Hi All,
the following query was raised by a colleague today and I'm not sure of the answer and wondered does any practice provide iron infusions or know of clinical reasons why not? I seem to remember anaphylaxis risk might be high...

"I've been meaning to ask for a while. Do any of the Centric practices do Iron tranfusions? It would be such a helpful service for many of our women and pregnant patients and simple enough to set up and administer (I'm just not sure about insurance). There certainly is a 'gap' in the market for it.  I know a few GP practices in the UK have a service and certainly many in South Africa too."

Many thanks for any input!
Jean

Please note my workday may not match your workday please do not feel obliged to respond to this email outside of your working hours

Hi Jean

I don’t know of any GP practices administering monofer/venofer in the UK or Ireland. As you say certainly many clinical indications and suitable for administration in a treatment room setting. However, it does come with a significant risk of cardiac side effects; chest tightness, tachycardia, sweating, “impending sense of doom”. As far as I know these subside when slowing/stopping infusion but can take some time and scare the c*%p out of the patient (and sometimes the doctor!) And just because the patient didn't have any side effects the last time doesn’t mean they won’t experience it this time etc. It would involve heavy clinical monitoring so maybe more suitable for the large well-equipped practice with back up?
One for centric specialist clinic maybe?

Karen

From: Jean Gallagher jgallagher@ranelaghmedical.ie
Sent: Wednesday, September 21, 2022 5:43 pm
To: gpdiscussion@centricgpforum.com gpdiscussion@centricgpforum.com
Subject: Centric GP Forum Query re iron infusions?

Hi All,
the following query was raised by a colleague today and I'm not sure of the answer and wondered does any practice provide iron infusions or know of clinical reasons why not? I seem to remember anaphylaxis risk might be high...

"I've been meaning to ask for a while. Do any of the Centric practices do Iron tranfusions? It would be such a helpful service for many of our women and pregnant patients and simple enough to set up and administer (I'm just not sure about insurance). There certainly is a 'gap' in the market for it.  I know a few GP practices in the UK have a service and certainly many in South Africa too."

Many thanks for any input!
Jean

Please note my workday may not match your workday please do not feel obliged to respond to this email outside of your working hours

Hi Jean,
Looking at some UK hospital patient info sheets and the SPC at: https://www.medicines.ie/medicines/monover-100mg-ml-solution-for-injection-infusion-32932/spc#tabs  it would seem onerous for the average practice. 1-2hrs of time in total (if no side effects), training and equipment for an IV infusion / risk of needing rescuc more likely than with vaccines or IM injections / identifying indications and contraindications / monitoring what dose/how often / and also that it would be a rare need in a GP practice with infrequent experience. Interested to know if any practice is doing it. Might suit a specialist centre.

From: Jean Gallagher jgallagher@ranelaghmedical.ie
Sent: Wednesday 21 September 2022 17:43
To: gpdiscussion@centricgpforum.com
Subject: Centric GP Forum Query re iron infusions?

Hi All,
the following query was raised by a colleague today and I'm not sure of the answer and wondered does any practice provide iron infusions or know of clinical reasons why not? I seem to remember anaphylaxis risk might be high...

"I've been meaning to ask for a while. Do any of the Centric practices do Iron tranfusions? It would be such a helpful service for many of our women and pregnant patients and simple enough to set up and administer (I'm just not sure about insurance). There certainly is a 'gap' in the market for it.  I know a few GP practices in the UK have a service and certainly many in South Africa too."

Many thanks for any input!
Jean

Please note my workday may not match your workday please do not feel obliged to respond to this email outside of your working hours
Disclaimer: This e-mail and any attachments including voice attachments may contain confidential, personal, sensitive, proprietary or legally privileged information. Anyone who is not the intended recipient should not use or open the document. Any information or voice recording used within this document or e-mail should not be forwarded to any other legal person or organisation or posted on any social media platform as to do so would be in breach of privacy and data protection legislation. If you have erroneously received this email or document, please delete immediately and notify the sender. If you have received this e-mail or documentation where there is a precise reason to forward to a third party, all rules regarding privacy and data protection should be followed. You will be liable for a third party breach.The recipients acknowledge that Centric Health or associated companies are unable to exercise control to ensure or guarantee the integrity of/over the contents of the information contained in e-mail transmission and further acknowledge that any views expressed in this message are those of the individual sender and no binding nature of the message shall be implied or assumed unless the sender does so expressly with due authority of Centric Health.

