The Fishbane reaction
What is the Fishbane reaction?
Unfortunately, the Fishbane reaction is not published, but
Steven Fishbane has described a very common, minor clinical event
and has discussed it in a variety of different conferences.
Typically, when this occurs, a patient will get a small amount of
iron dextran and will complain of chest and back pain. It is
nothing more than a mild, self limited, innocent arthralgia myalgia
reaction that goes away, it is never ever associated with
hypotension, tachycardia, periorbital oedema or stridor.
The management of the Fishbane reaction is to walk away from the
patient, provided they don't have hypotension or tachycardia, come
back in a moment or two, several minutes, re-challenge the patient.
It will not re-occur and it should not be considered a serious
adverse event, says Dr. Michael Auerbach,
Clinical Professor of Medicine, Georgetown University School of
Medicine. Currently in Private Practice in Baltimore,