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22309

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

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Last updated: 03 Jan 2025

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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.

DOI

10.21608/jhiph.2007.22309

Keywords

ascorbic acid, Ferrosac, ferritin, Hemodialysis

Authors

First Name

Mohamed

Last Name

Osman

MiddleName

Y.

Affiliation

Department of Biochemistry, Medical Research Institute, Alexandria University, Alexandria, Egypt

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Orcid

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First Name

Hassan

Last Name

Osman

MiddleName

M.Y.

Affiliation

Department of Biochemistry, Medical Research Institute, Alexandria University, Alexandria, Egypt

Email

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City

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Orcid

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First Name

Iman

Last Name

Khalil

MiddleName

S.

Affiliation

Department of Internal Medicine, Medical Research Institute, Alexandria University, Alexandria, Egypt

Email

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City

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Orcid

-

First Name

Iman

Last Name

Sharaf

MiddleName

A.

Affiliation

Department of Biochemistry, Medical Research Institute, Alexandria University, Alexandria, Egypt

Email

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City

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Orcid

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First Name

Redab

Last Name

Mahmoud

MiddleName

-

Affiliation

Department of Biochemistry, Medical Research Institute, Alexandria University, Alexandria, Egypt

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City

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Orcid

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Volume

37

Article Issue

1

Related Issue

4203

Issue Date

2007-01-01

Receive Date

2018-12-18

Publish Date

2007-01-01

Page Start

179

Page End

188

Print ISSN

2357-0601

Online ISSN

2357-061X

Link

https://jhiphalexu.journals.ekb.eg/article_22309.html

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https://jhiphalexu.journals.ekb.eg/service?article_code=22309

Order

12

Type

Original Article

Type Code

511

Publication Type

Journal

Publication Title

Journal of High Institute of Public Health

Publication Link

https://jhiphalexu.journals.ekb.eg/

MainTitle

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

Details

Type

Article

Created At

22 Jan 2023