Transfusional Fe overload Initially 14 mg/kg daily, may be adjusted in steps of 3.5-7 mg/kg daily every 3-6 mth.
Patient receiving packed RBC >14 mL/kg/mth Initially 21 mg/kg daily.
Maintenance of body Fe level Patient receiving packed RBC <7 mL/kg/mth Initially 7 mg/kg daily.
Non-transfusion-dependent thalassemia syndrome Initially 7 mg/kg daily. Consider increasing dose in increments of 3.5-7 mg/kg every 3-6 mth if patient's LIC is ≥7 mg Fe/g dw, or serum ferritin is consistently >2,000 mcg/L & not showing a downward trend. Max dose: 14 mg/kg.
Patient in whom LIC was not assessed & serum ferritin ≤2,000 mcg/L Max: 7 mg/kg daily.