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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffer From Sideroblastic Anemia. Having Blood Transfusions. Stopped Exjade Due To Glaucoma And Macular Degeneration. Other Options?

I have Sideroblastic Aneamia having transfusions for a year now I have an iron overload ferritin level of 1400 my haemoglobin level is 9 was given tablets exjade deferasirox 500. As I have macular degeneration and glaucoma both suffered ., stopped the exjade.... would prefer not to have transfusions and I am aware that my haemoglobin will drop lower
Can you help
Wed, 26 Jun 2013
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General & Family Physician 's  Response
Hello,
there is an another drug namely desferrioxamine which lowers iron overload but its too have ocular side effect, so it will be appropiate to go for phlebotomy and removal of about 500 ml of blood once in a week, once done it will remove about 250mg of iron from your body and your serum ferritin level will start decreasing, go on this process once a week till your ferritin comes back to a low level say 50microgram /L and then maintain it between 50 - 100 for which one phlebotomy per 3-4 months will be required. other option is bone marrow transplantation which is quite costly procedure but u can consult some bone marrow transplant center for its further information.
thanks.
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Suffer From Sideroblastic Anemia. Having Blood Transfusions. Stopped Exjade Due To Glaucoma And Macular Degeneration. Other Options?

Hello, there is an another drug namely desferrioxamine which lowers iron overload but its too have ocular side effect, so it will be appropiate to go for phlebotomy and removal of about 500 ml of blood once in a week, once done it will remove about 250mg of iron from your body and your serum ferritin level will start decreasing, go on this process once a week till your ferritin comes back to a low level say 50microgram /L and then maintain it between 50 - 100 for which one phlebotomy per 3-4 months will be required. other option is bone marrow transplantation which is quite costly procedure but u can consult some bone marrow transplant center for its further information. thanks.