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Iron dextran (Injection)

Iron Dextran (EYE-urn DEX-tran)

Treats iron deficiency anemia (not enough iron in the blood).

Brand Name(s):

Dexferrum, Infed

There may be other brand names for this medicine.

When This Medicine Should Not Be Used:

You should not use this medicine if you have ever had an allergic reaction to iron dextran.

How to Use This Medicine:


  • Your doctor will decide how much medicine you should have and when it will be given.
  • An IM shot is given in your muscle. Iron dextran IM shots are only given in the buttocks.
  • An IV is medicine that is put directly into your body through one of your veins, usually in your arm, wrist, or hand, and sometimes in the chest.
  • You will be given a small test dose of this medicine to make sure you are not allergic to it. After the test dose, you will need to stay in the doctor's office or clinic for at least 1 hour. Then the rest of your full dose will be given.
  • A nurse or other caregiver will give your shots.

If a dose is missed:

  • This medicine needs to be given on a regular schedule. If you miss a dose, call your doctor, home health caregiver, or clinic where you get your treatments for instructions.

How to Store and Dispose of This Medicine:

  • If you have your treatments at home, you may need to store your medicine. Keep this medicine at room temperature, away from heat and direct light.
  • Keep all medicine out of the reach of children.
  • If you have your treatments at home, you should be given a special container for the used needles. Put it where children or pets cannot reach it.

Drugs and Foods to Avoid:

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

  • You should not use iron supplement pills while you are being given iron dextran shots unless your doctor tells you to.

Warnings While Using This Medicine:

  • If you are pregnant or breastfeeding, talk with your doctor before using this medicine.
  • Before getting this medicine, make sure your doctor knows if you have liver disease.
  • Your doctor will want to check the levels of iron in your blood on a regular schedule while you are using this medicine. Be sure to keep all appointments.

Possible Side Effects While Using This Medicine:

Call your doctor right away if you notice any of these side effects:

  • Fast, slow, or irregular heartbeat
  • Wheezing, or trouble breathing
  • Chest pain or tightness
  • Seizures or tremors
  • Fainting or passing out
  • Bloody urine

If you notice these less serious side effects, talk with your doctor:

  • Stomach pain, nausea, diarrhea
  • Weakness or headache
  • Joint or muscle pain
  • Changes in the color of skin where the shot is given
  • Pain or swelling where the shot is given

If you notice other side effects that you think are caused by this medicine, tell your doctor

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088

Last Updated: 4/4/2014

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