Thanks for all those answers. I will report back to the person with the query. I have to say it’s not something I’ve ever seen a need for in Ranelagh either.
Jean

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From: Mary Gray mary.gray@centrichealth.ie
Sent: Thursday, September 22, 2022 8:16:07 PM
To: Centric GP Forum gpdiscussion@centricgpforum.com
Subject: Centric GP Forum Re: Query re iron infusions?

Hi Jean,

Looking at some UK hospital patient info sheets and the SPC at: https://www.medicines.ie/medicines/monover-100mg-ml-solution-for-injection-infusion-32932/spc#tabs  it would seem onerous for the average practice. 1-2hrs of time in total (if no side effects), training and equipment for an IV infusion / risk of needing rescuc more likely than with vaccines or IM injections / identifying indications and contraindications / monitoring what dose/how often / and also that it would be a rare need in a GP practice with infrequent experience. Interested to know if any practice is doing it. Might suit a specialist centre.

From: Jean Gallagher jgallagher@ranelaghmedical.ie
Sent: Wednesday 21 September 2022 17:43
To: gpdiscussion@centricgpforum.com
Subject: Centric GP Forum Query re iron infusions?

Hi All,

the following query was raised by a colleague today and I'm not sure of the answer and wondered does any practice provide iron infusions or know of clinical reasons why not? I seem to remember anaphylaxis risk might be high...

"I've been meaning to ask for a while. Do any of the Centric practices do Iron tranfusions? It would be such a helpful service for many of our women and pregnant patients and simple enough to set up and administer (I'm just not sure about insurance). There certainly is a 'gap' in the market for it.  I know a few GP practices in the UK have a service and certainly many in South Africa too."

Many thanks for any input!

Jean

Please note my workday may not match your workday please do not feel obliged to respond to this email outside of your working hours

Disclaimer: This e-mail and any attachments including voice attachments may contain confidential, personal, sensitive, proprietary or legally privileged information. Anyone who is not the intended recipient should not use or open the document. Any information or voice recording used within this document or e-mail should not be forwarded to any other legal person or organisation or posted on any social media platform as to do so would be in breach of privacy and data protection legislation. If you have erroneously received this email or document, please delete immediately and notify the sender. If you have received this e-mail or documentation where there is a precise reason to forward to a third party, all rules regarding privacy and data protection should be followed. You will be liable for a third party breach.The recipients acknowledge that Centric Health or associated companies are unable to exercise control to ensure or guarantee the integrity of/over the contents of the information contained in e-mail transmission and further acknowledge that any views expressed in this message are those of the individual sender and no binding nature of the message shall be implied or assumed unless the sender does so expressly with due authority of Centric Health.

Disclaimer: This e-mail and any attachments including voice attachments may contain confidential, personal, sensitive, proprietary or legally privileged information. Anyone who is not the intended recipient should not use or open the document. Any information or voice recording used within this document or e-mail should not be forwarded to any other legal person or organisation or posted on any social media platform as to do so would be in breach of privacy and data protection legislation. If you have erroneously received this email or document, please delete immediately and notify the sender. If you have received this e-mail or documentation where there is a precise reason to forward to a third party, all rules regarding privacy and data protection should be followed. You will be liable for a third party breach.The recipients acknowledge that Centric Health or associated companies are unable to exercise control to ensure or guarantee the integrity of/over the contents of the information contained in e-mail transmission and further acknowledge that any views expressed in this message are those of the individual sender and no binding nature of the message shall be implied or assumed unless the sender does so expressly with due authority of Centric Health.