Iron-containing drugs bivalent iron of European production. Conducting anemia in children: treatment, overview of the main drugs. Preparation "Malto": description
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Ferrum Lek. represents treatment of ironwhich normalizes the level of hemoglobin in the blood, and also prevents and eliminates the iron deficiency state of any genesis. The drug is intended to normalize and maintain the level of hemoglobin in children and adults of any sex.Forms of release, titles and composition
Currently, Ferrum Lek is produced in the following dosage forms:- Syrup for intake (glass vials 100 ml);
- Chewable pills (packs of 30 and 50 pieces);
- Solution for intramuscular administration (2 ml ampoules);
- Solution for intravenous administration (ampoules of 5 ml).
Forms for intake (syrup and tablets) as an active substance contain iron hydroxide polymaltozat , and solutions for injection introduction - iron hydroxide polyisomaltosate (Ferrisharat) . These active substances are modifications of the same chemical compound - Iron Sakharat. Just for forms for intake, the compound was left in native form, and for injection administration, dextran (high molecular weight polymer) was added to it, which optimizing its properties specifically for hitting the circulation, bypassing the intestine.
In terms of iron various forms Ferrum Lek contain the following amount of active substance:
- Tablets - 100 mg;
- Syrup - 10 mg per 1 ml, that is, 50 mg of iron in one dimensional spoon with a volume of 5 ml;
- The solution for intramuscular administration is 50 mg per 1 ml, that is, 100 mg in one whole ampoule of 2 ml volume;
- A solution for intravenous administration is 20 mg per 1 ml, that is, 100 mg in one whole ampoule of 5 ml volume.
Ferrum Lek - Mnn, photo and recipe
MNN is an abbreviation, meaning international unpatient namewhich is the generally accepted name of the chemical, which is an active in effect component. In other words, the name of the active substance of any medicine, including Ferrum Leka, is His MNN. MNN Ferrum Leka is iron (III) hydroxide polymaltosate.The following photos depict the packaging of various dosage forms of Ferrum Lek.
Recipe for chewing tablets Ferrum Lek is written as follows:
RP.: TAB. Ferrum Lek number 30
D.S. 1 tablet 2 times a day.
Recipes for a solution and syrup are discharged in a similar way, only in the first line after the letters "RP" Write "Sol." or "syr." respectively. In the second line after the letters "D.S." Indicate the dosage of the syrup and the multiplicity of reception or the volume of the solution in milliliters, which is intended for one-time administration.
Therapeutic effects of Ferrum Lek
Main therapeutic effect All dosage forms of Ferrum Leka is an increase in blood hemoglobin and the creation of iron depot in the form of ferritin. This effect is provided by the active substance of drugs - the compound of iron, which is well absorbed into the bloodstream, where the atom of iron is slowly released from it, which is included in the hemoglobin or ferritin in the bone marrow or liver, respectively.Iron polymaltosate enters the bloodstream in the same amount, both with intramuscular injection and when taking inside. Therefore, the advantages concluded in a shorter course of treatment and better iron digestibility, in the solution for intramuscular administration in front of tablets and syrup. Only a solution for intravenous administration has the most complete digestibility, when using a course of treatment slightly shortening. but intravenous administration Ferrum Lek is used only if it is impossible to use other forms of the drug, since in this case the risk of severe allergic reactions, liver damage and other complications.
Indications for use
Tablets and syrup Ferrum Lek Showing for use in the following cases: - Latent (hidden) iron deficiency;
- Iron-deficiency anemia ;
- Prevention of iron deficiency during pregnancy and breastfeeding, with abundant menstruation, etc.
- Pronounced anemia after a large blood loss;
- Impairment of iron absorption in the intestines (for example, with inflammatory bowel diseases, stomach, etc.);
- Ineffectiveness of iron preparations inside;
- The inability for any reason to take iron preparations inside.
Ferrum Lek - Instructions for use
General provisions
All dosage forms Ferrum Lek are designed for use in various dosages in the following possible cases:- Prevention of anemia and iron deficiency;
- Anemia treatment;
- Treatment of latent iron deficiency.
However, in the absence of contraindications for taking iron inside, it is necessary to choose Ferrorum Lek in the form of a syrup or tablets, since they have the least pronounced allergenic properties, minimal risk. side Effects, ease of use and best tolerance. Intramuscular injections of the Lec Ferrum must be applied only in cases where a person for some reason cannot take the drug inside. And to intravenously enter Ferrorum lec necessary only in cases where it is necessary to quickly fill the iron deficiency.
