starting Asunra ( Exjade )

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starting Asunra ( Exjade )
« on: May 19, 2012, 03:37:02 PM »
My daughter( 1.2 years old ) has been advised to start asunra 200 mg daily, by Dr chandy.Her serrum ferritin level is 1192 ng.So I am starting.But the problem is The Dr., under whom her transfusion is taking place,don't want to start Asunra rather she suggested desferal(.59/IV) once in a month through blood transfusion. cann't tell her about Dr Chandy, ego problem. what to do ? Shall I stop Asunra the day she will be given Desferal or something else ?
plz suggest ....

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Offline Andy Battaglia

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Re: starting Asunra ( Exjade )
« Reply #1 on: May 19, 2012, 07:20:22 PM »
A once per month desferal infusion means that chelation takes place only once per month. This is inadequate. Regardless of which chelator you use, it has to be much more often. Asunra is daily, which means you are getting chelation every day and this is what is needed in transfusing patients. You could also choose subcutaneous desferal 4-5 times each week, but once per month has limited value. The once monthly IV desferal can be still utilized, but it is only a supplement to regular chelation.
Andy

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