Informational only — Not medical advice. Always consult a licensed healthcare provider.

Community data Updated 23 hours ago

Indications

Ferric Citrate is used for two purposes in adults with chronic kidney disease. It controls serum phosphorus levels in patients who are on dialysis. It also treats iron deficiency anemia in patients who are not on dialysis.

⚠️ Always consult a registered physician before taking any medicine.

Pharmacology

Ferric citrate works in the gut. The ferric iron binds dietary phosphate in the Gl tract and forms ferric phosphate, which is insoluble and leaves the body in the stool. Because less phosphate is absorbed, the phosphate level in the serum goes down.

Some of the ferric iron is also reduced to the ferrous form by ferric reductase in the Gl tract. It then passes through the enterocytes into the blood. Once there, the oxidized ferric iron travels bound to the plasma protein transferrin, and it can be built into hemoglobin.

Pregnancy & Breastfeeding

There are no data available on the use of Ferric Citrate in pregnant women or in lactating mothers.

⚠️ Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.

Dosage Reference

⚠️ Reference ranges from official sources only. Consult your doctor for personalized dosing.

Adults: In hyperphosphatemia from chronic kidney disease on dialysis, Ferric Citrate is started at 2 tablets by mouth 3 times a day with meals. The dose can be adjusted by 1 to 2 tablets as needed to keep serum phosphorus at target levels, up to a maximum of 12 tablets daily. Changes can be made at intervals of 1 week or longer. For iron deficiency anemia in chronic kidney disease not on dialysis, the starting dose is 1 tablet by mouth 3 times a day with meals. Adjust it as needed to reach and maintain the hemoglobin goal, up to a maximum of 12 tablets daily or as the doctor directs. In children and adolescents, safety and efficacy of Ferric Citrate have not been established.

Side Effects & Interactions

Side Effects

No side-effect data recorded yet.