INTRA MUSCULAR VITAMIN SHOTS

Vitamin D

R200 Per Injection

10 000 units IM

 For most adults, vitamin D deficiency isn’t a concern. Some, especially those with dark skin and adults older than 65, are at higher risk of the condition. Most people have no symptoms. In severe cases, deficiency can lead to thin, brittle or misshapen bones.

Vitamin B12

R100 Per Injection

1000 mcg IM

Anaemia or nervous system injury from lower-than-normal amounts of vitamin B12.Vitamin B12 deficiency may lead to a reduction in healthy red blood cells (anaemia). The nervous system may also be affected. Symptoms are rare but can include fatigue, breathlessness, numbness, poor balance and memory trouble.

Thiamine

R100 Per Injection

100 mg IM

Vitamin B1, thiamin, or thiamine, enables the body to use carbohydrates as energy. It is essential for glucose metabolism, and it plays a key role in nerve, muscle, and heart function.

Neurobion

R200 Per Injection

3ml IM

There are 8 vitamin B’s in total, and each plays a role in making sure that the body’s cells — including the nerve, skin, and brain cells — are functioning properly. Neurobian contains 3: Vitamin B1, B6 and B12.

 
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IRON INFUSIONS

IRON DEFICIENCY

What is iron?

Iron plays a vital role in the transport and storage of oxygen, in oxidative metabolism and in cellular growth: Iron is an essential building block for haemoglobin, a protein present in the red blood cells.

Haemoglobin carries oxygen from the lungs to the tissues and organs. Haemoglobin is dependent on iron for its formation and oxygen-carrying property, and a deficiency of iron can cause a drop in the haemoglobin level, resulting in a condition called iron deficiency anaemia.

Low haemoglobin or iron levels may cause one to feel constantly tired. This may prevent you from carrying your normal daily activities.

What are some of the symptoms of iron deficiency?

  • Fatigue and Tiredness

  • Palpitations

  • Restless Legs

  • Low Mood

  • Hair Thinning, Brittle Nails

  • Irritability, Headaches

  • Poor Concentration, Memory and Learning

  • Short of Breath, Dizzy

  • Cold Hands and Feet

  • A tingling or crawling feeling in the legs

How is iron deficiency treated?

The aim of treatment for iron deficiency is to supply enough iron to replenish the iron stores and normalise haemoglobin concentration in anaemic patients.

It is important to establish the underlying cause of the iron deficiency. This may require other investigations such as gastroscopy, colonoscopy or capsule endoscopy if for instance, gastrointestinal bleeding is suspected. In some cases, it will be possible to cure the underlying cause and thereby prevent iron deficiency from reoccurring. In other cases, the underlying cause is not easily correctable, particularly in chronic conditions such as Inflammatory Bowel Disease. These patients often require repeated iron treatment over many years.

This is an iron sucrose is a complex of polynuclear iron (III)-hydroxide in sucrose which cannot be given in a large dose. Rather, the formula is given in a series of small doses each taking about half an hour and repeated over a period of days and weeks. Iron concentration(mg/ml): 20mg/ml, maximum dose 200mg. Venofer ® must be administered as a repeated infusion over a number of weeks. Each 5 ml ampoule of Venofer ® contains 100mg iron (20mg elemental iron per ml). The normal recommended dosage schedule is 100-200mg iron two or three times a week depending on the haemoglobin level.

Types of intravenous iron available locally are:

COSMOFER

This is an iron dextran, is a complex of iron (III) hydroxide and the carbohydrate dextran. It is available in 2 ml. 5 ml and 10 ml single dose vials containing 50mg elemental iron per ml. Cosmofer ® is administered as a single infusion over 4 to 6 hours and requires hospital admission. It requires a test dose. Iron concentration(mg/ml):50mg/ml

Maximum dose 100mg

VENOFER

This is an iron sucrose is a complex of polynuclear iron (III)-hydroxide in sucrose which cannot be given in a large dose. Rather, the formula is given in a series of small doses each taking about half an hour and repeated over a period of days and weeks. Iron concentration(mg/ml): 20mg/ml, maximum dose 200mg. Venofer ® must be administered as a repeated infusion over a number of weeks. Each 5 ml ampoule of Venofer ® contains 100mg iron (20mg elemental iron per ml). The normal recommended dosage schedule is 100-200mg iron two or three times a week depending on the haemoglobin level.

FERINJECT

This is Iron carboxymaltose is a ferric carboxymaltose. It is available in 2 ml and 10 ml single dose vials containing 50mg elemental iron per ml. Ferinject ® may be given as a single dose of up to 1000 mg (but not exceeding 15 mg/kg/week) as an infusion over 6 – 15 minutes. It can be given intravenously in an “in room” setting with appropriate monitoring. Iron concentration(mg/ml): 50mg/ml, maximum dose 1000mg if patient >66kg

MONOFER

This is Iron isomaltoside, is a complex of iron (III) hydroxide and the carbohydrate isomaltoside. MonoFer ® can be administered as a single infusion in 30-60 minutes for doses up to 20mg iron/kg body weight. There is no need for a test dose. MonoFer ® is available in 1ml, 5ml and 10ml vials of 100mg/ml. It can be given intravenously in an “in room” setting with appropriate monitoring. Iron concentration(mg/ml): 100mg/ml, maximum dose 20mg/kg

The dose of the agents is calculated based on the haemoglobin (Hb) concentration and body weight of the patient. An additional dose is built into the equation to allow for the replenishment of body iron stores. The formula for the required total dose of iron in milligrams is: Target Hb (g/L) Actual Hb (g/L) x weight (kg) x 0.24 + depot iron (mg).

When is iron infusion performed?

Iron infusion may be recommended for patients who require an iron replacement for the treatment of anaemia. The challenge of treating iron deficiency is related to the toxicity of iron in its elemental state, the required dose, and the desired rate of repletion. Intravenous (IV) iron is increasingly being used for the treatment of iron deficiency anaemia (IDA) when oral iron is ineffective or poorly tolerated, and when it or blood transfusion is inappropriate.

What does the procedure involve?

The iron will be administered by your doctor or nurse, who will insert a needle into one of your veins. This will allow the formula to enter your blood stream intravenously.

In some cases, blood tests will be taken to check for any unwanted side-effects and allergies. You may feel some light headedness and dizziness following the treatment if you have been in a lying or seated position for some time.