Department of Medicine, Georgetown University School of Medicine, Washington, District of Columbia.
Department of Medicine, Division of Hematology and Oncology, Pennsylvania Hospital, Philadelphia, Pennsylvania.
Am J Hematol. 2021 Jun 1;96(6):727-734. doi: 10.1002/ajh.26124. Epub 2021 Feb 26.
Intravenous (IV) iron is the therapy of choice when oral iron is ineffective or poorly tolerated, yet use has been limited by fears of hypersensitivity reactions (HSRs). Newer formulations that bind iron more tightly and release it more slowly have made the risk of serious or severe HSRs very low. One such formulation, ferric derisomaltose, has been approved in the United States for delivery of 1000 mg iron in a single IV infusion. Ferric derisomaltose rapidly repletes iron parameters with low rates of serious or severe HSRs. Single-infusion iron repletion offers convenience, eliminates adherence concerns, and reduces healthcare resource utilization.
静脉内(IV)铁是口服铁无效或不耐受时的首选治疗方法,但由于担心过敏反应(HSR),其应用受到限制。新的制剂通过更紧密地结合铁并更缓慢地释放铁,使严重或严重 HSR 的风险非常低。其中一种制剂 ferric derisomaltose 已在美国获得批准,可单次静脉输注 1000mg 铁。Ferric derisomaltose 可快速补充铁参数,严重或严重 HSR 的发生率低。单次输注铁补充剂具有方便、消除依从性问题和减少医疗资源利用的优势。