Osman, M., Osman, H., Khalil, I., Sharaf, I., Mahmoud, R. (2007). Parenteral Use of Iron and Ascorbic Acid (Vitamin C) in Haemodialysis Patients. test, 37(1), 179-188. doi: 10.21608/jhiph.2007.22309
Mohamed Y. Osman; Hassan M.Y. Osman; Iman S. Khalil; Iman A. Sharaf; Redab Mahmoud. "Parenteral Use of Iron and Ascorbic Acid (Vitamin C) in Haemodialysis Patients". test, 37, 1, 2007, 179-188. doi: 10.21608/jhiph.2007.22309
Osman, M., Osman, H., Khalil, I., Sharaf, I., Mahmoud, R. (2007). 'Parenteral Use of Iron and Ascorbic Acid (Vitamin C) in Haemodialysis Patients', test, 37(1), pp. 179-188. doi: 10.21608/jhiph.2007.22309
Osman, M., Osman, H., Khalil, I., Sharaf, I., Mahmoud, R. Parenteral Use of Iron and Ascorbic Acid (Vitamin C) in Haemodialysis Patients. test, 2007; 37(1): 179-188. doi: 10.21608/jhiph.2007.22309

Parenteral Use of Iron and Ascorbic Acid (Vitamin C) in Haemodialysis Patients

Journal of High Institute of Public Health
Article 12, Volume 37, Issue 1, January 2007, Pages 179-188    PDF (106.69 K)
Document Type: Original Article
DOI: 10.21608/jhiph.2007.22309
Authors
Mohamed Y. Osman* 1; Hassan M.Y. Osman1; Iman S. Khalil2; Iman A. Sharaf1; Redab Mahmoud1
1Department of Biochemistry, Medical Research Institute, Alexandria University, Alexandria, Egypt
2Department of Internal Medicine, Medical Research Institute, Alexandria University, Alexandria, Egypt
Abstract
The aim of this work was to study the effect of supplementation of iron and vitamin C therapy to hemodialysis patients, hoping that this therapy is effective in the treatment of anaemia in these patients. In this work, 40 stable hemodialysis patients suffering from severe to moderate anemia not receiving any form of replacement therapy (i.e., neither erythropoietin (EPO) nor iron),  were selected and divided into two groups: The first group was treated by injection with ferrosac 100 mg/5ml twice a week for 3 months, and the second group was treated by injection with 500 mg/2.5ml of vitamin C in combination with 100 mg/5ml ferosac twice a week for three months. The results of this study indicated that: There was a significant decrease in both urea and creatinine in hemodialysis patients after i.v. treatment of ferosac alone (100 mg/5ml) "group I" and combined ferosac (100 mg/5ml) with ascorbic acid (500 mg/2.5ml) "group II" twice weekly for 3 months. There was a significant increase in hemoglobin concentration and serum iron in both hemodialysis patient groups (I&II) after treatment, the highly increase markedly occurred in group II rather than  group I after treatment. Moreover, there was a significant  decrease in serum ferritin concentration in group I and a more pronounced decrease in group II after treatment, indicating the importance of vitamin C in decreasing the serum ferritin level and therefore the better correction of anemia.
Keywords
ascorbic acid; Ferrosac; ferritin; Hemodialysis
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