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Generic Name: sodium ferric gluconate complex (SOE dee um FER ik GLU koe nate KOM plex)
Brand Name: Ferrlecit, Nulecit

What is Nulecit?

Sodium ferric gluconate is a type of iron. You normally get iron from the foods you eat. In your body, iron becomes a part of your hemoglobin (HEEM o glo bin) and myoglobin (MY o glo bin). Hemoglobin carries oxygen through your blood to tissues and organs. Myoglobin helps your muscle cells store oxygen.

Nulecit is used to treat iron deficiency anemia (a lack of red blood cells caused by having too little iron in the body) in adults and children who are at least 6 years old. This medicine is for people with kidney disease who are on dialysis.

Nulecit may also be used for purposes not listed in this medication guide.

Important Information

You should not use this medication if you are allergic to Nulecit or benzyl alcohol.

Before using this medication, tell your doctor if you have iron overload syndrome, or if you receive regular blood transfusions.

Tell your doctor about all other medicines you use, especially iron supplements you take by mouth.

Also tell your doctor if you are pregnant or breast-feeding a baby.

To be sure this medication is helping your condition, your blood may need to be tested often. Visit your doctor regularly.

Before taking this medicine

You should not use this medication if you are allergic to Nulecit or benzyl alcohol.

To make sure you can safely use Nulecit, tell your doctor if you have any of these other conditions:

  • iron overload syndrome; or

  • if you receive regular blood transfusions.

FDA pregnancy category B. Nulecit is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

It is not known whether Nulecit passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Nulecit should not be given to a child younger than 6 years old.

How should I take Nulecit?

Nulecit is injected into a vein through an IV during your dialysis session. This medication must be given slowly, and the IV infusion can take at least 1 hour to complete.

You may be shown how to use an IV at home. Do not self-inject this medicine if you do not fully understand how to give the injection and properly dispose of used needles, IV tubing, and other items used to inject the medicine.

Nulecit must be mixed with a liquid (diluent) in an IV bag before using it. If you are using the injections at home, be sure you understand how to properly mix and store the medicine. Do not mix this medicine with any other medication or solution in your IV.

Each single-use vial (bottle) of this medicine is for one use only. Throw away after one use, even if there is still some medicine left in it after injecting your dose.

To be sure this medication is helping your condition, your blood may need to be tested often. Visit your doctor regularly.

Store at room temperature away from moisture and heat. Do not freeze.

What happens if I miss a dose?

Call your doctor for instructions if you miss a dose of Nulecit.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include severe weakness, loss of balance or coordination, rapid breathing, tremor, or seizure (convulsions).

What should I avoid while taking Nulecit?

Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.

Nulecit side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives, sweating, vomiting; severe lower back pain; wheezing, difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have a serious side effect such as:

  • feeling like you might pass out;

  • chest pain, trouble breathing;

  • flushing (warmth, redness, or tingly feeling);

  • fast or uneven heart rate; or

  • dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, uneven heartbeats, seizure).

Less serious side effects may include:

  • pain, leg cramps;

  • dizziness, general ill feeling;

  • mild headache;

  • nausea, vomiting, diarrhea; or

  • pain, redness, swelling, or irritation around the IV needle.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

What other drugs will affect Nulecit?

Tell your doctor about all other medicines you use, especially iron supplements you take by mouth.

There may be other drugs that can interact with Nulecit. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Where can I get more information?

  • Your pharmacist can provide more information about Nulecit.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2012 Cerner Multum, Inc. Version: 1.01.

Date modified: February 01, 2018
Last reviewed: August 15, 2012