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Iron Dextran Dosage

Medically reviewed by Drugs.com. Last updated on Feb 26, 2024.

Applies to the following strengths: 50 mg/mL

Usual Adult Dose for Iron Deficiency Anemia

Administer doses of 2 mL or less, IV, once a day, until the calculated total amount required has been reached

Dose (mL) = 0.0442 (Desired hemoglobin - Observed hemoglobin) x lean body weight in kg + (0.26 x lean body weight)

Males: Lean Body Weight = 50 kg + 2.3 kg per inch in height over 60 inches
Females: Lean Body Weight = 45.5 kg + 2.3 kg per inch in height over 60 inches

Maximum dose: 2 mL per day

Comments:

Use: Treatment of documented iron deficiency when oral administration is unsatisfactory or impossible.

Usual Adult Dose for Anemia Associated with Chronic Renal Failure

Administer doses of 2 mL or less, IV, once a day, until the calculated total amount required has been reached

Replacement iron (in mg) = blood loss (in mL) x hematocrit

Maximum dose: 2 mL per day

Comments:


Use: Iron replacement for blood loss, such as periodic losses in hemorrhagic diatheses or repetitive losses such as with hemodialysis.

Usual Pediatric Dose for Iron Deficiency Anemia

Administer doses of 2 mL or less, IV, once a day, until the calculated total amount required has been reached

15 years and older (15 kg and over):
Dose (mL) = 0.0442 (Desired hemoglobin - Observed hemoglobin) x lean body weight in kg + (0.26 x lean body weight)

Males: Lean Body Weight = 50 kg + 2.3 kg per inch in height over 60 inches
Females: Lean Body Weight = 45.5 kg + 2.3 kg per inch in height over 60 inches

Children 5 to 15 kg: see dosage chart (below)
or
Dose (mL) = 0.0442 (Desired hemoglobin - Observed hemoglobin) x weight in kg + (0.26 x weight)

Maximum dose:

Comments:

Use: Treatment of documented iron deficiency when oral administration is unsatisfactory or impossible.

Renal Dose Adjustments

Data not available; however, caution is recommended when administering this drug to patients with renal impairment.

Liver Dose Adjustments

Serious liver function impairment: Use with extreme care.

Precautions

US BOXED WARNING(S):
RISK FOR ANAPHYLACTIC-TYPE REACTIONS:


CONTRAINDICATIONS:

Safety and efficacy have not been established in patients younger than 4 months.

Consult WARNINGS section for additional precautions.

Dialysis

Iron dextran is not appreciably removed by hemodialysis. Supplemental dosing following hemodialysis is not necessary.

Data not available on the use of iron dextran during peritoneal dialysis.

Comments:

Other Comments

Administration advice:


Storage requirements:

IV compatibility:

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.