edwin FERNANDO

Prof of Nephrology
Govt Stanley Medical College
Chief Nephrologist
Govt Stanley Hospital

[edwin FERNANDO @nephroeddy]

@PreethiNephro Good luck to all

[edwin FERNANDO @nephroeddy]

@PreethiNephro Congratulations preethi @PreethiNephro . Wish you many more accolades

[edwin FERNANDO @nephroeddy]

@keekool123 Well done Keerthana @keekool123 wish you many more accolades and accomplishments

[edwin FERNANDO @nephroeddy]

@SreejithDr @vjha126 @jradnephro @SumitMohanMD @VijayKher8 @pkguru10 @drksampath1 @balansatish @arvindcanchi Congratulations Sreejith @SreejithDr .way to go ..wish you many more accomplishments

[edwin FERNANDO @nephroeddy]

@keekool123 Congratulations @keekool123

[edwin FERNANDO @nephroeddy]

@keekool123 Congratulations keekool123

[keerthana thiru @keekool123]

Farewell dinner with StanNephro team❤️ Grateful beyond words💐

[edwin FERNANDO @nephroeddy]

Long-Term Follow-Up of Kidney Donors in a Tertiary Care Hospital https://t.co/JmLeYBGDA2

[edwin FERNANDO @nephroeddy]

@drmanishasahay @osmanianephrons @Official__OMC Congratulations sakthi rajagopal

[edwin FERNANDO @nephroeddy]

@airindia Pleasant check inSmooth flight Excellent food Earlier than eta by 30 min

[edwin FERNANDO @nephroeddy]

@airindia Pleasant check in Smooth flight Excellent food Earlier than eta by 30 min
Chennai to Delhi

[edwin FERNANDO @nephroeddy]

@IamGopambuj @namesh217 @pallavi_mahato @hardik4u24 @itzmedrrj @Raisinghani_ank @JasmineNephro @thisis_drgsp @BeheraVineet @iamnephrologist @snamratarao @priti899 Excellent work ppl

[edwin FERNANDO @nephroeddy]

@Suceena @ISNeducation @arvindcanchi @IgAN_JBarratt @cheekaycheung @drshyambansal @manirath @SayaliBThakare @VinBhargava @jjeapen @DrAkshayaJ Congratulations @Suceena .well deserved.god bless

[edwin FERNANDO @nephroeddy]

@IamGopambuj @pallavi_mahato @hardik4u24 @namesh217 @itzmedrrj @Raisinghani_ank @JasmineNephro @bibekdoc @KidneyBoyMd @kathir_kmp @drtathagata89 Link doesn't seem to work @IamGopambuj

[edwin FERNANDO @nephroeddy]

@IamGopambuj Congratulations gopam

[edwin FERNANDO @nephroeddy]

Post transplant Didact study results

[edwin FERNANDO @nephroeddy]

World Kidney Day

[edwin FERNANDO @nephroeddy]

@IlliasulK @sabarivenus Nice one @sabarivenus

[edwin FERNANDO @nephroeddy]

@SreejithDr Fantastic sreejith

[Dr. Chokri Ben Lamine @abouabdrahman0]

🚨 Ferric Derisomaltose (FDI) – Comprehensive Review 🚨

🔹 What is it?
💉 High-dose IV iron for rapid iron replenishment
🛡️ Strong iron-carbohydrate complex → Slow release, low toxicity

🔹 Indications
✔ Iron Deficiency Anemia (IDA) due to:
🔹 CKD 🩸
🔹 IBD 🏥
🔹 HFrEF ❤️
🔹 Heavy Menstrual Bleeding 🚺
🔹 Perioperative blood management 🏥🔪
🔹 Cancer-related anemia 🎗️
🔹 Postpartum anemia 🤰

🔹 Dosing & Administration
💉 Max single dose: 1,500 mg ⚡
📆 20 min infusion (≤1,000 mg) | 30 min (>1,000 mg)
🚫 No test dose required

🔹 Efficacy
📈 Rapid Hb rise
🩸 Better iron store recovery
🛡️ Lower risk of hypophosphatemia vs. ferric carboxymaltose

🔹 Safety
✅ Well-tolerated
⚠ Possible side effects:
🔹 Hypotension 🔻
🔹 Nausea, flushing, headache 🤕
🔹 Injection site reactions 💉
🔹 Mild hypophosphatemia (better than FCM) ⚠️
🔹 Rare hypersensitivity

🔹 Comparison with Other IV Irons

FeatureFDIFCMIron SucroseIron Dextran
Max Dose1,500 mg1,000 mg200 mg1,000 mg
Infusion Time20-30 min15-30 minSlow IV push1-2 hrs
Test Dose?❌ No❌ No❌ No✅ Yes (HMW Dextran)
HypophosphatemiaLowHighLowLow
Anaphylaxis RiskVery LowLowLowHigh (HMW Dextran)

🔹 Clinical Pearls
✅ Best for:
🔹 Rapid iron repletion
🔹 CKD patients on ESA
🔹 HFrEF, IBD, perioperative anemia
🔹 Lower risk of hypophosphatemia vs. FCM

🚨 Avoid in active infections (iron can fuel bacterial growth)

#IronDeficiency #FerricDerisomaltose #IVIron #Anemia #Hematology #CKD #HFrEF #MedTwitter