

Interactions

  • Darbepoetin Alfa
  • Deferasirox
  • Deferiprone
  • Deferoxamine
  • Dimercaprol
  • Epoetin Alfa
  • Iron
  • Methoxy polyethylene glycol-epoetin beta
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