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

["Ravi Menon" <>]

What date was the publication?

On 5/10/08, Dr.M.C. Gupta  wrote:
>
> [This message contained attachments that have been removed.]
>
>
> 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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