IV Iron Injection (Ferinject)

Put the spring back in your step! Iron deficiency is a common cause for tiredness/fatigue, headache, and muscle/joint aches.

As well as addressing what may be the underlying cause for your iron deficiency, we can replace the iron you are deficient in and top up your body's iron stores quickly and easily with an IV iron injection. By getting the iron put directly into your vein, you can skip months of daily oral iron supplements that commonly cause gastric upset, nausea, and constipation. Iron injection completely bypasses the gut, which is especially helpful if the reason for your iron deficiency is poor absorption from the gut!

After the iron injection your body will start gradually absorbing and utilising the iron. If low iron was the cause of your fatigue, you will notice a difference by the 4-6 week mark when you have a follow up blood test to check how much your iron levels have increased - though many patients report noticing benefit sooner than this.

On the Day

The whole procedure takes 45 - 60 minutes, but the injection only makes up 15 minutes of this and the rest is preparation and observation time - so make sure you bring a book or a friend to chat to!

Dr. Tosch helps run our IV clinic, she has years of cannulation experience, performs iron injections every week, and has never had a serious complication (staining or anaphylaxis). On the day Dr. Tosch will answer any questions you may have about the procedure and check you understand all points in the consent form. A plastic cannula will be inserted into a vein in your arm, and the iron will be slowly injected over about 15 minutes. After the iron injection you will be observed for 30 minutes and the doctor will check your vital signs such as blood pressure and pulse. You will receive a blood form to do in 4-6 weeks to check how well the injection worked.

Important Information

1) Ferinject cannot be given to children under 14, or women in early (weeks 0 - 16) pregnancy.
2) Common short-lived side effects are: headache, dizziness, nausea, abdominal pain, skin reaction.
3) There is a risk of Ferinject causing hypophosphataemia (low phosphate) for this reason your phosphate levels must be checked prior to the injection, and will be checked again 4-6 weeks after the injection. If phosphate is low you will usually be placed on a high phosphate diet and the level will be checked again in a fortnight.
4) There are reports of Ferinject uncommonly causing long-lasting brown staining near the injection site - giving the iron by direct injection instead of infusion allows more control and feedback, theoreticically mitigating some of this risk.
5) There is a rare risk of anaphylaxis (face/neck/mouth swelling, shortness of breath) with administration of any IV substance, so it is important patients are observed for 30 minutes afterwards.
6) Depending on your weight and dose of iron required, you may need two injections a week apart.

Fees for IV Iron Injection

Medicare card holders
Net/Gap Cost: $191.15
Up Front Costs: $300 procedure fee
Medicare Rebate: $108.85
The Ferinject medication costs $40.30, or $6.50 with concession card from a pharmacy.

Patients who don’t have a Medicare card
$300 procedure fee.
The Ferinject medication costs $160 - $310 from a pharmacy. Prices vary by pharmacy.
If you have health insurance you may be able to claim back some of the costs. 

An iron injection can be booked by speaking with one of our friendly receptionists once you have received an Iron Injection Information Pack from one of our doctors and you have had blood tests to check: full blood count, liver function tests, phosphate, and iron studies - to ensure iron injection is safe for you.