Administration of iron infusions in general practice
Abstract:
Background: Despite having strong knowledge on iron deficiency, there is ongoing hesitancy among general practitioners (GPs) in providing iron infusions due to reduced confidence in the administration technique and concerns about adverse events.
Objective: This article aims to prepare GPs, general practice registrars and other health providers with the knowledge to confidently and safely perform ferric carboxymaltose (FCM) infusions. It provides education around the use of parenteral iron, including indications, storage, administration, PBS (Pharmaceutical Benefits Scheme) subsidy, side effects, contraindications and benefits. It might also assist already seasoned GPs with supplementary information, or those not performing infusions, with information about pre- and post-infusion care.
Discussion: GPs play a pivotal role in both detection and management of iron deficiency and are arguably best suited to facilitate iron infusions. The goal is to reduce the responsibility burden on the hospital system, as well as assist GPs to maintain advanced skills and provide holistic care.
Reference:
Patel S. Ferric carboxymaltose: A practical guide on the administration of iron infusions in general practice. Aust J Gen Pract. 2025 May;54(5):287-294. doi: 10.31128/AJGP-07-24-7354. PMID: 40320806.