We are anecdotally seeing an increase in infusion reactions to IV ferumoxytol and I am beginning to gather more data. Our standard infusion time for ferumoxytol 510mg is over 15 minutes. We do not routinely pre-medicate patients (i.e. IV steroid), unless specifically ordered by the provider.
Does anyone have a protocol to identify patients who would routinely receive pre-meds?
Any experience with reduced reactions by extending standard infusion time?