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Ferric Citrate Dosage

Medically reviewed by Drugs.com. Last updated on May 5, 2020.

Applies to the following strengths: 210 mg

Usual Adult Dose for Hyperphosphatemia of Renal Failure

Initial dose: 2 tablets (2 grams ferric citrate) orally 3 times a day with meals
-Adjust dose in increments of 1 to 2 tablets per day as needed to maintain target serum phosphorous levels.
Average dose: 8 to 9 tablets per day
Maximum dose: 12 tablets per day

Comments:
-Monitor serum phosphorous and titrate dose accordingly.

Use(s): Control of serum phosphorous levels in patients with chronic kidney disease on dialysis

Usual Adult Dose for Anemia Associated with Chronic Renal Failure

Initial dose: 1 tablet (1 gram ferric citrate) orally 3 times a day with meals
-Adjust dose as needed to maintain target hemoglobin levels.
Average dose: 5 tablets per day
Maximum dose: 12 tablets per day

Comments:

Use(s): Iron deficiency anemia in patients with chronic kidney disease not on dialysis

Usual Adult Dose for Iron Deficiency Anemia

Initial dose: 1 tablet (1 gram ferric citrate) orally 3 times a day with meals
-Adjust dose as needed to maintain target hemoglobin levels.
Average dose: 5 tablets per day
Maximum dose: 12 tablets per day

Comments:

Use(s): Iron deficiency anemia in patients with chronic kidney disease not on dialysis

Renal Dose Adjustments

See usual adult dose for anemia.

Liver Dose Adjustments

Data not available

Precautions

Safety and efficacy have not been established in patients younger than 18 years.

Consult WARNINGS section for additional precautions.

Dialysis

See usual adult dosage for hyperphosphatemia.

Other Comments

Administration advice:
-Take with meals.
-Do not crush or chew tablets as it may discolor the mouth and teeth.

Storage requirements:
-Store at controlled room temperature.
-Protect from moisture.

Patient advice:
-Accidental ingestion of iron containing products is the leading cause of fatal poisoning in children under 6 years; keep out of reach of children.
-This drug may cause discolored/dark stools, which is normal in iron containing medications.
-Patients should report severe or persistent gastrointestinal symptoms to their physician.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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