Description
Isofer – Vial of 5 ml Injection
Type: Parenteral Iron Supplement
Form: Injection (Intravenous)
Pack: Vial of 5 ml
Route of administration: IV (intravenous) infusion or slow IV injection (as prescribed by a physician)
✅ Composition:
-
Iron Isomaltoside 1000 – 100 mg/ml
→ Each 5 ml vial contains 500 mg of elemental iron
💊 Therapeutic Use:
Isofer is used for the treatment of iron deficiency, especially in cases where oral iron therapy is:
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Ineffective
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Not tolerated
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Not feasible (e.g., severe deficiency or chronic conditions)
Common indications:
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Iron-deficiency anemia (IDA)
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Chronic kidney disease (CKD)
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Inflammatory bowel disease (IBD)
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Postpartum iron deficiency
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Iron loss due to surgery or blood loss
⚙️ Mechanism of Action:
Iron Isomaltoside is a stable iron–carbohydrate complex. It releases iron slowly to bind with transferrin and ferritin for incorporation into hemoglobin and other iron-dependent enzymes.
💉 Administration Guidelines:
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Given by healthcare professionals only
-
Can be given as:
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IV slow bolus injection
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IV infusion diluted in saline
-
-
Dose and frequency depend on:
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Hemoglobin level
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Body weight
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Total iron deficit
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🧪 Monitoring Required:
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Hemoglobin (Hb)
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Serum ferritin
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Transferrin saturation
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Kidney function (if relevant)
⚠️ Precautions & Side Effects:
🔄 Common Side Effects:
Side Effect | Notes |
---|---|
Nausea, vomiting | Usually mild |
Headache | May occur after injection |
Flushing | Temporary |
Injection site pain | Use slow administration |
Metallic taste | Self-limiting |
🚨 Rare but Serious:
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Hypersensitivity / anaphylaxis (rare but possible)
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Hypotension during or after infusion
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Iron overload (especially in renal failure)
Emergency resuscitation equipment must be available during administration.
🔁 Alternative IV Iron Brands (India):
Brand Name | Composition |
---|---|
Ferinject | Ferric carboxymaltose |
Monofer | Iron isomaltoside |
Dexorange IV | Iron sorbitol + folic acid |
Cosmofer | Iron dextran |
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