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Do you routinely check serum phosphorus levels after IV iron therapy?

If not, are there specific instances where you would recommend checking phosphorus levels and at what frequency for monitoring/treatment?
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Do you check phosphorus levels after IV iron?

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2 Answers
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Hematology · Georgetown University School of Medicine
Answered on · Updated on

Only before and after FCM. I hold subsequent doses if phosphorus low. There is no need to monitor with the other formulations. For people needing multiple doses of IV iron (IBD, bariatric surgery, heavy uterine bleeding, angiodysplasia), I avoid FCM.

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Mednet Member
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Medical Oncology · Virginia Mason Medical Center
Answered on · Updated on

I do not routinely monitor serum phosphorus levels after intravenous iron therapy if ferric carboxymaltose (FCM) is not being administered. At our institution, the top two formulary choices for outpatient use for iron repletion are iron sucrose and ferumoxytol, neither of which is associated with a ...

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