Review Article

Iron Deficiency Anaemia in Pregnancy and Postpartum: Pathophysiology and Effect of Oral versus Intravenous Iron Therapy

Table 1

Recently available intravenous (IV) iron preparations.

Name of the IV iron preparationStatus of registrationIndicationsTest doseDuration of infusionMax dose in single infusionReference

*Ferumoxytol (Feraheme, AMAG Pharmaceuticals, Inc., USA)FDA approvedTreatment of iron-deficiency anaemia in adult patients with CKD**None1 minute510 mg [46, 47]

* Ferric carboxymaltose (Ferinject, Vifor Pharma, Glattbrugg, Switzerland)Approved in Europe,FDA-approval is soughtTreatment of iron-deficiency anaemia in adult patientsNone15 minutes20 mg/kg with max dose of 1000 mg [48, 49]

* Iron isomaltoside (MonoFer, Pharmacosmos A/S, Holbaek, Denmark)Approved in Europe FDA-approval is soughtTreatment of iron-deficiency anaemia in adult patients with CKD**None60 minutesNo max dose given at rate of 20 mg/kg [50, 51]

FDA, Food and Drug Administration; CKD, chronic kidney disease; Max, maximum. *No available data in pregnancy; however, if the benefit of treatment is judged to outweigh the potential risk to the fetus, the treatment should be confined to second and third trimester of pregnancy. **Extended approval is sought.