Safe administration of iron dextran to a patient who reacted to the test dose

Michael S. Monaghan, Gerry Glasco, Greg St.John, Robert W. Bradsher, Keith Melvin Olsen

Research output: Contribution to journalArticle

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Abstract

Parenteral iron therapy is infrequently required but generally well tolerated. We present a case in which intravenous iron dextran was successfully given to a patient who had an anaphylactoid reaction to the test dose. After pretreatment with methylprednisolone, diphenhydramine, ephedrine, and dextran 1, 2 g of iron dextran were safely given over several days; pretreatment was administered only on day 1. In the rare cases in which an anaphylactic agent must be given to a patient with a history of a life-threatening reaction to the agent, pretreatment along with slow escalation of dose may allow safe administration of the offending drug.

Original languageEnglish (US)
Pages (from-to)1010-1012
Number of pages3
JournalSouthern Medical Journal
Volume87
Issue number10
DOIs
StatePublished - Jan 1 1994

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Dextrans
Iron
Diphenhydramine
Ephedrine
Methylprednisolone
Pharmaceutical Preparations
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Monaghan, M. S., Glasco, G., St.John, G., Bradsher, R. W., & Olsen, K. M. (1994). Safe administration of iron dextran to a patient who reacted to the test dose. Southern Medical Journal, 87(10), 1010-1012. https://doi.org/10.1097/00007611-199410000-00011

Safe administration of iron dextran to a patient who reacted to the test dose. / Monaghan, Michael S.; Glasco, Gerry; St.John, Greg; Bradsher, Robert W.; Olsen, Keith Melvin.

In: Southern Medical Journal, Vol. 87, No. 10, 01.01.1994, p. 1010-1012.

Research output: Contribution to journalArticle

Monaghan, MS, Glasco, G, St.John, G, Bradsher, RW & Olsen, KM 1994, 'Safe administration of iron dextran to a patient who reacted to the test dose', Southern Medical Journal, vol. 87, no. 10, pp. 1010-1012. https://doi.org/10.1097/00007611-199410000-00011
Monaghan, Michael S. ; Glasco, Gerry ; St.John, Greg ; Bradsher, Robert W. ; Olsen, Keith Melvin. / Safe administration of iron dextran to a patient who reacted to the test dose. In: Southern Medical Journal. 1994 ; Vol. 87, No. 10. pp. 1010-1012.
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