Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Observational Study
. 2023 Oct;102(10):2645-2650.
doi: 10.1007/s00277-023-05344-w. Epub 2023 Jul 11.

Comparison of different intravenous iron preparations in terms of total oxidant and total antioxidant status, single center data

Affiliations
Observational Study

Comparison of different intravenous iron preparations in terms of total oxidant and total antioxidant status, single center data

Ferda Can et al. Ann Hematol. 2023 Oct.

Abstract

Iron deficiency anemia is the most common and preventable cause of anemia. Oral and parenteral iron preparations can be used for treatment. There are some concerns about the effect on oxidative stress of parenteral preparations. In this study, we aimed to investigate the effect of ferric carboxymaltose and iron sucrose on short- and long-term oxidant-antioxidant status. The study was designed as a prospective, single-center, observational study. Patients diagnosed with iron deficiency anemia and receiving intravenous iron therapy were included. Patients were divided into 3 groups as those receiving 1000 mg iron sucrose, 1000 mg ferric carboxymaltose, and 1500 mg ferric carboxymaltose. Blood samples were collected for blood tests before treatment, at the 1st hour of the first infusion, and at the 1st month of follow-up. The total oxidant and total antioxidant status were analyzed to evaluate oxidative stress and antioxidant status. Fifty-eight patients are included. Nineteen patients received iron sucrose 1000 mg (G1), 21 patients received ferric carboxymaltose 1000 mg (G2), and 18 patients received ferric carboxymaltose 1500 mg (G3). First hour total antioxidant status was higher in the iron sucrose group than in the ferric carboxymaltose group [G1 and G2 (p = 0.027), G1 and G3 (p = 0.004)]. At the 1st hour, total oxidant status was higher in iron sucrose group than in ferric carboxymaltose group [G1 and G2 (p = 0.016), G1 and G3 (p = 0.011)]. There was no difference in total oxidant and antioxidant stress between the three treatment groups at the 1st month evaluation [p: 0.19 and p: 0.12]. Total oxidant and antioxidant status in iron sucrose and ferric carboxymaltose formulations were found to be higher in the iron sucrose group in the acute period at the 1st hour after infusion. There was no significant difference between antioxidant and oxidant total status in all three treatment groups at the 1st month of long-term control. The fact that total oxidant status was lower in the ferric carboxymaltose group containing high-dose treatment compared to iron sucrose according to the 1st hour change showed that high-dose iron did not significantly affect oxidant stress in the short term. In addition, long-term oxidant stress evaluation at the 1st month did not show any difference between iron preparations. In conclusion, it has been shown that high-dose intravenous iron therapy, which is easier to use in clinical practice, has no effect on the oxidant-antioxidant system.

Keywords: Ferric carboxymaltose; Intravenous iron; Iron sucrose; Oxidant status.

PubMed Disclaimer

Similar articles

References

    1. Warner MJ, Kamran MT (2022) Iron deficiency anemia: StatPearls [Internet]. StatPearls Publishing, Treasure Island (FL)
    1. Nguyen M, Tadi P (2022) Iron supplementation: StatPearls [Internet]. StatPearls Publishing, Treasure Island (FL)
    1. Mansour D, Hofmann A, Gemzell-Danielsson K (2021) A review of clinical guidelines on the management of iron deficiency and iron-deficiency anemia in women with heavy menstrual bleeding. Adv Ther 38(1):201–225 - DOI - PubMed
    1. Marques VB, Nascimento TB, Ribeiro RF Jr, Broseghini-Filho GB, Rossi EM, Graceli JB et al (2015) Chronic iron overload in rats increases vascular reactivity by increasing oxidative stress and reducing nitric oxide bioavailability. Life Sci 143:89–97 - DOI - PubMed
    1. Bertoli SR, Marques VB, Rossi EM, Krause M, Carneiro M, Simões MR et al (2018) Chronic iron overload induces vascular dysfunction in resistance pulmonary arteries associated with right ventricular remodeling in rats. Toxicol Lett 295:296–306 - DOI - PubMed

Publication types

LinkOut - more resources