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Deferoxamine

Antidote · Iron Chelator

Also known as Desferrioxamine mesilate, Desferal

AntidoteIron Chelator
CDSCO approvedSchedule H
EXCRETION
not curated
INTERACTIONS
12 major
SEVERE in our sources
PREGNANCY
Teratogenic in animal studies. Manufacturer advises use only if potential benefit outweighs risk.
FDA category + note
Top interactionssee all 12
  • CidofovirSevereDatabaseDDInter
  • DiatrizoateSevereDatabaseDDInter
  • InotersenSevereDatabaseDDInter
  • IodipamideSevereDatabaseDDInter

Mechanism

Deferoxamine is a potent iron-chelating compound. It binds to iron that has been absorbed and promotes its excretion in urine and feces. This action helps to treat both acute iron toxicity and chronic iron overload by removing excess iron from the body.

Indications

Acute iron poisoningChronic iron overload (hemochromatosis)Iron overload due to inherited hemochromatosisIron overload due to multiple red cell transfusions (e.g., in beta-thalassemia, sickle cell anemia, aplastic anemia)Aluminium-related encephalopathy

Dosing

Adult
For acute iron poisoning: 5-15 mg/kg/hr IV infusion. For chronic iron overload or general use: 20-50 mg/kg daily by continuous or intermittent intravenous infusion.
Max dose
6 g/24 hr (for iron poisoning)

Side effects

Common
paraesthesiarespiratory disordersshocktachycardiathrombocytopeniavision disordersHypotension (worse with rapid infusion rates)
Serious
  • Acute kidney injury
  • hypocalcaemia
  • leucopenia
  • renal tubular disorder
  • seizure
  • urine red

Pregnancy & lactation

Pregnancy

Teratogenic in animal studies. Manufacturer advises use only if potential benefit outweighs risk.

Lactation

Manufacturer advises use only if potential benefit outweighs risk; no information available.

Drug interactions

Cidofovir
Severe
Database

Clinical effect not specified

Source: DDInter

Diatrizoate
Severe
Database

Clinical effect not specified

Source: DDInter

Inotersen
Severe
Database

Clinical effect not specified

Source: DDInter

Iodipamide
Severe
Database

Clinical effect not specified

Source: DDInter

Iodixanol
Severe
Database

Clinical effect not specified

Source: DDInter

Iohexol
Severe
Database

Clinical effect not specified

Source: DDInter

Iopamidol
Severe
Database

Clinical effect not specified

Source: DDInter

Iopromide
Severe
Database

Clinical effect not specified

Source: DDInter

Iothalamic Acid
Severe
Database

Clinical effect not specified

Source: DDInter

Ioversol
Severe
Database

Clinical effect not specified

Source: DDInter

Ioxilan
Severe
Database

Clinical effect not specified

Source: DDInter

Vigabatrin
Severe
Database

Clinical effect not specified

Source: DDInter

Related guidelines

Other Antidote drugs

Ask House about Deferoxamine

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Sources: Katzung, BNF, Nelson, Harriet Lane·Verified: 2026-05-10 · House clinical team