When choosing between syrup and tablets, you can only be guided by the principle of personal preference and ease of use. For example, it is more convenient to take syrup, it is best to use it. If it is more convenient to chew the pills, it is necessary to take Ferrorum lec in this form. Neither pills nor syrup stain in the teeth in black.
The duration of the drug depends on the severity of the iron deficiency. So, for the prevention of ferrum lec can be used for a long time, while defective nutrition or increased iron spending are preserved, for example, during pregnancy, active growth, sports workouts, etc.
For the treatment of latent iron deficiency Reception of Ferrum Leka in any dosage form Performed within 1 - 3 months. Latent iron deficiency is also called hidden anemia, since at the same time only a decrease in ferritin in the blood is recorded, and hemoglobin remains within the normal range. And since ferritin is a form of iron blasting, the reduction of its concentration in the blood indicates a complete exhaustion of the depot and the imminent development of anemia.
For the treatment of anemia, any dosage form Ferrum Leka should be taken until the normalization of hemoglobin in the blood (approximately 3 to 5 months) in therapeutic dosages, and then for another 2 to 4 months in doses for therapy of the latent iron deficiency. Pregnant women suffering from anemia, after the normalization of the hemoglobin level in the blood should take Ferrorum Lek in dosages for therapy of the latent iron therapy at least before childbirth, and optimally before increasing the concentration of ferritin to normal.
Ferrum Lam Tablets and Syrup - Instructions for use
Syrup and tablets should be taken inside during or immediately after eating, since thus minimizes the risk of developing side effects and irritation of the stomach mucosa with a compound of iron. In principle, syrup or tablets can be taken before meals, but in this case the risk of nausea, pain in the epigastria and other symptoms of irritation of the stomach mucosa are great. Tablets can be swallowed entirely or chew. Syrup can be taken in pure form or dissolved in the drink. At the same time, for picking a tablet or dissolving syrup, you can take any soft drink with the exception of tea or milk, as they worsen the absorption of iron from the intestine. Syrup can be mixed with children's nutrition or juices.
The daily dosage of tablets or syrup Ferrum Lek can be taken at one time or break into several. Optimally breaking the daily dosage of the Heca Ferrums on as many identical doses, how many times the person takes food to drink the drug after eating.
For children under 12 years old, it is necessary to take the drug exclusively in the form of a syrup, and after achieving full 12 years old can be used and tablets. Dosage syrup and tablets Ferrum Lek are determined by the age of a person and the weight of the iron deficiency.
For the prevention of anemia and iron deficiency, as well as the treatment of latent (hidden) anemia Ferrum lec syrup and tablets should be taken in the following dosages depending on age:
- Children 1 - 12 years - 25 - 50 mg per day (2.5 - 5 ml of syrup);
- Children and adults older than 12 years - 50 - 100 mg per day (1 tablet or 5 - 10 ml of syrup);
- Pregnant women - 100 mg per day (1 tablet or 10 ml of syrup).
For the treatment of anemia Ferrum lec should be taken in the following dosages depending on the age:
- Children from birth and up to 1 year - 25 - 50 mg per day, which corresponds to 2.5 - 5 ml of syrup (1/2 - 1 dimensional spoon);
- Children 1 - 12 years - 50 - 100 mg per day (5 - 10 ml of syrup or 1 - 2 dimensional spoons);
- Children and adults older than 12 years - 100 - 300 mg per day (1 - 3 tablets or 10 - 30 ml of syrup);
- Pregnant women - 200 - 300 mg per day (2 - 3 tablets or 20 - 30 ml of syrup).
Ferrum Lama Ukoli (Injection) - Instructions for use
Intramuscular and intravenous injections should be performed only if a person for any reason cannot take farror lec in tablets or syrup. Intravenous solution can be used to normalize hemoglobin levels after severe blood loss (more than 400 ml). It should be remembered that the injection of the Leka Ferrum apply only to the treatment of anemia. The introduction of solutions intravenously or intramuscularly in order to prevent or eliminate the latent iron deficiency is not applicable. The daily dosage of the fluorum lec solution for intramuscular administration under anemia of any degree of severity is the same and amounts to 1 ampoule (100 mg) for adults, 1/4 ampoules for children with a body weight of less than 6 kg and half an ampoule - for children with a weight of 6 - 10 kg. This means that once a day, a person is introduced all daily dosage of the drug. Moreover, the solution is introduced every day.
A solution for intravenous administration is introduced according to the scheme: on the first day - at half the ampoule (2.5 ml), on the second day - a whole ampule (5 ml), in the third - two ampoules (10 ml). Subsequently, a solution of 1 to 2 ampoules (5 - 10 ml) is administered to 1 to 2 times a week, depending on the rate of normalization of hemoglobin, depending on the rate of normalization of hemoglobin.
