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Drug interactions

Deferasirox + Ferrous gluconate

Severity: Moderate

Deferasirox and Ferrous gluconate: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Deferasirox binds iron in the gut, so oral iron supplements are poorly absorbed. The two agents have opposing therapeutic aims.

What this interaction means in plain words

Deferasirox and Ferrous gluconate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Deferasirox belongs to Miscellaneous; Ferrous gluconate belongs to Miscellaneous.

Evidence level: Moderate

Why it happens

Deferasirox chelates iron in the gastrointestinal tract, forming unabsorbable complexes.

What to do

Avoid oral iron in patients on deferasirox unless iron deficiency is documented. Monitor ferritin and hemoglobin.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Deferasirox with Ferrous gluconate?

MediHelp rates the interaction as moderate. Deferasirox and Ferrous gluconate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Deferasirox binds iron in the gut, so oral iron supplements are poorly absorbed. The two agents have opposing therapeutic aims.

How serious is the interaction between Deferasirox and Ferrous gluconate?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid oral iron in patients on deferasirox unless iron deficiency is documented. Monitor ferritin and hemoglobin.

What other medicines interact with Ferrous gluconate?

MediHelp also lists interactions of Ferrous gluconate with, for example, Ciprofloxacin, Acetohydroxamic acid, Aluminum hydroxide. The full list is on the Ferrous gluconate page.

Full monographs, dosing and an interaction checker in the MediHelp app

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