NDT Advance Access originally published online on February 27, 2006
Nephrology Dialysis Transplantation 2006 21(7):2036; doi:10.1093/ndt/gfl052
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High-dose folic acid supplements and responsiveness to rHu-EPO in HD patients
Email: vsepe{at}libero.itSir,
Schiffl and Lang [1] demonstrated that high-dose supplements of folic acid in elderly maintenance haemodialysis (HD) patients with normocytic anaemia have no effect on rHu-EPO (recombinant human erythropoietin) responsiveness. We can show data on 20 HD patients without macrocytic anaemia (F = 5, M = 15; age 74±13 years; dialysis age 93±95 months) supplemented with high-dose calcium levofolinate (Fol). Fol (25 mg) was administrated orally to all 20 HD patients at the end of each HD session for 6 months. All patients received weekly thrice HD using synthetic high-flux membranes, always reaching a Kt/v >1.2. Active bleeding, haemolysis or myeloproliferative disease was never observed during the follow-up. Data on Fol, haemoglobin (Hb) plasma levels and weekly i.v. rHu-EPO dosage are summarized in Table 1 as mean±SD. Our results confirm the data published by Schiffl and Lang [1], where high-dose Fol supplements do not influence the response to rHu-EPO in normocytic HD patients.
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Conflict of interest statement. None declared.
Unit of Nephrology Dialysis and Transplantation IRCCS Policlinico San Matteo and University of Pavia Pavia Italy
References
- Schiffl H, Lang MS. Folic acid deficiency modifies the haematopoietic response to recombinant human erythropoietin in maintenance dialysis patients. Nephrol Dial Transplant 2006; 21: 133137
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