What are most of you using and why? We like Ferrlecit as a unit, but Corporate is making us change to Venofer? Is there a cost issue or reimbursement issue that we don't know about?
We use Venofer. We started using Venofer when Ferr. was still required (package insert) to be diluted and infused via pump. We have been very happy with venofer, no patients with adverse reactions. Our reimbursement with venofer was better as the cost was less.
Posts: 125 | Location: Moultrie,Ga, USA | Registered: 27 September 2001
We use both and I understand they are re-imbursed equally. I however prefer Venofer as I have seen one man die from Ferrlicit and it wasn't pretty at all!
Posts: 4 | Location: baltimore,md usa | Registered: 04 January 2000
I was told by our administrator that venofer is more expensive to purchase, and the reimbursement rate is the same for both.
Interesting about the man dying from ferrlecit. It would be a curious thing to do a comprehensive study of his care at that time, how fast it was pushed, other variables including any phisical ailments that might have crept up about that time. I am skeptical that ferrlecit was the sole causative agent, however, I suppose it could have been.
Posts: 36 | Location: Corpus Christ, TX | Registered: 27 October 2000
I have been experiencing high ferriton's with venofer.We had been using ferrlecit without problem but switched to venofer because it is easier to use.60% of my pts had ferriton's over 500 and 45% over 800 and my maintaince dose is 100mg q2weeks so I am questioning switching back to ferrlecit my T-sat don"t go up like the ferriton's do anyone have similar problem
Posts: 2 | Location: West Palm Beach,Fla | Registered: 19 July 2004
My clinic was switched over to Venofer 2 years ago and we had problems with high Ferritins. Six months ago, we switched back to Ferrlecit and now our Ferritins are dropping back down into range.
<higher ferritin>
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And, this affects the patient - high ferritin levels?
<ferritin question>
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what about patient effects from high ferritin levels? What are reactions you have seen from pushing ferritin too quickly? thanks
<acuteRN>
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Patients with active infection should be on any kinda of iron IV, due to the natural body's response to hold on to everything under infection or stress state. And also reuse should also be discontined for patients with positive blood cultures on antibiotics.
<acute RN>
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quote:
Originally posted by acuteRN: Patients with active infection should not be on any kinda of iron IV, due to the natural body's response to hold on to everything under infection or stress state. And also reuse should also be discontined for patients with positive blood cultures on antibiotics.
<acuteRN>
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Sorry ...SHOULD NOT BE ON ANTIBIOTICS. Forgot to add a not!!
