Table 1.

IV iron preparations

Preparations
Generic name Iron sucrose Sodium ferric gluconate LMW iron dextran Ferumoxytol FCM Iron isomaltoside 
Trade (brand) name Venofer Ferrlecit INFeD, CosmoFer Feraheme Ferinject, Injectafer, Monofer (Europe only) 
Manufacturer American Regent Inc Sanofi Aventis Inc Watson Pharma AMAG Pharmaceuticals Luitpold Pharmaceuticals Pharmacosmos 
Carbohydrate Sucrose Gluconate LMW iron dextran Polyglucose sorbitol carboxymethylether Carboxymaltose Isomaltoside 
Concentration of elemental iron 20 mg/mL 12.5 mg/mL 50 mg/mL 30 mg/mL 50 mg/mL 100 mg/mL 
TDI No No Yes No Yes Yes 
Test dose required No No Yes No No No 
Recommended max dose Multiple doses of 200-300 mg Multiple doses of 125-187.5 mg Multiple doses of 100 mg or single infusion of 1000 mg 2 infusions of 510 mg given 3-8 d apart or a single dose of 1020 mg 2 doses of 750 mg, given 7 or more days apart (weight <50 kg) A single infusion, at a dose of 20 mg/kg (or 1000 mg) or up to 3 doses of 500 mg given over 7 d 
2 doses of 15 mg/kg (or 1000 mg) given 7 or more days apart if weight >50 kg 
Infusion time Over a period of at least 15 min 1 h 1 h 15 min 15 min 15 min 
Pregnancy category Not listed 
Preparations
Generic name Iron sucrose Sodium ferric gluconate LMW iron dextran Ferumoxytol FCM Iron isomaltoside 
Trade (brand) name Venofer Ferrlecit INFeD, CosmoFer Feraheme Ferinject, Injectafer, Monofer (Europe only) 
Manufacturer American Regent Inc Sanofi Aventis Inc Watson Pharma AMAG Pharmaceuticals Luitpold Pharmaceuticals Pharmacosmos 
Carbohydrate Sucrose Gluconate LMW iron dextran Polyglucose sorbitol carboxymethylether Carboxymaltose Isomaltoside 
Concentration of elemental iron 20 mg/mL 12.5 mg/mL 50 mg/mL 30 mg/mL 50 mg/mL 100 mg/mL 
TDI No No Yes No Yes Yes 
Test dose required No No Yes No No No 
Recommended max dose Multiple doses of 200-300 mg Multiple doses of 125-187.5 mg Multiple doses of 100 mg or single infusion of 1000 mg 2 infusions of 510 mg given 3-8 d apart or a single dose of 1020 mg 2 doses of 750 mg, given 7 or more days apart (weight <50 kg) A single infusion, at a dose of 20 mg/kg (or 1000 mg) or up to 3 doses of 500 mg given over 7 d 
2 doses of 15 mg/kg (or 1000 mg) given 7 or more days apart if weight >50 kg 
Infusion time Over a period of at least 15 min 1 h 1 h 15 min 15 min 15 min 
Pregnancy category Not listed 

FDA pregnancy categories: B, Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women. C, Animal reproductive studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.

TDI, total dose infusion.

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