[nukkad] Which iron preparation is recommended by REAL experts?

["Dr.M.C. Gupta" <>]

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Here is a reproduction from the WHO sponsored book titled "Standard
treatment guidelines" jointly published by the Delhi Society for Promotion
of Rational Use of Drugs [Headed by the renowned Emeritus Scientist Dr. RR
Chaudhury, who was long back professor and HOD, Pharmacology, PGI,
Chandigarh; later was President Delhi Medical Council; Currently in a senior
advisory capacity in Apollo Hospital, Delhi] and the WHO-India Programme on
Essential drugs. The book has been sponsored by WHO, under the technical
assistance of Dr. Hans V Hogerzeil, Coordinator for Policy, WHO, Geneva. It
has a forward from South East Asia Regional Director of WHO. The editorial
board consisted of 7 experts. It was written by 66 professors and reviewed
by another 15.

THE EXCERPT FOLLOWS:

****


*TREATMENT*

*Iron deficiency anaemia *



1. Treat the underlying cause: menorrhagia in women, gastrointestinal blood
loss in all age groups including hookworm infestation, dietary deficiency,
rarely* *malabsorption.



2. Tab. Ferrous sulfate 200 mg 3 times a day. Reduce the dose as hemoglobin
rises to over 10 g/dl. Once haemoglobin is normal, continue with I
tablet *daity
*for at least three months.



Other preparations of iron are not superior, but they can be tried if
patient does not find ferrous sulfate suitable. These include ferrous
fumarate and ferrous gluconate.



The rate of rise of haemoglobin should be 1 g/dl per week. If this does not
occur, consider ongoing blood loss, noncompliance, associated
hemoglobinopathy like thalassemia carrier status, malabsorption, or an
incorrect diagnosis.


Parenteral iron  does not lead to a faster rise in haemoglobin. It is
indicated in  the following situations: (i) Malabsorption of iron, (ii)
Intolerance of * *oral iron, (iii) In late pregnancy to ensure fetal stores
of iron are replenished rapidly, (iv) If ongoing blood loss exceeds the
capacity to absorb oral iron (like in inoperable malignancy), (v) In
non-compliant patient. There is danger of anaphylactoid reactions, hence to
manage these should be readily available.
M C Gupta

=======================================================================================




-- 
Prof. M C Gupta
MD (Medicine), MPH,  LL.M.,

Advocate & Health and Medico-legal Consultant

mcgupta44@gmail.com
www.writing.com/authors/mcgupta44
http://mcgupta44.blogspot.com/

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