Use of Cosmofer in Routine Practice in the Hemodialysis Department in Saint Anna Hospital Sofia and Behavior in Case of Adverse Medication Effects Manifestation

Abstract

Background : CosmoFer ® solution for injection contains stable aqueous solution of iron(III)-hydroxide dextran complex, which is equivalent to the physiological ferritin. CosmoFer ® has been used in the Hemodialysis Department/HDD/ at the Sofia St. Anna Hospital since June 2012. Objective: Topresent the use of the medication in the routine practice in the Department. Materials and Methods : The use of the medication in the routine practice for a period of 1 year and 4 months in 63 chroniodialysis patients was presented. Clinical cases with manifestations of adverse effects were reported. Results and conclusions : CosmoFer ® showed very good effects when used once or twice per month of renal anemia and chronic kidney disease (CKD) patients. The clinical cases presented are indicative of patients with severe clinical status and polymorbid patients. Comfort and safe administration are achieved in slow intravenous infusion of CosmoFer ® dissolved in 100ml physiological solution.