Iron Deficiency Anemia in Adults
Explore the common causes of iron deficiency anemia in young children and women of childbearing age, along with dosing recommendations for ferrous sulfate and ferrous fumarate. Learn about alternate day dosing options and the potential benefits in managing iron deficiency anemia effectively.
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Presentation Transcript
Chapter 3: Nutrition and anaemia NATIONAL DEPARTMENT OF HEALTH AFFORDABLE MEDICINES ESSENTIAL MEDICINES PROGRAMME PRIMARY HEALTHCARE GUIDELINES 2020 1
EVIDENCE Please access the National Essential Medicines List Committee (NEMLC) report for detailed evidence (including rationale, references and costings) informing decision-making on medicine addition, amendments and deletions: http://www.health.gov.za/index.php/standard-treatment-guidelines-and- essential-medicines-list/category/285-phc DISCLAIMER This slide set is an implementation tool and should be used alongside the most recently published STG available on the EML Clinical Guide Application. This information does not supersede or replace the STG itself. 2
Iron deficiency anaemia in adults DESCRIPTION A common cause of anaemia in young children and women of childbearing age. Full blood count showing a low MCV suggests the diagnosis of iron deficiency anaemia. CHANGES Dosing of ferrous sulfate, oral and ferrous fumarate, oral AMENDED To include alternate day dosing when there is poor tolerance to daily dosing REASON Pragmatic option provided & limited evidence suggests that hepcidin levels increase with increasing doses of oral iron. Alternate day dosing may minimise use of parenteral iron in patients who cannot tolerate daily dosing. 3
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