Dietzfelbinger H, Kaboth W
Med Klin. 1977 Apr 15;72(15):654-9.
In a clinical pilot study, performed as an intraindividual comparison, 3 oral iron preparations, one bivalent iron sulfate (quick release stick capsule preparation) and two trivalent iron citrate complex preparations with different additives, were investigated on 9 healthy young male test persons by the iron absorption test (postabsorption serum iron concentration curves) in order to study the bioavailability of these drugs and their compatibility. Whereas both iron drugs proved equally compatible when administered in therapeutical doses, it was again confirmed that the enteral bioavailability of the ferrous iron sulfate is superior to that of the ferric iron complex preparation. According to these results the medication of ferric iron preparations seems once again to be proved unsuitable, trivalent iron having first to be reduced to bivalent absorbable iron, there however being usually not enough "reducing capacity" in the gastrointestinal tract to do this.
在一项作为个体内比较进行的临床试点研究中,对9名健康年轻男性试验对象使用铁吸收试验(吸收后血清铁浓度曲线)研究了3种口服铁制剂,一种二价硫酸铁(速释棒状胶囊制剂)和两种添加不同添加剂的三价柠檬酸铁络合物制剂,以研究这些药物的生物利用度及其兼容性。当以治疗剂量给药时,两种铁剂均显示出同等的兼容性,但再次证实硫酸亚铁的肠内生物利用度优于三价铁络合物制剂。根据这些结果,三价铁制剂的用药似乎再次被证明不合适,因为三价铁首先必须还原为二价可吸收铁,但胃肠道中通常没有足够的“还原能力”来做到这一点。