Treatment of iron deficiency with intravenous ferric carboxymaltose in general practice: a retrospective database study.

Kuster, Martina; Meli, Damian N (2015). Treatment of iron deficiency with intravenous ferric carboxymaltose in general practice: a retrospective database study. Journal of clinical medicine research, 7(1), pp. 37-40. Elmer Press 10.14740/jocmr1974w

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BACKGROUND

Iron deficiency is a frequent problem in general practice. Oral supplementation may in some cases not be well tolerated or not be efficient. Intravenous ferric carboxymaltose may be an alternative for iron supplementation in general practice. The aim of the present study was to analyze the indications for and the efficacy of intravenous ferric carboxymaltose in a primary care center.

METHODS

We retropectively analyzed electronic data from 173 patients given intravenous ferric carboxymaltose between 2011 and 2013 in primary care center with 18 GPs in Bern, Switzerland.

RESULTS

Of all patients, 34% were treated intravenously due to an inappropriate increase in ferritin levels after oral therapy, 24% had side effects from oral treatment, 10% were treated intravenously due to the patients explicit wish, and in 39% of all cases, no obvious reason of intravenous instead of oral treatment could be found. Intravenous ferric carboxymaltose led to a significant increase in hemoglobin and serum ferritin levels. Side effects of intravenous treatment were found in 2% of all cases.

CONCLUSION

We conclude that treatment with intravenous ferric carboxymaltose is an efficient alternative for patients with iron deficiency in general practice, when oral products are not well tolarated or effective. As treatment with iron carboxymaltose is more expensive and potentially dangerous due to side effects, the indication should be placed with (more) care.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Medical Education > Institute of General Practice and Primary Care (BIHAM)

UniBE Contributor:

Meli, Damian

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1918-3003

Publisher:

Elmer Press

Language:

English

Submitter:

Doris Kopp Heim

Date Deposited:

06 Feb 2015 14:09

Last Modified:

10 Sep 2017 09:16

Publisher DOI:

10.14740/jocmr1974w

PubMed ID:

25368700

Uncontrolled Keywords:

Ferric carboxymaltose, General practice, Iron deficiency

BORIS DOI:

10.7892/boris.62616

URI:

https://boris.unibe.ch/id/eprint/62616

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