A 83-year-old woman with a CFS of 5 and chronic kidney disease stage 4 (eGFR 22) has been on Ferrous sulphate 200 mg TDS for iron deficiency anaemia. ...

Question

A 83-year-old woman with a CFS of 5 and chronic kidney disease stage 4 (eGFR 22) has been on Ferrous sulphate 200 mg TDS for iron deficiency anaemia. She has severe constipation despite Senna and Lactulose. She asks if there are alternatives. What is the MOST appropriate change?

Accepted Answer

Switch to intravenous iron infusion (e.g., Ferric carboxymaltose) to avoid GI side effects

Answer

Continue Ferrous sulphate TDS and add Movicol

Answer

Double the dose of Ferrous sulphate to overcome the anaemia faster

Answer

Stop iron supplementation entirely as CKD anaemia is inevitable

Answer

Switch to Ferric citrate, which has fewer GI side effects and also acts as a phosphate binder in CKD

uk-dgm MCQ (SBA): IV Iron in CKD with Oral Iron Intolerance

A 83-year-old woman with a CFS of 5 and chronic kidney disease stage 4 (eGFR 22) has been on Ferrous sulphate 200 mg TDS for iron deficiency anaemia. She has severe constipation despite Senna and Lactulose. She asks if there are alternatives. What is the MOST appropriate change?