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At a glance

Deferoxamine is a parenteral iron chelator used for the treatment of acute iron intoxication and chronic iron overload due to transfusion-dependent anemias.

Indications
  • Acute iron intoxication
  • Chronic iron overload due to transfusion-dependent anemias
  • Diagnosis of aluminum overload
  • Chronic aluminum overload in End-Stage Renal Failure
Pharmacology

Deferoxamine binds trivalent (ferric) iron, forming ferrioxamine, a stable complex which is eliminated via the kidneys. 100 mg of deferoxamine is capable of binding approximately 8.5 mg of trivalent iron.

Dosage

Adult - Chronic iron overload: Subcutaneous or intravenous infusion. Dose is individualized. Maximum 6.0 grams in 24 hours.
Child: Dose is based on weight and clinical condition.

Side effects

Common: Flushing (sense of warmth in face, ears, neck and trunk), rash, decreased blood pressure, abdominal pain.
Serious: Visual and auditory disturbances, renal dysfunction, anaphylactoid reactions.

Use in pregnancy

Deferoxamine may be unsafe during pregnancy. Animal studies have shown reproductive toxicity. Should only be used if hazard of acute iron intoxication is greater than teratogenic hazard.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings

Rapid IV injection (exceeding 15 mg/kg/h) has produced flushing, urticaria, hypotension and shock. Caution while driving (dizziness, visual disturbances). Caution with Vitamin C (avoid high doses in heart failure patients).

Overdose effects

Since Deferoxamine is available only for parenteral administration, acute intoxication is unlikely to occur.

Storage conditions

Store between 15-25°C. Do not store above 25°C.

Deferoxamine — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.