Iron Dextran
Iron Dextran is a complex of ferric hydroxide with dextran. It should be used only in the treatment of proven iron-deficiency anaemia, where oral therapy is ineffective or inappropriate.Iron Dextran is given through deep IM injection. Parenteral iron produces clinical responses similar to that of oral iron, but stores are rapidly repleted after the administration of parenteral iron, which may take months to achieve with oral iron therapy. Anaphylactoid reactions can take place following parenteral administration of it. It was approved by FDA in early 80s.
Primary Characteristics
It is of Synthetic origin and belongs to Ferric hydroxide, Dextran.
Molecular Weight: 133 · Solubility in Water: Soluble · Non-proprietary name: Iron Dextran.

Pharmacokinetics
Distribution: Iron Dextran has a plasma protein binding is 10%.
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Indications
Iron Dextran is primarily indicated in conditions like Anaemia, Iron deficiency anaemia.
Contraindications
Iron Dextran is contraindicated in conditions like Asthma, Liver diseases.
Dosage
Iron Dextran's dosage details are as follows:
| Dose | Single Dose | Frequency | Route | Instructions |
|---|---|---|---|---|
| Adult Dosage | ||||
| 100 mg | 100 mg | Every 24h | IM | |
| 150 mg | 150 mg | — | IV | 2 or 3 times a day |
| Paediatric Dosage (20kg) | ||||
| 55 mg | 55 mg | Every 24h | IV | Dose varies according to weight. |
| Neonatal Dosage (3kg) | ||||
| No data. | ||||
Drug Interactions
Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Side Effects
Iron Dextran in overdosage may give rise to further complications which include Tachycardia , Hypotension , Hypotension , Bradycardia , Thrombophlebitis , Hypertension , Shock , Myocardial infarction , Peripheral vascular flushing, Tachycardia.
Iron Dextran produces potentially life-threatening effects which include Decreased BP , Fatal allergic reactions. Careful monitoring is needed with proper medical management.
The signs and symptoms that are produced after acute overdosage of Iron Dextran are Sarcomas.
Iron Dextran is known to cause more or less tolerable side effects which are usually transient. These include Abdominal pain, Arthralgia, Chest pain, Chest tightness, Chills, Diarrhea, Dizziness, Fever, Flushing, Headache, Metallic taste, Myalgia, Nausea, Paresthesias, Phlebitis , Pruritus , Reaction at injection site, Syncope , Taste disturbance, Urticaria, Vomiting , Weakness.
Warnings / Precautions
Interference in Pathology
Iron Dextran may interfere in the diagnosis of Falsely elevated values of serum bilirubin, Falsely decreased values of serum calcium.
Available Brands
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Single Ingredient
Storage Conditions
Drug Classification
- 1.10.1 — Antianemia drugs
Manufacturers
Manufacturers of Iron Dextran in Pakistan: