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Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Iron Supplement Pharmacology

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Education, Health & Fitness, Medicine

5716 Ratings

🗓️ 17 January 2019

⏱️ 14 minutes

🧾️ Download transcript

Summary

Iron supplements frequently cause GI upset. Monitor patients for nausea, vomiting, and constipation issues.



There are three main salt forms of iron. Ferrous fumurate has the most elemental iron, ferrous sulfate (2nd most), and ferrous gluconate has the least.



Iron can bind up antibiotics and reduce their effectiveness. Two classic examples include the quinolone and tetracycline antibiotics.



Anemia can be caused by numerous concerns, however, iron deficiency is a very common cause.



Ferritin is a lab that we commonly monitor in a patient who may be iron deficient. Iron deficiency can also lead to symptoms of Restless Leg Syndrome.

Transcript

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0:00.0

Hey all, this is Eric Christensen from the Real Life Pharmacology podcast. Be sure to check out the website

0:06.1

reallife pharmacology.com for a free 30-plus page PDF on the top 200 drugs. Great study guide for

0:14.5

anybody looking for help for certification exams, their pharmacology class, just a unique free resource you can get for

0:23.4

simply following the podcast and when we have new episodes available.

0:29.0

So on today's episode, I'm going to cover iron pharmacology, iron supplements, very commonly

0:36.6

used in clinical practice.

0:39.7

And the most common situation is in iron deficiency anemia.

0:46.4

So if you remember some of the physiology, iron is an essential component

0:51.9

in the production of red blood cell.

0:55.6

Red blood cell production is fairly complicated,

0:58.9

and obviously there's multiple things that go into that production.

1:03.3

I'm not going to cover that on this podcast at this time,

1:06.9

but you've got to remember that iron plays a huge, huge role,

1:10.2

and if patients are deficient, we can see... but you've got to remember that iron plays a huge, huge role.

1:19.0

And if patients are deficient, we can see low hemoglobin and hematicrit readings because of that.

1:31.5

And anybody who presents with anemia, they're going to feel fatigued, tired, weak, maybe pale looking in color. In addition to iron deficiency anemia, I did want to mention restless leg syndrome. So this is definitely a differential. If you've

1:38.0

ever got a patient that is taking a dopamine agonist like Requip or Myrapex, and they have Restless Leg

1:45.9

Syndrome, patients with low iron can also display symptoms of Restless Leg Syndrome.

1:54.2

So this is a really key factor in trying to prevent polypharmacy, because if we see that a patient is newly diagnosed with this

2:02.4

and their provider starts them on a dopamine agonist, I would definitely want to make sure

2:09.7

that this patient is not iron deficient first. So kind of one other additional diagnosis that I think is important to think about

2:19.0

when we are thinking about iron deficiency in general.

...

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