Conditions with low or limited response to oral iron preparations
Noncompliance |
Severe side effects (eg, gastrointestinal) |
Limited absorption (eg, in inflammatory bowel disease) |
Postoperative phase (first days to weeks) |
Abnormal hepcidin regulation |
Limited time |
Chronic inflammatory stages (eg, rheumatoid arthritis) |
Use of red cell–stimulating hormones (eg, rhEPO, NESP) |
Preexisting moderate-to-severe iron-deficiency anemia |
Iron preparation with low pharmacological properties |
Noncompliance |
Severe side effects (eg, gastrointestinal) |
Limited absorption (eg, in inflammatory bowel disease) |
Postoperative phase (first days to weeks) |
Abnormal hepcidin regulation |
Limited time |
Chronic inflammatory stages (eg, rheumatoid arthritis) |
Use of red cell–stimulating hormones (eg, rhEPO, NESP) |
Preexisting moderate-to-severe iron-deficiency anemia |
Iron preparation with low pharmacological properties |
NESP, novel erythropoiesis stimulating protein; rhEPO, recombinant human erythropoietin.