Per policy, order is limited to 8 x 125 mg doses (1 gram elemental iron total) if not otherwise specified by the prescriber.
Parenteral Iron Formulations: use this table to help you convert various iron products to Ferrlecit.
Parenteral Iron formulation
Elemental Iron/mL
Dose for CKD pts on hemodialysis
Dose for patients not on dialysis
sodium ferric gluconate complex (Ferrlecit)
12.5 mg
125 mg IV 3 times/week (every dialysis session) x 8 doses (1 gram).
250 mg IV over 1 hour (4.2 mg/min)
iron dextran (Infed)
50 mg
100 mg IV 3 times/week (every dialysis) x 10 doses (1 gram)
500-1000 mg slow IV infusion (250 - 1000 ml NS)
ferric carboxymaltose (Injectafer)
50 mg
• < 50 kg: 15 mg/kg elemental iron on day 1; repeat dose after at least 7 days (maximum: 1500 mg elemental iron per course). May repeat course of therapy if anemia reoccurs. • ≥ 50 kg: 750 mg on day 1; repeat dose after at least 7 days (maximum: 1500 mg per course). May repeat course if anemia reoccurs.
ferumoxytol (Feraheme)
30 mg
510 mg x 2 doses (3 to 8 days apart)
510 mg x 2 doses (3 to 8 days apart)
iron sucrose (Venofer)
20 mg
100 mg IV 3 times/week (every dialysis) x 10 doses
200 mg IV x 5 doses during a 14 day period. Alternatively: (a) 500mg slow IV infusion on day 1 and day 14. OR (b) 300 mg, 300 mg, then 400 mg - each dose 14 days apart.
(every dialysis session) x 8 doses (1 gram).
(every dialysis) x 10 doses (1 gram)
(250 - 1000 ml NS)
• ≥ 50 kg: 750 mg on day 1; repeat dose after at least 7 days (maximum: 1500 mg per course). May repeat course if anemia reoccurs.
(every dialysis) x 10 doses
Alternatively:
(a) 500mg slow IV infusion on day 1 and day 14.
OR
(b) 300 mg, 300 mg, then 400 mg - each dose 14 days apart.