Current Hgb: Target Hgb:

Intended duration of treatment, d:

Predicted absorption rate, %:

Body weight(lb): Height(in): Age(yr):

Patient type:Estimated daily
iron requirement
Menstruating female2 mg
Pregnant female3 mg
Postmenopausal female1 mg
Male1 mg

Est. lean body mass (kg):*****
Hgb iron deficit (mg):*****
Iron stores deficit (mg):*****
Total iron deficit (mg):*****
Maintenance iron during
replacement (mg):
*****
Total elemental
iron dose, mg
********
Daily elemental
iron dose, mg
********
Oral iron preparations
PreparationDose, mgelemental iron,
mg/tab
Total
doses
Doses
per day
Ferrous sulfate14045*****
Ferrous sulfate15055*****
Ferrous sulfate32465*****
Ferrous gluconate22527*****
Ferrous gluconate32438*****
Ferrous fumarate9029.5*****
Ferrous fumarate324106*****
Carbonyl iron4545*****
Carbonyl iron6666*****
Polysaccharide iron complex5050*****
Polysaccharide iron complex150150*****
Polysaccharide iron complex180180*****
Polysaccharide iron complex200200*****
Iron/ascorbate6565*****
Iron/ascorbate150150*****

Parenteral iron preparations
PreparationUnit
dose, ml
Elemental iron
per dose, ml
Total doses
required*
Iron dextran
Infed®
2100**
Ferumoxytol
Feraheme®
17510**
Iron sucrose
Venofer®
5100**
Iron sucrose
Venofer®
10200**
Ferric carboxymaltose
Injectafer®
15750**
Sodium ferric gluconate
Ferrlecit®
562.5**
* Please refer to manaufacturer's Prescribing Information
for guidelines on dosing and dosing interval