Deferiprone.
Characteristics | |
Route of administration | PO |
Half-life | 2 to 3 hours |
Primary route of iron excretion | Urine |
Dose range | 50–100 mg/kg/d |
Guidelines for Monitoring Therapy | |
CBC with differential weekly | |
ALT level monthly for first 3–6 months, then every 6 months | |
Serum ferritin level quarterly | |
Assessment of liver iron annually | |
Assessment of cardiac iron annually after 10 years of age | |
Advantages | |
Orally active | |
Safety profile well established | |
Enhanced removal of cardiac iron | |
May be combined with deferoxamine | |
Disadvantages | |
May not achieve negative iron balance in all patients at 75 mg/kg/day | |
Risk of agranulocytosis and need for weekly blood counts |
Characteristics | |
Route of administration | PO |
Half-life | 2 to 3 hours |
Primary route of iron excretion | Urine |
Dose range | 50–100 mg/kg/d |
Guidelines for Monitoring Therapy | |
CBC with differential weekly | |
ALT level monthly for first 3–6 months, then every 6 months | |
Serum ferritin level quarterly | |
Assessment of liver iron annually | |
Assessment of cardiac iron annually after 10 years of age | |
Advantages | |
Orally active | |
Safety profile well established | |
Enhanced removal of cardiac iron | |
May be combined with deferoxamine | |
Disadvantages | |
May not achieve negative iron balance in all patients at 75 mg/kg/day | |
Risk of agranulocytosis and need for weekly blood counts |