Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

• Oral replacement with ferrous sulfate:
• 325 mg tid (three time a day), taken between meals.
• Typically requires about 6 months of therapy.
• Use of vitamin C with the iron will keep the iron in the reduced state and facilitate absorption.
• About 25% of people will experience fairly annoying GI side effects:
• nausea
• cramping
• diarrhea or even constipation.
• Noncompliance is the primary reason for failure or delayed improvement with oral therapy.
• Parenteral therapy IM or IV.
• Useful  with malabsorption, inflammatory bowel disease, etc.
• High requirement.
• Intolerance to oral preparations.