The maximum daily dosage for intravenous or intramuscular administration is 200 mg of iron, which corresponds to two ampos.
The duration of intravenous or intramuscular administration of the head ferrum depends on the overall iron deficiency in the body, which is calculated by a special formula or is determined by the reference table. Based on the calculated overall iron deficit in the body, the amount of ampoules required for its replenishment is calculated. Then, with intramuscular administration, an injection is made every day, introducing a daily dosage, until the calculated number of ampoules is used. A intravenously solution is entered by the above scheme, but also until all the calculated ampoules are used. For example, by calculations to a person for treating anemia, you need 15 ampoules Malto. This means that within 15 days it must be administered in one ampoule of the solution intramuscularly, after which the course of treatment is considered to be completed. And the intravenously must be administered on one ampoule 1 - 3 times a week, respectively, the course of treatment will be completed when all 15 ampoules will be used.
The amount of ampoules for intramuscular or intravenous introduction to the full course of treatment is calculated by the formula:
Common iron deficiency / 100 mg.
The total deficiency of iron is calculated according to the following formula:
body weight (kg) * ( normal level Hemoglobin - current hemoglobin level) * 0.24 + iron stocks.
In this formula, the normal hemoglobin level is considered to be equal to 130 with a body weight of less than 35 kg, and 150 with weight more than 35 kg. Iron stocks are taken equal to 500 when the body weight is more than 35 kg and is calculated on the basis of the ratio of 15 per 1 kg of weight for a person weighing less than 35 kg. That is, for children less than 35 kg weighing iron of stocks is calculated individually by multiplying the mass in kg to 15. These parameters are substituted into formulas and counted.
In addition to accurate counting the number of ampoules, which is necessary for a full course of treatment of anemia, you can use the special table below. It shows the approximate number of ampoules of the solution for intravenous or intramuscular administration necessary for the treatment of anemia various degrees severity depending on body weight.
| Body weight, kg | The amount of ampoules with a solution for intravenous or intramuscular administration to the course of treatment | |||
| Hemoglobin 60 - 75 g / l | Hemoglobin 75 - 90 g / l | Hemoglobin 90 - 105 g / l | Hemoglobin 105 g / l or higher | |
| 5 | 1.5 ampules | 1,5 | 1,5 | 1 |
| 10 | 3 | 3 | 2,5 | 2 |
| 15 | 5 | 4,5 | 3,5 | 3 |
| 20 | 6,5 | 5,5 | 5 | 4 |
| 25 | 8 | 7 | 6 | 5,5 |
| 30 | 9,5 | 8,5 | 7,5 | 6,5 |
| 35 | 12,5 | 11,5 | 10 | 9 |
| 40 | 13,5 | 12 | 11 | 9,5 |
| 45 | 15 | 13 | 11,5 | 10 |
| 50 | 16 | 14 | 12 | 10,5 |
| 55 | 17 | 15 | 13 | 11 |
| 60 | 18 | 16 | 13,5 | 11,5 |
| 65 | 19 | 16,5 | 14,5 | 12 |
| 70 | 20 | 17,5 | 15 | 12,5 |
| 75 | 21 | 18,5 | 16 | 13 |
| 80 | 22,5 | 19,5 | 16,5 | 13,5 |
| 85 | 23,5 | 20,5 | 17 | 14 |
| 90 | 24,5 | 21,5 | 18 | 14,5 |
In addition to treating anemia, the intravenous administration of the solution is carried out in order to replenish the amount of iron after a strong blood loss (more than 400 ml). In this case, the required amount of ampoules of the solution is calculated by special formulas.
First formula: Number of ampoules for treatment \u003d number of lost blood units * 2, where
One lost blood unit is 400 ml. For example, a person has lost 500 ml of blood, which corresponds to 1.25 units. It means that it needs 1.25 * 2 \u003d 2.5 ampoules of the solution for intravenous administration to replenish the iron deficiency.
Second formula:
The amount of ampoules \u003d body weight (kg) * (130 is the level of hemoglobin at the moment) * 0.24 / 100.
For example, a man weighing 70 kg lost a lot of blood and the hemoglobin level dropped to 100. In this case, it is necessary to treatment with 70 * (130 - 100) * 0.24 / 100 \u003d 5.04 ampoules.
The calculated amount of ampoules is the necessary amount of solution for a full course of treatment. At the same time, an adult solution is administered intravenously 1 ampoule per day, and for children up to 12 years old with a weighing less than 35 kg, the daily dosage is calculated individually, based on the ratio of 0.06 ml per 1 kg of weight.
