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thalassemia minor, meds, and depression

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I am 30 years old, Male, and have Thalassemia minor.

I have two questions:
For my thalassemia minor (mild anemia) I used to use just Folic Acid pills, but today I was informed that it is also needed to use Deferasirox pills to remove excess iron from the body.
I had done the thalassemia test long time ago and I am sure I have "thalassemia minor" but I dont know if I have extra iron in my blood, so my question is :
"Should I use both Deferasirox and Folic Acid pills? or just folic acid?" If yes how many a day?

Because of bad things happened in my life I DO have also depression and it stops me sometimes from my normal life. So I want to know : Does thalassemia minor increase my depression as side-effect? If yes, what can I do? I have enough problems in my life to have a depression! and I dont want this thalassemia increase my level of depression. Do you think using Deferasirox & Folic Acid pills can help me?

Thanks in advance

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replied April 28th, 2014
Blood Disorders Answer A46896
Welcome to e health forum.

First, It is not sure, what is the source of the medical advice.

Iron Chelation therapy (Eg. Deferasirox) (to reduce Iron Overload) is initiated only in case, if there is either clinical or laboratory evidence of possible Iron Overload or Toxicity.

Such cases requiring Iron Chelation occur most likely with Severe cases of Thalassemia Major, who have had repeated requirements for multiple units of blood transfusions over many months or years.

It is less likely that Iron Overload and Toxicity can occur in cases of Mild Anemia due to Thalassemia Minor.

Folic acid is usually advised to be taken once a day, in a dose of 5mg.

Depression is not related to Thalassemia, per se. But severe cases of Thalassemia Major, who need constant hospitalization for blood transfusion or treatment of complications can get depressed.

You might consult with your doctor or a Hematologist who can do a few blood tests including Iron Studies (if deemed necessary, as per your medical history), and give you a proper medical opinion.

I hope this helps.

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