Haematinics: Iron, Folic Acid, Vitamin B12, Erythropoietin, and Vitamin K

Introduction to Haematinics

  • Haematinics are substances essential for the formation of blood components.
  • Includes Iron, Folic Acid, Vitamin B12, Erythropoietin, and Vitamin K.
  • Used in the treatment of anemia and coagulation disorders.

Iron Preparations

Oral Iron Preparations:

  • Ferrous sulfate
  • Ferrous gluconate
  • Ferrous fumarate
  • Carbonyl iron


Parenteral Iron Preparations:

  • Iron dextran
  • Iron sucrose
  • Ferric carboxymaltose

Indications:

  • Iron deficiency anemia
  • Chronic blood loss
  • Pregnancy-related anemia

Adverse Effects:

  • Oral: Nausea, constipation, black stools, metallic taste
  • Parenteral: Allergic reactions, anaphylaxis, local pain

Treatment of Overdose:

  • Gastric lavage (for oral overdose)
  • Deferoxamine (iron-chelating agent)


Folic Acid and Vitamin B12

Preparations:

  • Folic Acid: Tablets, injections
  • Vitamin B12: Cyanocobalamin, Hydroxocobalamin (oral, injectable forms)

Actions:

  • Essential for DNA synthesis and red blood cell formation
  • Prevents neural tube defects during pregnancy

Uses:

  • Megaloblastic anemia
  • Pregnancy supplementation
  • Pernicious anemia (Vitamin B12)

Inter-relationship between Folic Acid and Vitamin B12:

  • Both are required for DNA synthesis and erythropoiesis.
  • Vitamin B12 deficiency can cause functional folate deficiency, leading to anemia.


Erythropoietin

  • Hormone that stimulates red blood cell production.
  • Synthetic forms: Epoetin alfa, Darbepoetin alfa.

Uses:

  • Chronic kidney disease-associated anemia
  • Chemotherapy-induced anemia
  • Anemia in HIV patients on zidovudine

Adverse Effects:

  • Hypertension
  • Increased risk of thrombosis


Vitamin K and Coagulants

Vitamin K:

  • Fat-soluble vitamin (K1 - Phytonadione, K2 - Menaquinone, K3 - Menadione).
  • Essential for the synthesis of clotting factors (II, VII, IX, X).

Uses:

  • Treatment of warfarin overdose
  • Prevention of hemorrhagic disease in newborns
  • Management of vitamin K deficiency-related bleeding

Coagulants:

  • Agents that promote blood clotting.
  • Examples: Fresh frozen plasma, prothrombin complex concentrates


Importance of Haematinics

  • Haematinics play a vital role in treating anemia and coagulation disorders.
  • Iron, folic acid, and vitamin B12 are essential for RBC formation.
  • Erythropoietin stimulates erythropoiesis.
  • Vitamin K is crucial for blood coagulation.

Presentation for Haematinics

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