IV Iron Infusions: Who Needs Them and What to Expect

Iron deficiency anemia happens when your body doesn't have enough iron to make hemoglobin, the part of red blood cells that carries oxygen. It can leave you tired, short of breath and foggy. Iron pills are usually the first step, but they don't work for everyone. That's where IV iron comes in.

Who might need IV iron?

Your doctor may consider an iron infusion if:

• Oral iron causes side effects you can't tolerate, such as stomach upset or constipation
• Iron pills haven't raised your levels after an adequate trial
• Your body can't absorb iron well, for example with celiac disease, inflammatory bowel disease or after weight-loss surgery
• Ongoing blood loss, such as heavy periods, outpaces what pills can replace
• Iron needs to be rebuilt more quickly, such as before a planned surgery

Finding the cause of iron deficiency matters as much as treating it, so your doctor may also order tests to understand why your iron is low.

Types of IV iron

Several IV iron products are available, including Injectafer, Monoferric, Feraheme and Venofer. Some are given in one or two doses; others in several smaller doses. Your doctor chooses based on your situation and insurance coverage.

What happens during an iron infusion

Your nurse places a small IV, gives the iron over the time your order specifies, and checks your vital signs. Most iron infusions take less than an hour. Afterward, you'll be observed for at least 30 minutes to make sure you're feeling well before you go home.

Side effects to know about

Most people tolerate IV iron well. Possible effects include headache, nausea, muscle aches, flushing and changes in blood pressure. Serious allergic reactions are rare, which is why you're monitored. Tell your nurse right away if you feel pain or swelling at the IV site, because iron that leaks out of the vein can stain the skin.

When will I feel better?

Iron stores start to refill right away, but it takes time for your body to make new red blood cells. Some people notice more energy within a few weeks; for others it takes longer. Your doctor will usually repeat blood tests several weeks later to check your response.

IV iron in Toms River, NJ

Infuse Care gives prescribed IV iron in private suites, with nurse monitoring and updates sent to your doctor. Learn more about iron deficiency anemia and our hematology services, or call 732-444-8808.