Table 2.

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 

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