FBC normal after 3 months If patient is already known to EKHUFT for treatment of IBD call IBD helpline for initiation and supply of ferric maltol Feraccru EKHUFT will arrange for initial 3 month supply ID: 1044300
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1. IDA in IBDIntolerance (e.g. constipation, diarrhoea)FBC normal after 3 monthsIf patient is already known to EKHUFT for treatment of IBD, call IBD helpline for initiation and supply of ferric maltol (Feraccru). EKHUFT will arrange for initial 3 month supply.If patient is not known to EKHUFT, refer to gastroenterologist for initiation of ferric maltol (Feraccru)If patient is taking standard oral iron preparation or Ferric maltol (Feraccru), and FBC and iron stores are within range, patient can stop taking treatment.Hb>9.5g/dL and normal B12 and folateHb<9.5g/dL and normal B12 and folateInitiate oral ferrous ironEKHUFT to initiate parenteral ironInsufficient response after 3 months , i.e. Hb failed to increase by 10g/L by 4 - 6 weeks and 20g/L by 3 months FBC normal after 3 monthsContinue as necessary and recheck FBCDose reduction of oral ferrous iron OR change to alternative ferrous salt with lower content of elemental ironIron Deficiency Anaemia (IDA) in adults with Inflammatory Bowel Disease (IBD)Intolerance (e.g. constipation, diarrhoea)Insufficient response after total of 6 months treatment, stop ferric maltol (Feraccru). NB. Ferracrru is not licensed for treatment longer than 6 months.Insufficient response after 3 months, i.e. Hb failed to increase by 10g/L by 4 - 6 weeks and 20g/L by 3 months, continue Ferric maltol for 3 more monthsIBD Helpline: 01227 766877 ext 7225428 OR 01843 225544 ext 7253132