Monograph Details

Hematology > Anemias
VENOFER
Manufacturer
American Regent, Inc.
Legal Classification
Rx
Pharmacological Class
Hematinic.
Generic Name
Iron (as sucrose) 20mg/mL; soln for IV inj or infusion; preservative-free.
Indications
Iron deficiency anemia in chronic kidney disease.
Children
Not recommended.
Adults
Give by slow IV inj (undiluted) or infusion (diluted). Usual total cumulative dose: 1000mg. Hemodialysis dependent: 100mg slow IV inj over 2–5 minutes or infuse 100mg over at least 15 minutes per consecutive session. Non-dialysis dependent: 200mg slow IV inj over 2–5 minutes on 5 different occasions within a 14-day period; limited experience with IV infusion (see literature). Peritoneal dialysis dependent: Two infusions of 300mg over 1.5 hours 14 days apart, then one 400mg infusion over 2.5 hours 14 days later.
Contraindications
Anemia not caused by iron deficiency. Iron overload.
Precautions
Withhold therapy if tissue iron overload suspected. Monitor hemoglobin, hematocrit, serum ferritin, transferrin saturation; obtain serum iron values 48 hours after dosing. Pregnancy (Cat. B). Nursing mothers.
Interactions
May reduce absorption of concomitant oral iron preparations.
Adverse Reactions
Hypotension (esp. by IV infusion), hypertension, muscle cramps, GI upset, headache, dizziness, chest pain, graft complications, dysgeusia, pruritus, edema, constipation; rare: hypersensitivity reactions (may be severe).
How Supplied
Single-dose vials (100mg/5mL)—1, 10, 25
200mg/10mL—1, 5,10