This medication is used to treat "iron-poor" blood (anemia) in people with long-term kidney disease and using a certain class of drug (man-made form of erythropoietin). You may need extra iron because of blood loss during kidney dialysis. Your body may also need more iron to help erythropoietin make new red blood cells.

Iron is an important part of your red blood cells and is needed to transport oxygen in the body. Many people with kidney disease cannot get enough iron from food and require injections.

This medication is given by injection into a vein or into your dialysis line by a health care professional as directed by your doctor. The dosage is based on your medical condition, response to treatment, and lab tests.

Discomfort at the injection site may occur. Nausea, vomiting, flushing, headache, diarrhea, or cramps may also occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including:

• dizziness/lightheadedness
• muscle pain (especially in the lower back/buttocks/legs)
• tingling of hands/feet
• unusual weakness
• chest pain

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including:

• rash
• itching/swelling (especially of the face/tongue/throat)
• severe dizziness
• trouble breathing

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Before using this medication, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

• low blood pressure
• certain metabolic disorders (such as hemochromatosis, hemosiderosis)
• previous reactions to other iron products given by injection

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Tell your doctor if you are pregnant before using this medication.

It is unknown if this medication passes into breast milk. Consult your doctor before breastfeeding.

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call 1-800-222-1222. Canada residents can call 1-844-764-7669. Symptoms of overdose may include: severe stomach pain, vomiting, pale/bluish skin (especially the lips/fingers/toes), rapid breathing.

Lab tests (such as complete blood count, ferritin levels) should be done while you are using this medication. Keep all medical and lab appointments. Consult your doctor for more details.

It is best to get your vitamins and minerals from the food you eat. Eat a well-balanced diet. Follow your doctor's advice about what foods are best for you. Foods rich in iron include red meats (especially liver), fish, beans, dried fruit, and iron-fortified/enriched cereals and bread.

It is important to get each dose of this medication as scheduled. If you miss a dose, ask your doctor or pharmacist right away for a new dosing schedule.

Not applicable. This medication is given in a clinic or doctor's office and will not be stored at home.