Iron in Older Adults Return to Medication List
{"Image DocumentName": "Iron in Older Adults Return to Medication List", "Image ImageDescription": "Oral iron causes frequent gastrointestinal side effects. Absorption of iron increases in patients with true iron deficiency. One study showing that low dose oral iron (15mg elemental Fe) was as effective as high dose iron (150mg), with fewer adverse effects. Abdominal discomfort 70% vs. 20% Nausea and vomiting 67% vs. 13% Constipation 23% vs. 0% Diarrhea 70% vs. 13% Iron best absorbed in acidic environment without food. Absorption may be poor on PPI or H2RA. Can consider giving with ascorbic acid. Start with lowest dose and follow response, titrate if needed. Ferrous fumarate \u2014 106 mg elemental iron/tablet. Ferrous sulfate \u2014 65 mg elemental iron/tablet. Ferrous gluconate \u2014 28 to 36 mg iron/tablet. Iron can effect absorption of other drugs. Quinolones, levothyroxine, tetracyclines, levodopa most notable. Ensure that the diagnosis is correct (AOCD?) TID iron is on the Beers list and on the banned list for nursing home use. Consider parenteral iron if side effects intolerable. Reference: Rimon E, Kagansky N, Kagansky M, et al. Are we giving too much iron? Low-dose iron therapy is effective in octogenarians. American Journal of Medicine 2005;118: Return to Medication List.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}