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BNSSG Paediatric Joint Formulary
9.1 Anaemia and some other blood disorders
Last edited: 19-04-2024
First line drugs |
Second line drugs |
Specialist drugs |
Secondary care drugs |
9.1.2 Anaemias, G6PD deficiency
Please refer to BNF for drugs to avoid in G6PD deficiency
9.1.3 Anaemias, hypoplastic, haemolytic and renal
Epoetins
Darbepoetin alfa (TLS Red)
- For use by Renal, Haematology & Oncology only
- Oncology use see NICE TA323 Erythropoietin (alfa and beta) and darbepoetin for the treatment of cancer-treatment induced anaemia (including review of NICE TA142)
Erythropoietin (Epoetin) beta (TLS Red)
- For use by Renal, Haematology & Oncology only
- Oncology use see NICE TA323 Erythropoietin (alfa and beta) and darbepoetin for the treatment of cancer-treatment induced anaemia (including review of NICE TA142)
Monoclonal Antibodies
Eculizumab (TLS Red)
9.1.4 Anaemias, iron-deficiency
Iron (Injectable)
- Please see MHRA Drug Safety Update August 2013 regarding new strengthened recommendations to manage and minimise risk of serious hypersensitivity reactions
- Anaphylactoid reactions can occur with parenteral administration of iron complexes. Facilities for cardio-pulmonary resuscitation must be at hand
Specific indication:
Ferric carboxymaltose (Ferinject®) (TLS Red)
- For use in Gastroenterology and Medical patients
Iron sucrose (Venofer®) (TLS Red)
- For use in Renal patients
Alternative:
Iron dextran (CosmoFer®) (TLS Red)
Ferric derisomaltose (previously known as Monofer®) (TLS Red)
- UHB only, day case patients only
Iron (Oral)
Ferrous sulphate (TLS Green)
Ferrous fumarate (TLS Green)
Sodium feredetate elixir (Sytron®) (TLS Green)
Ferrous fumarate / Folic acid tablet (Pregaday®) (TLS Green)
- Ferrous gluconate or sodium feredetate may be used when patients are unable to tolerate other oral iron preparations
Alternatives:
Ferrous gluconate tablet (TLS Blue)
9.1.5 Anaemias, megaloblastic
Folates
Folic acid (TLS Green)
Vitamin B Group
Hydroxocobalamin intramuscular injection (TLS Amber)
- Disorders of cobalamin metabolism
Specific indication:
Cyanocobalamin (TLS Blue)
- Vitamin-B12 deficiency of dietary origin
- Please refer to BNF for guidance on the use of folic acid for prophylaxis in pregnancy and prevention of neural tube defects