Boxed Warning (Boxed Warning)
This is a boxed warning for INFeD, an iron dextran injection. There is a risk for anaphylactic-type reactions, including fatalities, after the parenteral administration of the injection. Healthcare providers should have resuscitation equipment and personnel trained in the detection and treatment of such reactions readily available during INFeD administration. It is recommended to administer a test INFeD dose prior to the first therapeutic dose and observe for any signs or symptoms of anaphylactic-type reactions during all INFeD injections. INFeD should only be used in patients who have had clinical and laboratory investigations establish an iron deficient state not treatable with oral iron therapy. Patients with a history of drug allergy or multiple drug allergies may be at an increased risk of anaphylactic-type reactions to INFeD.*