Ferrum Lek - how to properly enter intramuscularly
The correct technique of introducing the solution provides the minimum risk of developing allergic reactions and pain sensations, as well as the formation of seals, skin blackening, etc. For intramuscular injections, needles should be taken a length of at least 5 - 6 cm with a narrow hole. Moreover, the less man's weight, the more subtle needle you must use.An ampoule with a solution must be opened immediately before use, and not in advance. After opening the ampoule in the syringe, the required amount of solution is gaining, put it on the sterile pallet and the injection place is found.
To find the exact place of injection, it is necessary to add an iliac crest on the right or left side by the index finger. Then from this point towards the backs are removed thumb And they also grop the wing of the ileum. A large and index finger, as well as a mentally spent line connecting the tips of their nails, form a triangle. The lower part of this triangle, located to an imaginary line, conducted from the connection of the index finger with the palm and to the intersection with the large, and is the area where the ferrum solution should be administered.
After determining the injection zone with two fingers, they collect the skin into a small fold in order to eliminate its staining and the solution to the subcutaneous fat tissue.
Then a free working hand take a syringe, already filled with the required amount of solution, and the needle is introduced strictly vertically to the body surface deep into the thickness of the fabrics. Then slowly, for 5 to 7 minutes, a solution of farm leek is injected. After the introduction of the entire volume of the solution, the needle is removed, the skin fold is spread, slightly massaged, and the injection site is wiped with an antiseptic. After the administration of the drug, a person must carry intensive television within 5 to 10 minutes.
Before the first dose of Ferrum Lec, when it is unknown, there is an allergic response to the drug, it is necessary to first introduce 0.5 ml of solution (1/4 of the ampoule). Then wait 15 minutes, and if the signs of an allergic reaction did not appear, then the entire remaining solution is introduced. If a person has an allergic reaction, then farm lec cancel.
Ferrum Lek - how to correct intravenous
An ampoule with a solution is opened only immediately before use. Before opening the ampoule, the solution is carefully examined, and if it is visible flakes, torment or inclusion, it is not suitable for use. Intravenously can be administered both pure mortar and diluted with saline. Moreover, the pure solution is introduced insert (syringe), and the diluted with saline - in the form of infusion (dropper). Preferred is the drip administration of the solution, since in this case the risk of a sharp pressure reduction is minimal.
Before the first dose of Ferrum Lek, if it is unknown, there is an allergy to the drug, it is necessary to first introduce 1 ml of solution. After that, wait for 15 minutes, and if the allergy did not start developing, then you can continue the introduction of the entire remaining dose of the solution. If there were signs of allergies, it will have to abandon the use of the Ferrum Leka.
Inkjno Ferrum Lek is introduced in the form of an undiluted pure solution scored from an ampoule to a syringe with a thin needle. The solution is introduced at no more than 1 ml per minute. After the introduction of the entire volume of the drug by 5 - 10 minutes, lock the hand in the stretched position.
Drip (infusion) Ferrum Lek is administered using a system (dropper). Pre-breeding the drug in the ratio of 1:20, that is, on 1 ml of the injection solution, 20 ml of saline is taken. That is, one ampoule with a volume of 5 ml is bred in 100 ml of saline. The solution is introduced slowly at the next rate, depending on its volume:
- 100 ml - to introduce a minimum for 15 minutes;
- 200 ml - 30 minutes;
- 300 ml - 1.5 hours;
- 400 ml - 2.5 hours;
- 500 ml - 3.5 hours.
special instructions
Ferrum Lek for intravenous and intramuscular administration can not be mixed with other drugs in one syringe. If the Lec Ferrum hit in the area, it is necessary, without removing the needles, introduce a bit of a physiological solution, after which the affected place to treat chondroitin-akos ointment or other containing mucopolisaccharides.The intramuscular and intravenous administration of the drug is allowed only in the hospital.
Tablets and syrup can cause staining of feces into black, which is normal and does not require any treatment.
All dosage forms of Ferrum Leka do not affect the speed of psychomotor reactions, so on the background of the drug intake can be controlled by mechanisms, including led machine.
Overdose
Overdose when taking tablets or syrup Ferrorum lec is almost impossible, since the excess of iron is not absorbed from the intestine to the blood.Overdose can develop with intravenous or intramuscular administration of solutions when iron goes directly into the blood, and manifests itself with the following symptoms:
- Nausea;
- Diarrhea with blood;
- Pallitude of the skin;
- Sticky and cold sweat;
- Weak pulse;
- Depression of the CNS.
