An overview of complications associated with deferoxamine therapy in thalassemia

Thalassemic syndromes are the most common genetic diseases in the world that are related to blood transfusion and iron overload in the body. In ß-thalassemia major multiple blood transfusions due to ineffective erythropoiesis lead to iron excess in the body. Iron chelating agent deferoxamine is used...

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Autores principales: Bijan Keikhaei, Neda Farmani-Anooshe, Mohammad Bahadoram, Mohammad-Reza Mahmoudian-Sani, Kosar Alikhani, Ammar Helalinasab
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Lenguaje:EN
Publicado: Society of Diabetic Nephropathy Prevention 2021
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Acceso en línea:https://doaj.org/article/ae3243204daa484abb5acd62d0025edf
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spelling oai:doaj.org-article:ae3243204daa484abb5acd62d0025edf2021-11-17T08:13:57ZAn overview of complications associated with deferoxamine therapy in thalassemia2345-420210.34172/npj.2021.05https://doaj.org/article/ae3243204daa484abb5acd62d0025edf2021-01-01T00:00:00Zhttps://jnephropharmacology.com/PDF/npj-10346https://doaj.org/toc/2345-4202Thalassemic syndromes are the most common genetic diseases in the world that are related to blood transfusion and iron overload in the body. In ß-thalassemia major multiple blood transfusions due to ineffective erythropoiesis lead to iron excess in the body. Iron chelating agent deferoxamine is used to treat chronic iron overload in patients with β-thalassemia in an attempt to reduce morbidity and mortality related to deposition of excess iron in body tissue. However, a very short half-time, the need of repetitive injections and non-specialized distribution in tissues can lead to side effects, such as ophthalmic and renal complications, neurological, skeletal changes and hearing loss, headaches, and infection too. Patients should be monitored periodically for complications. The risk of toxic effects in doses of more than 50 mg/kg/d is higher. Keeping deferoxamine therapeutic index can avoid drug overdose and side effects.Bijan KeikhaeiNeda Farmani-AnoosheMohammad BahadoramMohammad-Reza Mahmoudian-SaniKosar AlikhaniAmmar HelalinasabSociety of Diabetic Nephropathy Prevention articledeferoxaminethalassemiachelatorsTherapeutics. PharmacologyRM1-950Diseases of the genitourinary system. UrologyRC870-923ENJournal of Nephropharmacology, Vol 10, Iss 1, Pp e05-e05 (2021)
institution DOAJ
collection DOAJ
language EN
topic deferoxamine
thalassemia
chelators
Therapeutics. Pharmacology
RM1-950
Diseases of the genitourinary system. Urology
RC870-923
spellingShingle deferoxamine
thalassemia
chelators
Therapeutics. Pharmacology
RM1-950
Diseases of the genitourinary system. Urology
RC870-923
Bijan Keikhaei
Neda Farmani-Anooshe
Mohammad Bahadoram
Mohammad-Reza Mahmoudian-Sani
Kosar Alikhani
Ammar Helalinasab
An overview of complications associated with deferoxamine therapy in thalassemia
description Thalassemic syndromes are the most common genetic diseases in the world that are related to blood transfusion and iron overload in the body. In ß-thalassemia major multiple blood transfusions due to ineffective erythropoiesis lead to iron excess in the body. Iron chelating agent deferoxamine is used to treat chronic iron overload in patients with β-thalassemia in an attempt to reduce morbidity and mortality related to deposition of excess iron in body tissue. However, a very short half-time, the need of repetitive injections and non-specialized distribution in tissues can lead to side effects, such as ophthalmic and renal complications, neurological, skeletal changes and hearing loss, headaches, and infection too. Patients should be monitored periodically for complications. The risk of toxic effects in doses of more than 50 mg/kg/d is higher. Keeping deferoxamine therapeutic index can avoid drug overdose and side effects.
format article
author Bijan Keikhaei
Neda Farmani-Anooshe
Mohammad Bahadoram
Mohammad-Reza Mahmoudian-Sani
Kosar Alikhani
Ammar Helalinasab
author_facet Bijan Keikhaei
Neda Farmani-Anooshe
Mohammad Bahadoram
Mohammad-Reza Mahmoudian-Sani
Kosar Alikhani
Ammar Helalinasab
author_sort Bijan Keikhaei
title An overview of complications associated with deferoxamine therapy in thalassemia
title_short An overview of complications associated with deferoxamine therapy in thalassemia
title_full An overview of complications associated with deferoxamine therapy in thalassemia
title_fullStr An overview of complications associated with deferoxamine therapy in thalassemia
title_full_unstemmed An overview of complications associated with deferoxamine therapy in thalassemia
title_sort overview of complications associated with deferoxamine therapy in thalassemia
publisher Society of Diabetic Nephropathy Prevention
publishDate 2021
url https://doaj.org/article/ae3243204daa484abb5acd62d0025edf
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