What are the treatment options for anemia in uremia?

Updated: Jan 17, 2019
  • Author: A Brent Alper, Jr, MD, MPH; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Answer

In patients found to have anemia of CKD, it is important to check iron studies and to begin the initial treatment with iron replacement if there is evidence of iron deficiency. The serum ferritin level should be greater than 100 mcg/mL.

Due to concern about the use of erythropoietic-stimulating agents (ESAs) and increased cardiovascular mortality, major changes have been made to the recommendation for their administration. One should attempt to use the lowest ESA dose possible to reduce the need for transfusion.


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