DEFEROXAMINE belongs to the group of medicines called ‘chelating agents’ used to remove excess iron from the body in anemia or chronic iron overload due to blood transfusions in patients 2 years of age and older. It is also used with other medicines to treat acute iron poisoning, especially in small children. Besides this, DEFEROXAMINE may also be used for high aluminum levels in dialysis patients and people with aluminum poisoning.
DEFEROXAMINE contains Deferoxamine an iron-binding agent that belongs to a class of medicines called heavy metal antagonists. It works by binding trivalent (ferric) iron which has a strong affinity, forming ferrioxamine, a stable complex that prevents the iron from entering into further chemical reactions and also is eliminated from the body. It helps the kidneys and gallbladder get rid of the extra iron.
DEFEROXAMINE will be administered by a healthcare professional; do not self-administer. In some cases, you may experience certain common side-effects such as flushing (sense of warmth in the face, ears, neck, and trunk), skin rash, hypotension (decreased pressure), change in color of urine to red, headache, upset stomach or throwing up, diarrhea, muscle or joint pain, irritation where the injection is given. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
To treat your condition effectually, continue taking DEFEROXAMINE for as long as your doctor has prescribed. To avoid recurring symptoms, do not stop it midway. Do not take DEFEROXAMINE if you are pregnant or planning for pregnancy and breastfeeding unless prescribed by a doctor. Your doctor may advise you to undergo regular blood tests, kidney and liver tests, eye examinations, and hearing tests to monitor your condition. Avoid consuming alcohol along with DEFEROXAMINE as it could lead to increased drowsiness and dizziness. Inform your doctor about your health condition and medicines to rule out any unpleasant side effects.
Iron Intoxication
DEFEROXAMINE contains Deferoxamine an iron-chelating agent used for treating acute iron intoxication or emergency cases of iron poisoning. This medication can also be used to help get rid of iron in patients with high iron levels due to many blood transfusions. DEFEROXAMINE works by forming a stable complex that prevents the iron and aluminum ions from entering into further chemical reactions and helping the kidneys and gallbladder eliminate the extra iron. This reduces the risk of organ damage.
Do not take DEFEROXAMINE if you are allergic to Deferoxamine or any of the other ingredients in it. Inform your doctor if you have severe kidney problems and are on dialysis, liver disease, rheumatoid arthritis, diabetes, and any fungal infection. Do not take DEFEROXAMINE if you are pregnant or planning to get pregnant and breastfeeding unless prescribed by a doctor. DEFEROXAMINE may affect growth in children (especially those younger than 3 years of age) and teens in some cases. They may need regular growth checkups while taking DEFEROXAMINE. Your doctor may recommend to you regular eye tests and hearing tests. DEFEROXAMINE can affect your vision and your hearing. Older adults (65 or older) may be more sensitive to the side effects of DEFEROXAMINE, especially vision/hearing problems. Talk with your doctor before taking multivitamins, natural products, and diet aids. If you are using DEFEROXAMINE to treat high iron levels, your doctor may advise you to take vitamin C (ascorbic acid) after using this medication for at least 1 month. Taking vitamin C will help replace vitamin C loss due to high iron levels and help the medication work to get rid of the iron. If you have a heart problem (heart failure), DEFEROXAMINE should not be used with vitamin C (ascorbic acid) because severe interactions may occur. This medicine may affect certain lab tests. Inform your doctor and lab staff that you take DEFEROXAMINE. If you are using DEFEROXAMINE for aluminum poisoning, inform your doctor if you have seizures (fits), hypocalcemia (decreased calcium level in blood), and hyperparathyroidism.
Drug-Drug Interactions: DEFEROXAMINE interacts with a medicine used to treat anxiety or schizophrenia (prochlorperazine), a medicine used to treat anemia (erythropoietin
Drug-Food Interactions: No interaction found.
Drug-Disease Interactions: DEFEROXAMINE should not be used in people with renal dysfunction, auditory dysfunction, hepatic impairment, ocular dysfunction, or respiratory distress syndrome.
It is not known whether the DEFEROXAMINE can interact with alcohol. However, you are recommended not to consume alcohol along with DEFEROXAMINE to avoid unpleasant side-effects.
DEFEROXAMINE is a pregnancy Category B medicine. It may not cause harm to an unborn fetus. However, DEFEROXAMINE should be taken only when prescribed by a doctor only if he/she thinks benefits outweigh the risks.
DEFEROXAMINE should be used in breastfeeding mothers only if the benefits outweigh the risks as there is insufficient data available regarding the use of this medicine in breastfeeding mothers.
After taking this drug, you can experience side effects like feeling dizzy, tired or alter your vision. If this occurs, do not drive or perform any work that requires a high level of concentration.
DEFEROXAMINE to be taken with caution, especially if you have a history of liver diseases/conditions. Your doctor may have to adjust the dose if there are symptoms of nausea, vomiting, loss of appetite, dark-colored urine, or yellowing of skin/eye.
DEFEROXAMINE should be used with caution in patients with renal impairment since the metal complexes are excreted via the kidneys. In these patients, dialysis will increase the elimination of chelated iron and aluminum. So, it should be used with caution in patients with kidney diseases. The dose may have to be adjusted by the doctor.
In children below the age of 3 years, DEFEROXAMINE may affect the growth. Regular checks on body weight and height are, therefore, recommended in children using DEFEROXAMINE.
Iron intoxication: Iron poisoning occurs from the ingestion of excess iron or increases iron levels in the blood that results in acute toxicity. Excessive iron can be damaging to the gastrointestinal system. Iron is an essential mineral for blood production. Symptoms of iron toxicity include nausea, vomiting, diarrhea, and stomach pain. Iron can also accumulate in the organs and cause fatal damage to the liver or brain.