The bottom line:
- Iron deficiency is one of the causes of erythropoetin resistance.
- IV iron is superior to oral iron in managing anemia in hemodialysis, peritoneal dialysis, and CKD patients.
- IV iron sucrose is safe and may be given up to 500 mg IV over 4 hours during an outpatient visit.
FDA added a black box warning to the labels of all currently available Erythropoiesis Stimulating Agents (ESAs). Source: ASN.
References:
Iron in patients with chronic kidney disease. From Medscape Nephrology, Posted 07/27/2006.
Image source: Wikipedia
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