Intravenous iron is indicated where oral iron cannot be used; is not effective or poorly tolerated; or where rapid restoration of haemoglobin and iron stores is required to avoid decompensation and subsequent red cell transfusion. Emerging data suggests that IV iron improves outcomes in treatment of absolute or functional iron deficiency in chronic heart failure.
There are three preparations available in Australia. Always refer to local health service guidelines/protocols and product information for the specific iron preparation. Maximum doses pre infusion, infusion rates and dilution are not interchangeable between the different IV iron preparations.
- National Blood Authority. Patient Blood Management Guidelines: Modules 2-6. Australian Red Cross Blood Service