Danger of co-administration ferric carboxymaltose and denosumab: hypophosphatemia

Abstract Both denosumab-induced hypocalcemia and ferric carboxymaltose infusion-related hypophosphatemia have been extensively documented. There are significant risks associated with combining ferric carboxymaltose parenteral infusions and denosumab, including potentially life-threatening electrolyt...

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Main Authors: Aysun Seker, Nurdan Senturk Durmus
Format: Article
Language:English
Published: SpringerOpen 2025-01-01
Series:The Egyptian Journal of Internal Medicine
Subjects:
Online Access:https://doi.org/10.1186/s43162-025-00406-z
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author Aysun Seker
Nurdan Senturk Durmus
author_facet Aysun Seker
Nurdan Senturk Durmus
author_sort Aysun Seker
collection DOAJ
description Abstract Both denosumab-induced hypocalcemia and ferric carboxymaltose infusion-related hypophosphatemia have been extensively documented. There are significant risks associated with combining ferric carboxymaltose parenteral infusions and denosumab, including potentially life-threatening electrolyte imbalances such as hypocalcemia and hypophosphatemia. Developing monitoring strategies for electrolyte abnormalities can be facilitated by the increased awareness of this interaction. We present the case of a 62-year-old female patient who developed severe, symptomatic hypocalcemia and hypophosphatemia despite having normal renal function. These abnormalities occurred concomitantly during treatment with denosumab for osteoporosis and ferric carboxymaltose for iron deficiency anemia.
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institution Kabale University
issn 2090-9098
language English
publishDate 2025-01-01
publisher SpringerOpen
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series The Egyptian Journal of Internal Medicine
spelling doaj-art-a4840135dc0e49218c784f8789d0cdf42025-02-02T12:43:17ZengSpringerOpenThe Egyptian Journal of Internal Medicine2090-90982025-01-013711410.1186/s43162-025-00406-zDanger of co-administration ferric carboxymaltose and denosumab: hypophosphatemiaAysun Seker0Nurdan Senturk Durmus1Kartal Dr. Lütfi Kırdar City HospitalMarmara Üniversitesi Eğitim ve Araştırma HastanesiAbstract Both denosumab-induced hypocalcemia and ferric carboxymaltose infusion-related hypophosphatemia have been extensively documented. There are significant risks associated with combining ferric carboxymaltose parenteral infusions and denosumab, including potentially life-threatening electrolyte imbalances such as hypocalcemia and hypophosphatemia. Developing monitoring strategies for electrolyte abnormalities can be facilitated by the increased awareness of this interaction. We present the case of a 62-year-old female patient who developed severe, symptomatic hypocalcemia and hypophosphatemia despite having normal renal function. These abnormalities occurred concomitantly during treatment with denosumab for osteoporosis and ferric carboxymaltose for iron deficiency anemia.https://doi.org/10.1186/s43162-025-00406-zDenosumabFerric carboxymaltoseHypocalcemiaHypophosphatemia
spellingShingle Aysun Seker
Nurdan Senturk Durmus
Danger of co-administration ferric carboxymaltose and denosumab: hypophosphatemia
The Egyptian Journal of Internal Medicine
Denosumab
Ferric carboxymaltose
Hypocalcemia
Hypophosphatemia
title Danger of co-administration ferric carboxymaltose and denosumab: hypophosphatemia
title_full Danger of co-administration ferric carboxymaltose and denosumab: hypophosphatemia
title_fullStr Danger of co-administration ferric carboxymaltose and denosumab: hypophosphatemia
title_full_unstemmed Danger of co-administration ferric carboxymaltose and denosumab: hypophosphatemia
title_short Danger of co-administration ferric carboxymaltose and denosumab: hypophosphatemia
title_sort danger of co administration ferric carboxymaltose and denosumab hypophosphatemia
topic Denosumab
Ferric carboxymaltose
Hypocalcemia
Hypophosphatemia
url https://doi.org/10.1186/s43162-025-00406-z
work_keys_str_mv AT aysunseker dangerofcoadministrationferriccarboxymaltoseanddenosumabhypophosphatemia
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