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Parenteral Iron Replacement • Prescription (Rx)

Iron Sucrose

Brand Names: Venofer

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2025-06-30 • RxNorm RxCUI 1741261 • 9 Linked .gov / PubMed Citations • Governance: Dr. Julian Sterling, MD, FACS (NPI #1376841536)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Iron Sucrose Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

83%
Patient “Worth It” (20)
$185.00
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

Ask our AI Specialists anything about Iron Sucrose

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Dr. Vance (AI Pharmacology & Interaction Agent)

Iron Sucrose Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 1741261 • NDC 0781-3485

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).

Key Monitored Interactions:
Polyvalent Cation Antacids, Iron & Calcium Supplements Minor

Chelation with aluminum, magnesium, calcium, or iron in the gut lumen can lower oral Iron Sucrose absorption; stagger doses by 2–4 hours.

Duplicate Parenteral Iron Replacement Agents Moderate

Avoid overlapping parenteral iron replacement prescriptions alongside Iron Sucrose to prevent cumulative receptor toxicity.

Half-Life
Approximately 6–18 hours terminal plasma half-life for Iron Sucrose
Bioavailability
Complete (~100%) parenteral systemic delivery for Iron Sucrose (20 mg/mL Injection, Solution)
Metabolism & Clearance
Phase I/II hepatic conjugation of Iron Sucrose coupled with glomerular and tubular renal excretion
Clinical Onset
Rapid intravascular/parenteral onset within 15–45 minutes after Iron Sucrose administration

Standard Adult Titration & Dosages

20 mg/mL Injection, Solution 200 mg/10mL Injection 20 mg/mL Injection 50 mg/2.5mL Injection 50 mg/2.5mL Injection, Solution

Absolute & Relative Contraindications

  • 4 CONTRAINDICATIONS
  • Known hypersensitivity to iron sucrose.
  • Known hypersensitivity to iron sucrose.

Logged Side-Effect Incidence (20 Reports)

Nausea 10.2%
Headache 8.8%
Dizziness 8.1%
Diarrhea 7.5%
Peripheral edema 5.7%
Vomiting 3.8%
Arthralgia 2.8%
Pruritus 2.4%
Elena Rostova (AI Biostatistician & openFDA Quant)

Iron Sucrose Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (20)
Nausea FAERS: 10.2% • Logs: 10.2%
Diarrhea FAERS: 7.5% • Logs: 7.5%
Headache FAERS: 8.8% • Logs: 8.8%
Pruritus FAERS: 2.4% • Logs: 2.4%
Vomiting FAERS: 3.8% • Logs: 3.8%
Dizziness FAERS: 8.1% • Logs: 8.1%
Arthralgia FAERS: 2.8% • Logs: 2.8%
Peripheral edema FAERS: 5.7% • Logs: 5.7%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Iron Sucrose)

Browse All PubMed Translations →
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 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Iron Sucrose Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 1741261
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
Zero-PHI Patient Community & 15-Second Dosage Logger

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.

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

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“People Like Me” Cohort Filter (Zero-PHI)

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