Can Famotidine Be Used To Prepare An Iron Infusion?
My allergist also had me try zertek (sp) and stopped having me take it. Isn't it the same as cetirizine? I am scheduled for an iron infusion--is that the same as an iron shot? What are my reaction possibilities from the iron. I will also be taking 50 Mg of prednisone before my infusion. Please clarify
Famotidine needs to be avoided
Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day
Dear Ms
Famotidine also belongs to same group of drug as that of Ranitidine that is Histamine 2 receptor blocker. They act by inhibiting H2 receptor and thereby suppressing secretion of Hydrochloric acid in stomach. As Iron infusion is associated with Gastritis due to excessive release of hydrochloric acid from stomach, it is important to suppress the release. As you had previous reaction with Ranitidine, it is not advisable to take Famotidine. Bring it to the notice of your Physician , alternate drug like Proton pump blocker ( Pantoprzole ) which also suppresses secretion can be used.
Zertek is same as Cetrizine. Iron shot is used for giving single dose of intramuscular injection of Iron. Whereas infusion is slow intravenous infusion of Iron over period of few hours. The major side effect of Intravenous infusion of Iron are
1. Local reaction: they are very much common, there is erythema/redness at site of infusion and also local itching
2. Systemic reaction: Type 1 severe allergic reaction is known to occur though not very common
3. Slight breathing difficulty
If proper precautions are taken then Intravenous infusion of Iron is very safe. Following precautions needs to be taken
1. Anti-allergic medication: Prednisolone which is steroid is a good premedication
2. Test dose
3. Slow infusion
4. Infusion under medical supervision
Slow infusion under medical supervision is safe and there is no reason to be worried about.
Do get back to me if you need any further assistance, will be glad to assist you.
Take Care
Best Regards
Dr Deepak Kaltari
Consultant Surgeon
Proton pump inhibitors can be taken orally
Detailed Answer:
Dear Ms
Proton pump inhibitors can be taken orally. Do discuss it with your Physician.
Take care
Best regards
Dr Deepak