Iron Sucrose
Brand Names: Venofer
Methodology & AI Transparency ⓘ
Iron Sucrose Key Takeaways
Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level
- 1 What it does: Iron sucrose injection is indicated for the treatment of iron deficiency anemia (IDA) in patients with chronic kidney disease (CKD).
- 2 Real-world patient consensus: 83% patient "Worth It" rating across 20 anonymous logs for Iron Sucrose (RxNorm 1741261).
- 3 Typical cash cost range: Public pharmacy ledger: $185.00 low cash benchmark vs. $453.25 chain retail average ($12.2067/unit CMS NADAC).
- 4 Top reported side effects / signs: Primary clinical safety signals tracked in FAERS for Iron Sucrose include nausea (10.2%), headache (8.8%), dizziness (8.1%).
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Iron Sucrose Mechanism, CYP450 Pathways & DailyMed Monograph
Iron sucrose injection is indicated for the treatment of iron deficiency anemia (IDA) in patients with chronic kidney disease (CKD). Iron sucrose injection is an iron replacement product indicated for the treatment of iron deficiency anemia (IDA) in patients with chronic kidney disease (CKD). ( 1 )
12.1 Mechanism of Action Iron sucrose is an aqueous complex of poly-nuclear iron (III)-hydroxide in sucrose. Following intravenous administration, Iron sucrose is dissociated into iron and sucrose and the iron is transported as a complex with transferrin to target cells including erythroid precursor cells. The iron in the precursor cells is incorporated into hemoglobin as the cells mature into red blood cells.
With Approximately 6–18 hours terminal plasma half-life for Iron Sucrose residence kinetics and Complete (~100%) parenteral systemic delivery for Iron Sucrose (20 mg/mL Injection, Solution) bioavailability, Iron Sucrose undergoes phase i/ii hepatic conjugation of iron sucrose coupled with glomerular and tubular renal excretion and establishes therapeutic activity over rapid intravascular/parenteral onset within 15–45 minutes after iron sucrose administration.
Standard adult regimens span 20 mg/mL Injection, Solution, 200 mg/10mL Injection, 20 mg/mL Injection, 50 mg/2.5mL Injection, 50 mg/2.5mL Injection, Solution. Prescribers screen specifically against 4 contraindications; known hypersensitivity to iron sucrose.; known hypersensitivity to iron sucrose., while community micro-logs most frequently note nausea (10.2% of reports), headache (8.8% of reports), dizziness (8.1% of reports).
Chelation with aluminum, magnesium, calcium, or iron in the gut lumen can lower oral Iron Sucrose absorption; stagger doses by 2–4 hours.
Avoid overlapping parenteral iron replacement prescriptions alongside Iron Sucrose to prevent cumulative receptor toxicity.
Standard Adult Titration & Dosages
Absolute & Relative Contraindications
- 4 CONTRAINDICATIONS
- Known hypersensitivity to iron sucrose.
- Known hypersensitivity to iron sucrose.
Logged Side-Effect Incidence (20 Reports)
Iron Sucrose Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs
Peer-Reviewed Human Clinical Trials & Meta-Analyses (Iron Sucrose)
| Study & Plain-English Finding | Sample (N) | Rigor | Primary Source |
|---|---|---|---|
| New Insights on A phase 3, multicenter, randomized, gold-standard blind, vehicle-controlled,: What a 281-Participant Study Found In the sofpironium group, common events (incidence, ≥5%) were nasopharyngitis (14.2%) and dermatitis/skin redness at the application site (8.5%/5.7%), with no serious side effects reported. The Journal of dermatology • 2021-03-15 • Phase III Randomized Trial | N = 281 | 93/100 | PMID 33410265 ↗ |
| New Insights on Sofpironium skin-applied gel, 12.45%, for the treatment of axillary: What a 353-Participant Study Found Sofpironium applied to the skin gel, 12.45%, applied topically once daily before bedtime is effective and well-tolerated for treatment of primary axillary hyperhidrosis in patients ≥9 years old. Journal of the American Academy of Dermatology • 2025-07-15 • Phase III Randomized Trial | N = 353 | 93/100 | PMID 40054501 ↗ |
| Can This Approach Help? Inside the Latest Research on Markers of Iron Flux during Testosterone-Mediated Erythropoiesis in Older Men Testosterone replacement of older hypogonadal men with unexplained anemia stimulates erythropoiesis associated with increased iron mobilization. The Journal of clinical endocrinology and metabolism • 2020-11-01 • Randomized Controlled Trial | N = 58 | 88/100 | PMID 32785689 ↗ |
| Can This Approach Help? Inside the Latest Research on Benefits and safety of ferric carboxymaltose infusion in reducing anemia in Common side effects in the FCM arm included neutropenia (17%), hypophosphatemia (16%), and fatigue (15%). American journal of hematology • 2021-12-01 • Phase III Randomized Trial | N = 122 | 88/100 | PMID 34653287 ↗ |
| Can This Approach Help? Inside the Latest Research on Changes in frailty based on minimally important difference and the impact of Frailty improvement exceeding the 0.03 FI threshold predicts better prognosis in HFpEF, underscoring the value of routine assessment. Open heart • 2025-10-22 • Phase III Randomized Trial | Multi-cohort | 88/100 | PMID 41125402 ↗ |
Iron Sucrose Public Price Transparency Ledger
| Dispensing Channel / Benchmark | Verification Source | Reference Cost | Details |
|---|---|---|---|
| Pharmacy Acquisition Cost (CMS NADAC) | CMS Medicaid NADAC Weekly National Survey | $12.2067/unit (~$366.20/30u) | Wholesale baseline |
| Average U.S. Walk-In Retail Cash Price | Chain Pharmacy Uninsured Cash Index | $453.25 / mo | Before coupon/insurance |
| Patient-Logged Out-of-Pocket Average | 20 Anonymous DotMD Community Micro-Logs | $185.00 / mo | View logs ↓ |
| Hone Health Hormone & At-Home Biomarker Lab (Licensed Telehealth Cash Program) | State-licensed clinician review • ~3d mail fulfillment | $65.00 consult | Program details |
Iron Sucrose Federal Verification & Benchmark Summary
| Metric | Verified Benchmark | Source |
|---|---|---|
| Iron Sucrose RxNorm Concept ID | 1741261 | U.S. National Library of Medicine (RxNorm) |
| CMS NADAC Pharmacy Acquisition Unit Cost | $12.2067 / unit | CMS Medicaid NADAC Weekly Feed |
| Walk-In Chain Pharmacy Cash Average | $453.25 / mo | U.S. Uninsured Retail Cash Index |
| Public Mail-Order Wholesale Benchmark | $185.00 / mo (Patient Mean) | Public Cash Reference |
| Real-World Patient Consensus | 83.00% Worth It (20 anonymous logs) | DotMD Zero-PHI Patient Ledger |
Iron Sucrose Patient Community, Cohort Filters & Dosage Logs
Evidence synthesis for Iron Sucrose: FDA labeling (2025-06-30, NDC 0781-3485), CYP/interaction screening, and public pharmacy acquisition costs.
Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.
Filter Iron Sucrose community threads and patient logs by age, biological sex, dosage, and treatment duration.