Jul
1
Anaemia is essentially a deficiency of red blood cells, and may occur as the result of a lack of certain factors such as iron, folic acid or vitamin B, or from disease in which the rate of breakdown of red cells exceeds the rate of production of new cells. Iron-deficiency anaemia is the most common form, and may occur during pregnancy or as a consequence of restricted diets. Such a deficiency can be dealt with by the oral administration of a suitable iron salt, and ferrous sulphate is widely used. For patients who cannot tolerate ferrous sulphate, other salts are ferrous gluconate and fumarate. Some iron preparations for use during pregnancy also contain folic acid but are too numerous to list here. Slow-release iron products are also available. In all cases of iron-deficiency anaemia, oral treatment should be continued for some months to build up an adequate store of iron.
In a few cases, where oral iron therapy is not possible, iron-deficiency anaemia can be treated with iron-sorbitol solution by deep i.m. injection, using a ‘Z’ technique to avoid staining the skin. The dose is based on the degree of iron-deficiency. Oral iron should be stopped for at least 24 hours before injection treatment. (Jectofer).
Megaloblastic anaemias are less common, and are due to a deficiency of vitamin B,, or of folic acid, or to a defect in the absorption or utilization of those factors, and may be secondary to treatment with cytotoxic agents such as methotrexate. Pernicious anaemia is the most common form of vitamin B12 deficiency, and develops insidiously as the normally ample stores of the vitamin in the liver are slowly depleted. Treatment is replacement therapy with hydroxocobalamin, which is the preferred form of vitamin BIZ, as it is excreted more slowly than the older cyanocobalamin, and has a much longer action. Some oral preparations of vitamin B,, are available, but in general they are regarded as unsatisfactory for the treatment of vitamin B12 deficiency.
Aplastic anaemia is due to a marked reduction in the formation of red blood cell precursors, and is a disease of the bone marrow. It may occur from no known cause, or from exposure to some toxic agents, including cytotoxic drugs. Bone marrow transplants are the only effective treatment, although some androgens such as nandrolone have been used with occasional success. Sideroblastic anaemias are due to a disturbance in the normal utilization of iron, and may respond to large doses of pyridoxine. Haemolytic anaemia is characterized by an excessive breakdown of red blood cells, due to disease or toxic agents. Some of these less common anaemias may respond to corticosteroid therapy. The severe anaemia of end-stage renal disease in dialyzed patients differs from other anaemias in being due to a lack of erythropoietin, the kidney hormone that regulates red blood cell production by the bone marrow. It can now be treated with human erythropoietin obtained by recombinant DNA.
Approved names Brand names
ferrous sulphate Feospan
Ferrograd sustained release products
Slow
ferrous fumarate Fersaday Fersamol Galfer
ferrous gluconate
ferrous glycine sulphate Plesmet
Ferrocontin Continus
(sustained release product)
ferrous succinate Ferromyn
iron - polysaccharide complex Niferex
sodium iron edetate Sytron
iron-sorbitol injection Jectofer
hydroxocobalamin Cobalin-H, Neo-Cytamen
cyanocobalamin Cytacon (oral), Cytamen
nandrolone Deca-Durabolin
pyridoxine
epoetin (erythropoietin) Eprex, Recormon
Tags:
absorption,
aldactone,
Anaemia,
aplastic anaemia,
blood,
breakdown,
consequence,
cyanocobalamin,
Cytamen,
cytotoxic agents,
deficiency of red blood cells,
dose,
erythropoietin,
ferrous gluconate,
hydroxocobalamin,
injection,
iron deficiency,
iron deficiency anaemia,
iron products,
iron therapy,
Megaloblastic,
metformin interactions potassium levels,
methotrexate,
olanzapine,
oral administration,
oral iron,
oral preparations,
oral treatment,
Pernicious,
pregnancy,
pyridoxine,
red blood cells,
red cells,
Slow-release,
soma relaxes the prostate,
some of my milk ducts were removed due to an abscess wo,
sonogram probe irritated my prostate,
sorbitol solution,
sorbitol solution with pregnancy,
soriatane or acitretin " diabetes",
spironolact,
spironolactone birth control,
spironolactone raises blood sugar levels,
sporanox alcohol safe,
sporanox pregnancy men sperm,
sporanox prostatitis,
sporanox seminal,
ssri excess of pre cum is bad,
ssris s and suicide,
st johns wart +aldactone,
starting emergency room pharmacist,
statistics 100000 people die from aspirin,
statistics 100000 people die from nsaid,
statistics on gi bleeing from nsaids,
steroid nasal spray over the counter,
steroid nasal sprays and pseudoephedrine,
steroid nasal sprays side effects,
stomach gas weakness,
stomach irritation above,
stomach pain and high potassium levels,
stomach problem and low blood pressure,
stopped ecotrin plavix due to anaemia blood clotting ri,
stormin norman cancer july 2009,
strattera carbohydrates sweat,
strattera saw palmetto,
strengths of nicomide,
stroke and a runny nose,
stroke runny nose,
stuffy nose and stomach gas,
sudafed side effect discharge male,
sufferers of vaginal irritation due to taking femara so,
suicide and antidepressants,
sulfa testosterone interaction,
sulfinpyrazone liver toxicity,
sulphate,
sunflower seeds help my prostatitis,
surgery robot 2009 prostatectomy,
sustained release drugs ferrous glycine sulphate,
swedish bitters prevents dht,
swedishbitters and shocklike death,
swelling face "high blood pressure",
switch from antihistamine to singulair,
switching from lodine to ibuprofen,
swollen testicles,
symptoms of secondary bone cancer from the prostate?,
sytron sorbitol,
tablets to stop night emission of semen,
take alpha blocker for bph with food,
take xenadrine with metformin,
taking chlorpheniramine maleate bp 4 mg in empty stomac,
taking more fiber is not a solution for my constipation,
tamoxifen and zinc supplements,
tekturna hct 150 mg side effects chest pressure,
terazosin constpation,
terazosin crush to syrup,
terazosin weight gain,
terpin hydrate & codeine cough syrup,
terpin hydrate with codeine,
test enanthate prostatitis,
testicles come back to normal size,
testicles get bigger after stopping olanzapine,
testing for zyrtec in a drug screen,
testosteron turp,
testosterone enanthate and shortness of breath and pani,
testosterone enanthate injection usp 200 mg penis +pic,
testosterone ethanate and seroquel interaction,
tetracycline topical for arthritis,
the emotional depression glaucoma brings its viictims,
the prostate and caffeine,
thyme herb tea,
thymol abuse,
thymol cough medicine,
tingling in hands and feet during amphetamine withdrawa,
tingling+scrotum,
too much aldosterone,
topical antibiotics lotions,
topical arthritus gels,
topical aspirin,
topical nsaid over the counter,
topical nsaid products available in the us,
topical nsaids otc,
topical prescription antibiotic skin gels,
topical steroid immune system,
topical steroids dizziness,
toprol and prostate,
toprol and prostate size,
toprol prostate,
toprol testerone,
toradol dangers naturopath,
toxicity of montelukast,
tramadol and clindamycin swelling and constipation with,
tramadol causing an enlarged prosate,
tramadol in treatment of acute pyelonephritis,
transrectal ultrasound,
treat overactive immune system,
treat prostatitis with urethral sounds,
treating damage to hair folicles from chemicals,
Treatment,
treatment for prostatitis nutrition caffeine,
utilization,
vitamin,
vitamin b,
vitamin b12 deficiency
Comments
