Factors influencing extent of nausea in the patients on oral iron therapy

Background/Aim. Nausea after oral administration of iron is frequent phenomenon (11% of patients) and it is believed to be consequence of accumulation of free radicals in mucosa of gastrointestinal tract. The aim of our study was to measure the extent of nausea in outpatients taking oral supplementa...

Full description

Saved in:
Bibliographic Details
Main Authors: Prokić Anđelka, Janković Slobodan M.
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2019-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700173P.pdf
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850234606133968896
author Prokić Anđelka
Janković Slobodan M.
author_facet Prokić Anđelka
Janković Slobodan M.
author_sort Prokić Anđelka
collection DOAJ
description Background/Aim. Nausea after oral administration of iron is frequent phenomenon (11% of patients) and it is believed to be consequence of accumulation of free radicals in mucosa of gastrointestinal tract. The aim of our study was to measure the extent of nausea in outpatients taking oral supplementation with iron, and to investigate possible factors that may have an influence on it. Methods. The study was of the cross-sectional type, and conducted on a sample of outpatients on oral iron supplementation. The sample was consecutive, including all patients coming to a community pharmacy for oral iron supply during the study period. Frequency and severity of nausea were measured by the 5- item Drug-Induced Nausea Scale (DINS). Results. The mean score of the DINS from the sample of 128 patients was 8.56 ± 5.07 (range from 5 to 25). Each additional cup of coffee per week increased the DINS score for 0.143 points, the history of gastrointestinal disease had protective effect and decreased the DINS score for 5.923 points. Conclusion. Frequency and severity of oral iron-induced nausea are not dependent on oral iron burden, but rather on coffee intake and previous experience of patients with symptoms of gastrointestinal diseases. Modification of diet and education about types and severity of symptoms of gastrointestinal diseases could be useful preventive measures to avoid or at least mitigate oral iron-induced nausea and/or vomiting.
format Article
id doaj-art-1642289b14ca48ee9d86e3c5ee6db5cc
institution OA Journals
issn 0042-8450
2406-0720
language English
publishDate 2019-01-01
publisher Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
record_format Article
series Vojnosanitetski Pregled
spelling doaj-art-1642289b14ca48ee9d86e3c5ee6db5cc2025-08-20T02:02:34ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202019-01-0176883083310.2298/VSP170818173P0042-84501700173PFactors influencing extent of nausea in the patients on oral iron therapyProkić Anđelka0Janković Slobodan M.1University of Kragujevac, Faculty of Medical Sciences, Department of Pharmacology and Toxicology, Kragujevac, SerbiaUniversity of Kragujevac, Faculty of Medical Sciences, Department of Pharmacology and Toxicology, Kragujevac, SerbiaBackground/Aim. Nausea after oral administration of iron is frequent phenomenon (11% of patients) and it is believed to be consequence of accumulation of free radicals in mucosa of gastrointestinal tract. The aim of our study was to measure the extent of nausea in outpatients taking oral supplementation with iron, and to investigate possible factors that may have an influence on it. Methods. The study was of the cross-sectional type, and conducted on a sample of outpatients on oral iron supplementation. The sample was consecutive, including all patients coming to a community pharmacy for oral iron supply during the study period. Frequency and severity of nausea were measured by the 5- item Drug-Induced Nausea Scale (DINS). Results. The mean score of the DINS from the sample of 128 patients was 8.56 ± 5.07 (range from 5 to 25). Each additional cup of coffee per week increased the DINS score for 0.143 points, the history of gastrointestinal disease had protective effect and decreased the DINS score for 5.923 points. Conclusion. Frequency and severity of oral iron-induced nausea are not dependent on oral iron burden, but rather on coffee intake and previous experience of patients with symptoms of gastrointestinal diseases. Modification of diet and education about types and severity of symptoms of gastrointestinal diseases could be useful preventive measures to avoid or at least mitigate oral iron-induced nausea and/or vomiting.http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700173P.pdfironadministration, oralnausearisk factors
spellingShingle Prokić Anđelka
Janković Slobodan M.
Factors influencing extent of nausea in the patients on oral iron therapy
Vojnosanitetski Pregled
iron
administration, oral
nausea
risk factors
title Factors influencing extent of nausea in the patients on oral iron therapy
title_full Factors influencing extent of nausea in the patients on oral iron therapy
title_fullStr Factors influencing extent of nausea in the patients on oral iron therapy
title_full_unstemmed Factors influencing extent of nausea in the patients on oral iron therapy
title_short Factors influencing extent of nausea in the patients on oral iron therapy
title_sort factors influencing extent of nausea in the patients on oral iron therapy
topic iron
administration, oral
nausea
risk factors
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700173P.pdf
work_keys_str_mv AT prokicanđelka factorsinfluencingextentofnauseainthepatientsonoralirontherapy
AT jankovicslobodanm factorsinfluencingextentofnauseainthepatientsonoralirontherapy