At what lab values (ferritin, TSAT%) would you offer IV iron therapy to patients with restless leg syndrome?
Does the absence of anemia change your management? Is there a preferred formulation for restless leg syndrome?
Answer from: Medical Oncologist at Academic Institution
1. I am hopeful that practitioners will start understanding that ferritin alone is not enough to assess iron because of its acute phase reactivity. I like to order iron parameters after a 5-9 hour fast so the serum iron is not speciously elevated and get a ferritin and TSAT. If the ferritin is <3...
Comments
Medical Oncologist at Medical University of South Carolina I presume the recommendations assume ascertainment...
Medical Oncologist at Georgetown University School of Medicine It is extremely common to see low ferritin without...
There is good evidence that treating symptomatic RLS with iron replacement, regardless of the presence of anemia, is beneficial. It is actually guideline recommendations from both the AASM and the IRLSSG to treat symptomatic patients with a ferritin level less than 75 or an iron saturation less than...
Comments
Medical Oncologist at Georgetown University School of Medicine I would strongly revisit your preferred choice. In...
at UNC Health I rarely get FCM approved, but when it is, I do no...
I presume the recommendations assume ascertainment...
It is extremely common to see low ferritin without...