DRUGS USE TO TREAT ANEMIA
Prepared by:Dr Touseef (BUMDC)
Hematopoiesis
Usual Criteria
of Hb in
ANEMIA
>11.5G/dl
in women
>14G/dl in
men
Signs and Symptoms:
Patients with a Hb less than 7G/dl will have appear following symptoms ;
Tissue hypoxia
Fatigue
 Headache
 Dyspnea
 Pallor
Angina
 Tachycardia
 Visual impairment
 Syncope
 Lymphadenopathy
 Hepatic and or splenic enlargement
 Bone tenderness
 Blood loss in feces
 Neurologic symptoms.
Classification of anemia:
1. Anemia associated with decrease RBC production
 Iron deficiency anemia,
 Megaloblastic anemia
 Thalassemia
 Anemia due to chronic disease and renal failure.
2. Anemia due to increased RBC destruction:
 Haemolytic anemia
 sickle cell anemia
Iron:
IRON REQUIREMENT
CAUSES OF IRON DEFECIENCY ANEMIA
Treatment of iron deficiency Anemia
Indication for the use of iron
Iron Toxicity
Deferasirox
–an oral iron chelator approved for treatment of iron
overload
2- Coblamine vit B12
Pharmacokinetics:
• Source: Meat (liver), eggs, & dairy products.
• coblamine is absorbed from the GIT in the presence of intrinsic
factor, a product of the parietal cells of the stomach.
• Plasma transport is accomplished by binding to transcobalamin II.
• Coblamine is stored in the liver in large amounts; a normal
individual has enough to last 5 years.
It is available in 2 forms
1. cyanocobalamine
2. hydroxy cobalamine has a longer circulating half life.
•Deficiency leads to anemia, gastrointestinal symptoms,
andneurologic abnormalities.
•Deoxyadenosyl cobalamin
•methylcobalamin
•Cyanocobalamin
•hydroxocobalamin
•Source of vitamin BI2
• meat (especially liver), eggs, and dairyproducts.
•Vitamin B12 is sometimes called extrinsic factor
active forms of the vitamin in
humans
found in food sources are converted
to the active forms
PHHARMACOKINETIC
25
Uses:
1- Pernicious Anemia :
(defective secretion of intrinsic factor by the
gastric mucosal cells)
2- Neurologic abnormalities:
3- Gastrectomy
4- Cyanide poisoning.
26
Why folic acid give with vitB12
Folic acid
Erythropoietin
Anemia and drug use for the treatment of Anemia
Anemia and drug use for the treatment of Anemia
Anemia and drug use for the treatment of Anemia
Anemia and drug use for the treatment of Anemia
Anemia and drug use for the treatment of Anemia

Anemia and drug use for the treatment of Anemia

  • 1.
    DRUGS USE TOTREAT ANEMIA Prepared by:Dr Touseef (BUMDC)
  • 2.
  • 5.
    Usual Criteria of Hbin ANEMIA >11.5G/dl in women >14G/dl in men
  • 7.
    Signs and Symptoms: Patientswith a Hb less than 7G/dl will have appear following symptoms ; Tissue hypoxia Fatigue  Headache  Dyspnea  Pallor Angina  Tachycardia  Visual impairment  Syncope  Lymphadenopathy  Hepatic and or splenic enlargement  Bone tenderness  Blood loss in feces  Neurologic symptoms.
  • 8.
    Classification of anemia: 1.Anemia associated with decrease RBC production  Iron deficiency anemia,  Megaloblastic anemia  Thalassemia  Anemia due to chronic disease and renal failure. 2. Anemia due to increased RBC destruction:  Haemolytic anemia  sickle cell anemia
  • 9.
  • 10.
  • 11.
    CAUSES OF IRONDEFECIENCY ANEMIA
  • 12.
    Treatment of irondeficiency Anemia
  • 18.
    Indication for theuse of iron
  • 19.
    Iron Toxicity Deferasirox –an oraliron chelator approved for treatment of iron overload
  • 20.
  • 21.
    Pharmacokinetics: • Source: Meat(liver), eggs, & dairy products. • coblamine is absorbed from the GIT in the presence of intrinsic factor, a product of the parietal cells of the stomach. • Plasma transport is accomplished by binding to transcobalamin II. • Coblamine is stored in the liver in large amounts; a normal individual has enough to last 5 years. It is available in 2 forms 1. cyanocobalamine 2. hydroxy cobalamine has a longer circulating half life.
  • 23.
    •Deficiency leads to anemia, gastrointestinal symptoms, andneurologicabnormalities. •Deoxyadenosyl cobalamin •methylcobalamin •Cyanocobalamin •hydroxocobalamin •Source of vitamin BI2 • meat (especially liver), eggs, and dairyproducts. •Vitamin B12 is sometimes called extrinsic factor active forms of the vitamin in humans found in food sources are converted to the active forms
  • 24.
  • 25.
    25 Uses: 1- Pernicious Anemia: (defective secretion of intrinsic factor by the gastric mucosal cells) 2- Neurologic abnormalities: 3- Gastrectomy 4- Cyanide poisoning.
  • 26.
  • 27.
    Why folic acidgive with vitB12
  • 28.
  • 34.