How long should iron supplements be taken for iron deficiency anemia?

Written by He Li Fang
Hematology
Updated on February 12, 2025
00:00
00:00

First, it's important to understand that in treating iron deficiency anemia, addressing the underlying cause is the top priority. It's crucial to eliminate the causes of iron deficiency as much as possible. Solely supplementing with iron can only restore the blood picture, and neglecting the treatment of the primary illness will not lead to a thorough treatment of the anemia. Once the medication for anemia is stopped, it can easily relapse.

So how long should iron supplements be taken for iron deficiency anemia? Generally, after patients start taking iron supplements, they can quickly feel an improvement in symptoms. The reticulocyte count tends to rise within three to four days after starting the supplements, reaching a peak around seven days. Hemoglobin shows a significant increase two weeks after starting the medication and can return to normal levels within one to two months. However, even after hemoglobin returns to normal, iron treatment should continue until the serum ferritin level has returned to 50 micrograms per liter before stopping the medication. If it's not possible to monitor serum ferritin, then iron supplements should be continued for three more months after hemoglobin has normalized, to replenish the body's iron stores. Therefore, the treatment of iron deficiency anemia with iron supplements generally lasts for three to six months.

Other Voices

doctor image
home-news-image
Written by He Li Fang
Hematology
1min 6sec home-news-image

Iron deficiency anemia lacks what element?

Iron deficiency anemia refers to a type of anemia caused by a lack of stored iron in the body, which affects the synthesis of hemoglobin. Its characteristics include a lack of stainable iron in organs such as the bone marrow, liver, and spleen, leading to decreased serum iron concentration, decreased transferrin saturation, and decreased serum ferritin. Typical iron deficiency anemia presents as microcytic hypochromic anemia. Therefore, iron deficiency anemia involves a deficiency in iron, a trace element essential for the human body, which is widely present in cells and participates in the body's metabolic processes. The human body has a strict iron metabolism regulatory mechanism to maintain normal physiological levels. Once this homeostasis is disrupted, it can lead to the occurrence of iron deficiency anemia. Factors that affect the distribution, absorption, transport, and storage of iron can all cause iron deficiency anemia.

doctor image
home-news-image
Written by Zhang Xiao Le
Hematology
51sec home-news-image

Does iron deficiency anemia cause tiredness?

Patients with iron-deficiency anemia can exhibit symptoms of fatigue. Anemia is characterized by red blood cells and hemoglobin levels that are below the normal range. Red blood cells are the main cells responsible for transporting oxygen in the body. Oxygen enters the blood through gas exchange in the lungs and is then delivered throughout the body by red blood cells to supply oxygen. Therefore, patients with anemia will show varying degrees of ischemia and hypoxia. In the nervous system, this can be manifested as lethargy, insomnia, frequent dreaming, tinnitus, blurry vision, fainting, and lack of concentration. As the severity of anemia increases, these symptoms may also worsen. Patients with severe anemia may exhibit significant lethargy and drowsiness.

doctor image
home-news-image
Written by Li Fang Fang
Hematology
52sec home-news-image

What indicators are used to diagnose iron deficiency anemia?

For iron deficiency anemia, a complete blood count should first be considered. The blood count presenting as microcytic hypochromic anemia often suggests the possibility of iron deficiency anemia. Microcytic hypochromic anemia is characterized by a decrease in hemoglobin, a decrease in mean corpuscular volume, a decrease in mean corpuscular hemoglobin concentration, and a decrease in mean corpuscular hemoglobin. When the complete blood count indicates the possibility of iron deficiency anemia, further investigation into iron-related indices is required, such as decreased serum iron, decreased ferritin, decreased transferrin saturation, and increased soluble transferrin receptor capacity.

doctor image
home-news-image
Written by Li Fang Fang
Hematology
53sec home-news-image

Can iron deficiency anemia be cured?

Iron deficiency anemia is treatable, but it is essential to identify the cause of the iron deficiency. The treatment of iron deficiency anemia is divided into two main parts. The first part involves iron supplementation, which can be administered orally or intravenously, with intravenous supplementation generally being more effective and faster. The second part is crucial: identifying the cause of the iron deficiency. For example, common causes in women of childbearing age include heavy menstrual periods, while older patients often suffer from gastrointestinal tumors or ulcers, and in children, the common cause is usually nutritional deficiency. It is vital to treat the underlying cause.

doctor image
home-news-image
Written by Zhang Xiao Le
Hematology
1min 7sec home-news-image

What to do about vomiting from iron deficiency anemia?

Patients with iron deficiency anemia experiencing vomiting might have the following possible causes: Firstly, iron deficiency can lead to systemic hypoxia, including in the gastrointestinal tract, manifesting as reduced appetite and poor digestion. Severe cases may present with nausea and vomiting. This situation can be addressed by transfusing red blood cells and implementing aggressive iron supplementation to correct the anemia. Once the anemia is corrected, symptoms of nausea and vomiting should disappear. Concurrently, temporary use of anti-emetic medications such as metoclopramide can be considered to help control the vomiting. Secondly, some patients with iron deficiency anemia may have underlying gastric diseases that cause chronic bleeding, including gastric ulcers, gastric mucosal erosion, or even gastric cancer. These gastric diseases themselves can also lead to vomiting, necessitating further investigations like gastroscopy to establish a clear diagnosis and provide targeted treatment.