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Sodium Ferric Gluconate Complex

Generic Name: Sodium ferric gluconate complex. [SOE-dee-um-FER-ik-GLU-koe-nate-KOM-plex].
The Brand Names: Ferrlecit and Nulecit.
Dosage Format: Intravenous solution (12.5 mg/mL).
Drug Class: Iron products.

What is the Sodium Ferric Gluconate Complex?

It is a form of iron. Iron is usually found in the foods you consume. Within your body, iron forms an element of hemoglobin (HEEM O Glo bin) and myoglobin (MY O Glo bin). Hemoglobin transports oxygen through your blood to organs and tissues. Myoglobin aids in the storage of oxygen in muscle cells.

The complex sodium ferric gluconate helps treat the symptoms of iron deficiency (an absence of blood red cells resulting from being deficient in iron levels within the body) in children and adults aged at least 6 years. The sodium ferric gluconate complex can be used for patients suffering from kidney disease who are taking dialysis. The sodium ferric gluconate complex can be used in other ways not covered in this medication guide.

Side effects of Sodium Ferric Gluconate Complex

Take immediate medical assistance. If you notice symptoms that are warning signs of an allergic reaction, such as vomiting, sweating, hives, severe lower back pain, wheezing, difficulty breathing, or swelling of your lips, face, or tongue, A few side effects could be felt within 30 minutes following the injection. Inform your doctor if you feel faint or nauseated, lightheaded, sweaty, itchy, or dizzy.

Side effects from sodium ferric gluconate complex might be severe. Contact your physician immediately if you experience:

  • A sense of dizziness, as if you're ready to pass out.
  • Swelling rapidly and gaining weight.
  • Feeling extremely tired or weak.
  • Intense discomfort in your chest, side, back, or groin.
  • Flushing (sudden warmth, redness, or a tingly sensation).

Common adverse effects of the sodium ferric gluconate complex can be:

  • The skin discoloration or bruising occurred when an injection was administered.
  • Nausea, vomiting, diarrhea.
  • Headache, dizziness.
  • Fast heartbeats.
  • Chest pain, difficulty breathing.
  • Leg cramps and pain.
  • Elevated blood pressure.
  • Blood tests that are abnormal.

This is not a comprehensive list of possible side effects, and other side effects could be present. Consult your physician for advice regarding medical adverse effects. You can report symptoms to the FDA at 1-800-FDA-1088.


Follow all the instructions on the label of your medication and on the label of your package. Be sure to inform your health care providers about your medical ailments and allergies, as well as the medicines you are taking.

Before you take this drug

It is not recommended to take sodium ferric gluconate as a complex if your body is allergic to sodium ferric gluconate complex or benzyl alcohol. The complex of sodium ferric gluconate is not recommended for use by people younger than six years old. Sodium ferric gluconate complex could contain an ingredient that could cause serious side effects or the death of very young or premature infants.

Inform your doctor if you have ever suffered from:

  • Iron overload syndrome.
  • If you have regular blood transfusions.

Consult your physician if you are nursing or pregnant.

How to take Sodium ferric gluconate complex?

The sodium ferric-gluconate complex is delivered as an infusion to the vein of your dialysis treatment. The medication must be administered slowly and the infusion may last for at least one hour to finish.

You'll require regular medical tests.

Details on dosage

The Usual Adult Dose of Anemia for Chronic Renal Insufficiency

10 mL of 100 mL 0.9 10 mL in 100 mL of 0.9 sodium chloride IV for 1 hour for each dialysis session
10 milliliters (125 mg iron elemental) in undiluted, low IV (up to 12.5 mg iron/min) during a dialysis session
Comments: Most patients require a cumulative dosage of 1,000 mg of iron, which is administered over eight dialysis sessions.
Administrator during dialysis sessions.
Doses greater than 125 mg of elemental iron could result in a more severe or higher frequency of adverse reactions.
Treatment for iron deficiencies and anemia in patients suffering from chronic renal disease who are on hemodynamic therapy and are taking the epoetin treatment

Usual Dose for Children with Anemia and Chronic Renal Failure

6 years or older: 0.12 mL/kg (1.5 mg/kg elemental iron) diluted in 25 milliliters of 0.9 percent sodium chloride IV for 1 hour during a dialysis session.
Maximum dose: 125 mg elemental iron per dose
Comments: Manage during the dialysis procedure during the dialysis session.
Doses that exceed 125 mg of elemental iron can result in a greater likelihood or severity of adverse reactions.
Treatment for iron deficiency anemia among patients suffering from chronic kidney disease who are on hemolysis and receiving an epoetin-based therapy

What happens if I miss a dose?

Since sodium ferric gluconate complexes can be administered during dialysis, sodium ferric complex gluconate does not require a separate dosing regimen.

What happens if I overdose?

Get medical attention in an emergency or contact the poison help line at 1-800-222-1222.

What should be avoided?

Be careful not to get up too quickly from a lying or sitting position. You could get dizzy.

Interaction with other drugs

Inform your doctor about any other medications you take, particularly iron supplements. The sodium ferric-gluconate complex may cause problems with the body's ability to absorb iron supplementation that you consume by mouth.

Other drugs can also impact the sodium ferric gluconate complex, such as prescription and over-the-counter medications, vitamins, and products made from herbs. Discuss with your doctor the medicines you are currently taking as well as any medications you are about to start or stop taking.