Nephrology Infusion Therapy in Toms River, NJ

Overview

Anemia is common in chronic kidney disease (CKD). Damaged kidneys make less erythropoietin, the hormone that tells the bone marrow to make red blood cells, and CKD can also make it harder for the body to absorb and use iron. Nephrologists often treat CKD-related anemia with iron and, when needed, erythropoiesis-stimulating agents (ESAs). Infuse Care gives nephrologist-prescribed IV iron to people with CKD, most often those who are not on dialysis; people on hemodialysis usually receive iron during their dialysis sessions.

Signs of Anemia in CKD

• Tiredness or low energy
• Shortness of breath
• Feeling cold
• Trouble concentrating
• Pale skin
• Doing less than usual because of fatigue

Your nephrology team tracks anemia with blood tests such as hemoglobin, ferritin and transferrin saturation.

Why IV Iron in CKD

In CKD, inflammation and the iron-regulating hormone hepcidin can make oral iron less effective. IV iron can help replenish iron stores and may help the body respond better to ESA treatment.

Therapies That May Be Available at Infuse Care

• Venofer (iron sucrose): IV infusion or slow IV injection, usually as several smaller doses; approved for iron deficiency anemia in CKD, with or without dialysis
• Feraheme (ferumoxytol): IV infusion; approved for iron deficiency anemia in adults with CKD, among other uses
• Injectafer (ferric carboxymaltose): IV infusion; approved for adults with CKD who are not on dialysis, among other uses
• Monoferric (ferric derisomaltose): IV infusion; approved for adults with CKD who are not on dialysis, among other uses

Safety and Monitoring

Serious allergic reactions and drops in blood pressure are rare but possible, so you are observed after each infusion. Regular blood tests help your nephrologist avoid giving too much iron. Your nephrology team may also ask that certain arm veins be avoided, to protect them for possible future dialysis access.

Your prescribing provider decides which treatment is right for you. Infuse Care administers prescribed therapies after a referral, a clinical review and any required insurance authorization, and we keep your provider's office updated on your care.