Analogs

Aktiferrin , Maltofer , Sorbifer Durules , Fenuls , Fersinol , Fernijekt , Ferrolek – Health.

pharmachologic effect

Antianemic drug.

Indications for use

Treatment of latent iron deficiency, iron deficiency anemia, prevention of iron deficiency during pregnancy, severe iron deficiency due to blood loss; conditions in which treatment with iron preparations for oral administration is ineffective or impracticable (p – p for injections ).

Method of administration and dosage

Pills. Syrup.   The drug is recommended to be taken during or immediately after a meal. Chewable tablets can be chewed or swallowed whole. The syrup can be mixed with fruit or vegetable juices, or added to baby food.

Iron-deficiency anemia. Children under 1 year : 2.5–5 ml (0.5–1 scoop) of syrup per day. Children from 1 to 12 years old : 5-10 ml (1-2 scoops) of syrup per day. Children older than 12 years of age, adults and mother, the baby nursing breast:   1 -3 tablets or 10-30 ml (2-6 scoops) syrup per day. Pregnant women:   2 -3 tablets or 20-30 ml (4-6 scoops) of syrup to normalize the hemoglobin level. After that, you should continue to take 1 tablet or 10 ml (2 scoops) of syrup per day until the end of pregnancy to replenish iron stores in the body.     

The duration of treatment is 3-5 months.

Latent iron deficiency. Children from 1 to 12 years old : 2.5–5 ml (0.5–1 scoop) of syrup per day. Children over 12 years of age, adults and mothers who are breastfeeding : 1 tablet or 5-10 ml (1-2 scoops) of syrup per day. Pregnant women:   1 tablet or 5-10 ml (1-2 scoops) of syrup per day.    

The duration of treatment is 1–2 months.

R – p . A preparation in the form p – pa can be administered only in / m. Intravenous administration of the drug is not allowed! Before the introduction of the first therapeutic dose of each patient should enter the test – dose. In the absence of adverse reactions within 15 minutes after administration, the remainder of the initial daily dose is administered. 

Doses of the drug are selected individually in accordance with the general iron deficiency.

Usually Ferrum Lek is prescribed in the following doses.

Children : 3 mg / kg per day (0.06 ml / kg of body weight per day); adults and elderly patients : 100-200 mg (1-2 ampoules) depending on the hemoglobin level. The maximum daily dose for children is 7 mg / kg per day (0.14 ml / kg of body weight per day); for adults – 200 mg (2 ampoules).        

Side effects

Pills. Syrup.   Abdominal pain, nausea, constipation, diarrhea, dyspepsia, vomiting, discoloration of feces, urticaria, rash, itching of the skin. The reported side effects were mostly mild and transient.

R – p for intramuscular injection.   Arterial hypotension, joint pain, swollen lymph nodes, fever, headache, dizziness, malaise, dyspepsia (nausea, vomiting), allergic or anaphylactic reactions, skin discoloration, soreness and inflammation at the injection site.

Contraindications

Hypersensitivity to the components of the drug, excess iron in the body, impaired inclusion of iron in hemoglobin, anemia not caused by iron deficiency , severe hemostasis disorders – blood fluid state, erythropoiesis disorders , bone marrow hypoplasia, cutaneous porphyria . 

Overdose

Pills. Syrup.   Symptoms of intoxication or excess iron were not observed.

R – p for intramuscular injection.   Overdose can cause acute iron overload and hemosiderosis .

Treatment.   Symptomatic. The antidote is deferoxamine . Hemodialysis is ineffective.