Definition
Deferasirox (100mg tablet) is an oral iron chelator used to treat chronic iron overload caused by repeated blood transfusions in conditions like:
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Thalassemia
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Sickle cell disease
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Myelodysplastic syndromes (MDS)
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Other transfusion-dependent anemias
It works by binding excess iron in the body and promoting its excretion, preventing organ damage.
Importance
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Prevents iron toxicity (Excess iron from transfusions can damage the liver, heart, and endocrine organs.)
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Reduces risk of organ failure (Liver cirrhosis, heart disease, diabetes due to iron overload)
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Improves survival in transfusion-dependent patients
Use
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Treatment of chronic iron overload (due to long-term blood transfusions)
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Not for anemia treatment (It removes iron; it does not increase hemoglobin.)
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Dosage: Usually 10–30 mg/kg once daily, adjusted based on serum ferritin levels.
Side Effects
Common:
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Nausea, vomiting, diarrhea
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Abdominal pain
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Skin rash
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Headache
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Increased liver enzymes
Serious (Require Medical Attention):
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Kidney dysfunction (↑ creatinine)
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Liver toxicity (jaundice, elevated ALT/AST)
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Gastrointestinal bleeding (rare)
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Hearing loss/vision changes (rare)
Storage
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Store at 20–25°C (room temperature)
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Keep in original packaging (protects from moisture)
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Keep away from children (accidental overdose can be harmful)
Conclusion
Deferasirox 100mg tablet is a life-saving drug for patients with iron overload from frequent transfusions. While effective, it requires regular monitoring (kidney/liver function tests, serum ferritin) to balance efficacy and safety. Always take as prescribed and report any unusual symptoms to a doctor.
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