Iron Disorder Resources for GPs
General Practitioners (GPs) play a central role in the identification, diagnosis and management of patients with iron disorders. This page has been established to assist with this.
Please click on the links below for resources on:
- Diagnosis, investigation and management of iron deficiency
- Oral Iron
- Parenteral Iron
- IV iron
- IM iron (not recommended)
- High Ferritin
- Algorithm for iron deficiency anaemia assessment and management – A clinical update on Iron Deficiency Anaemia (IDA) from the Medical Journal of Australia (MJA 2010) containing an algorithm for assessment and management of IDA in Box 2.
- App based on the IDA algorithm from MJA 2010 – the IDA algorithm app is an educational tool designed to increase your understanding of the diagnosis, investigation and management of IDA.
- Checklist for overall management of IDA in adults (PDF 227KB)
- Consumer information on iron and iron deficiency, including translations
- eLearning program based on the Clinical Update on Iron Deficiency Anaemia (MJA 2010) – A course within BloodSafe eLearning Australia aims to update and enhance your knowledge about diagnosis, investigation and management of IDA.
- Gastroenterological Society of Australia (GESA) - Clinical Update on Iron Deficiency (October 2015)
- Guidelines for management of iron deficiency anaemia from British Society of Gastroenterology (2011)
- Consumer information on oral iron, including translations
- Dosing chart with iron preparations (PDF 511KB) available in Australia
- Oral iron interactions – summarises the interactions oral iron may have with various medications and foods.
- Reasons for lack of response to oral iron therapy - A clinical update on Iron Deficiency Anaemia (IDA) from the Medical Journal of Australia (MJA 2010) which includes a list of the 5 major reasons for inadequate response to oral iron therapy in Box 5.
- Checklist for prescribing IV iron (PDF 19.1KB) - indications, contraindications and precautions
- Consumer information on IV iron, including translations
- IV iron administration in primary care - a video outlining safe and appropriate use produced by BloodSafe eLearning Australia
- Generic ferric carboxymaltose infusion protocol for adults (PDF 271KB) and generic ferric carboxymaltose bolus protocol for adults (PDF 270KB).
- National Prescribing Service (NPS) MedicineWise review of ferric carboxymaltose (2014)
- South Australian Perinatal Practice Guidelines (PDF 339KB) – Iron infusions
- Table outlining the different IV iron preparations (PDF 291KB) available in Australia
Intramuscular (IM) Iron (not recommended)
Although IM injection of iron is effective, it is painful, associated with permanent skin staining and no safer than IV infusion. Its use is therefore discouraged unless other approaches cannot be practically delivered (eg, when parenteral iron is indicated in remote settings).
- Fatigue – a rational approach to investigation (Australian Family Physician, July 2014) – contains an algorithm for investigation of fatigue.
- Elevated serum ferriten – what should GPs know? (Australian Family Physician, December 2012) – contains an algorithm for investigation and management of elevated serum ferriten in general practice.
- Haemochromatosis’ brochure (PDF 267KB) - General information from Haemachromatosis Australia.
- Haemochromatosis (PDF 3.2MB) - your questions answered. A consumer booklet from Haemochromatosis Australia.
- Genetic test results and haemochromatosis mutations - What genotype are you? Consumer information from Haemochromatosis Australia explaining the genetic basis of haemochromatosis and what each genetic test result type means.
- Family letter (PDF 522KB) – what they need to know about haemochromatosis. A one page letter for family members from Haemochromatosis Australia (suitable for family members to take to their own GP to discuss testing).