Drug Interaction Report
1 potential interaction and/or warning found for the following 2 drugs:
- Aqua Gem-E (vitamin e)
- sodium ferric gluconate complex
Interactions between your drugs
vitamin E sodium ferric gluconate complex
Applies to: Aqua Gem-E (vitamin e), sodium ferric gluconate complex
MONITOR: Limited data suggest that vitamin E may diminish the therapeutic response to iron therapy in patients with iron deficiency anemia. The mechanism has not been established. In a group of 26 anemic children treated with iron dextran for 3 days, nine patients who also received vitamin E (200 units starting one day before iron dextran) had a reticulocyte response of only 4.4%, compared to 14.4% in the other patients. The patients who received vitamin E also had reduced hemoglobin levels and lower hematocrit.
MANAGEMENT: Patients receiving iron therapy for iron deficiency anemia should be monitored for potentially reduced hematologic response if vitamin E is administered concomitantly.
References (2)
- Graeber JE, Williams ML, Oski FA (1977) "The use of intramuscular vitamin E in the premature infant. Optimum dose and iron interaction." J Pediatr, 90, p. 282-4
- Melhorn DK, Gross S (1969) "Relationships between iron-dextran and vitamin E in iron deficiency anemia in children." J Lab Clin Med, 74, p. 789-802
Drug and food interactions
No alcohol/food interactions were found with the drugs in your list. However, this does not necessarily mean no food interactions exist. Always consult your healthcare provider.
Therapeutic duplication warnings
No duplication warnings were found for your selected drugs.
Therapeutic duplication warnings are only returned when drugs within the same group exceed the recommended therapeutic duplication maximum.
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Drug Interaction Classification
| Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. | |
| Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. | |
| Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. | |
| No interaction information available. |
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Further information
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