Greater Glasgow and Clyde Medicines

IV iron:

• Should be reserved as a second line treatment choice in the management of IDA.*
• Does not produce a faster Hb response than oral iron (provided that the oral iron preparation is taken reliably and is absorbed adequately).
• Can cause hypersensitivity reactions which may be life-threatening or fatal (only administer during working hours when adequate supervision is available).
• Paravenous leakage may lead to permanent staining at the site of infusion.

 * see inclusion criteria for IV iron therapy in full guideline, including use as first line agent in certain clinical settings.

• Oral iron is the first line treatment of choice.
• Investigations to determine the underlying cause should be considered in parallel with treatment.
• IV iron should be reserved as a second line treatment option.*

* see inclusion criteria for IV iron therapy in full guideline, including use as first line agent in certain clinical settings.

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Key Messages

• Non-pharmacological approaches should be used first-line to manage stress and distress in dementia.
• Psychotropic medications carry the risk of side effects which may cause serious avoidable harms (e.g. falls, sedation, etc) and should be used as a last resort in the management of stress and distress - other causes should be ruled out including infection, constipation, and pain.
• If required, the lowest effective dose of psychotropic medication should be prescribed for the shortest possible period with regular review.
• For patients under Community Mental Health Teams (CMHT) psychotropic medication changes should be made in collaboration with their CMHT.

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• The Antibiotic therapy following 4 days IV Gentamicin  guideline has been updated following a review by the GGC Antimicrobial Utilisation Committee (AUC)

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