Interaction with other drugs
Ferrum Lek cannot be used simultaneously in the form of injections and syrup or tablets. Therefore, after the last injection, you can begin to take farm lec or another iron of iron inside the minimum in five days.Introduction of solutions intravenously or intramuscularly simultaneously with the reception of drugs from the group aPF inhibitors (for example, Enalapril, etc.) enhances the side effects of the Ferrum Leka.
Ferrum Lek Children and Baby
General provisions
Children under 12 years old should be given Ferrum Lek only in the form of a syrup, since this dosage form allows you to accurately measure the small dosage of the drug necessary to the child. Tablets contain a relatively high dosage of iron - 100 mg, which is impossible to precisely divide into parts and give the child only the required amount.Syrup can be applied to therapy anemia in children from birth, that is, the drug is suitable for both infants, and older kids. Intramuscular and intravenous injections of Ferrum Lek can only be used in children over 4 months and weighing more than 5 kg. Injection administration of iron solutions in children with a body weight of less than 5 kg can lead to severe allergic reactions fatal.
Syrup and pills need to give a child during or immediately after eating. If the child refuses to drink a solution due to subjectively unpleasant taste, the syrup the required number of syrup can be dissolved in water or any other soft drink, except tea and milk. Perfect for dissolving syrup Ferrorum lec compote, fruit, vegetable or fruit juices, etc. It is recommended to choose the drink that the child loves.
If the child calmly drinks syrup without breeding in the drink, then after taking the medication, it is necessary to put it. To do this, you can also use any drink other than milk and tea, as they worsen the absorption of iron into the blood flow in the intestine.
Breasts give syrup, dissolving it in sweet water, juice or mixture for baby food. The medicine is usually given after a child at least a little rose, as the reception of the Heka Ferrum on an empty stomach causes heavy and unpleasant irritation of the stomach mucosa.
Instructions Ferrum Lek for children - how to take
Dosage preparation for children over 12 years old as for adults. And in children under 12 years old, various forms of the drug are used only for the treatment of anemia and latent iron deficit, but not for prevention.Breasts (children from birth to year) Ferrum Lek give in the form of syrup only for the treatment of anemia of 2.5 - 5 ml per day. The treatment is continued until the hemoglobin level increases to normal values.
Children at the age of 1 - 12 years of Ferrum Syrum lec for the treatment of various iron deficiency states are given in the following dosages:
- Anemia - 5 - 10 ml per day until the normalization of blood hemoglobin. After increasing the level of hemoglobin to the norm, the leek ferrum is 2.5 - 5 ml in a day for 1 - 2 months;
- Hidden iron deficiency - 2.5 - 5 ml per day for 1 - 3 months.
Ferrum Lek during pregnancy
Ferrum lec in the form of syrup and tablets is allowed for use by pregnant women on any gestation. And solutions for intravenous and intramuscular administration can only be used from a 2nd trimester of pregnancy (from 13 weeks).Tablets and syrup during pregnancy different States You should be taken in the following dosages:
- Anemia - 2 - 3 tablets or 20-30 ml of syrup per day until the normalization of the hemoglobin level. After increasing the concentration of hemoglobin to the norm to continue to take the drug to give birth to 1 tablet or 10 ml of syrup per day;
- General malaise;
- Allergic reactions;
- At the injection site - skin staining, the appearance of pain and seal.
Contraindications for use
Syrup, tablets and solutions for injection ferrum lec are contraindicated with the following states:- Non-wine-deficient anemia;
- Impairment of suction and disposal of iron;
- An excess of iron in the body (hemochromatosis, hemosiderosis);
- Allergic reactions to the drug.
- Oskera Randu-Weber syndrome;
- Acute kidney infections;
- Uncontrollable hyperparathyroidism;
- Decompensated cirrhosis of the liver
- Ferlam
- Ferricitis;
- Ferretab Comp;
- Ferrogradmet;
- Ferrone;
- Ferronate;
- Ferroplex;
- Ferrum Lek;
- Ferine
- Fermed;
- Heferol.
Ferrum Lek (tablets, syrup and injections) - reviews
Most of the reviews (2/3 and more) about the tablets and the syrup of Ferrum lec positive, since they effectively and relatively rapidly increased the level of hemoglobin in the blood, caused the minimally pronounced side effects, were well tolerated and were convenient for use. Negative feedbacks in rare cases are due to the ineffectiveness of syrup and Ferrum Lec pills, and in most situations they are associated with subjectively poor tolerance of the drug. For example, a person bothered nausea, metal a taste in the mouth, an unpleasant sweet taste of tablets or syrup, constipation or irritation of the mucous membrane of the stomach, due to which the drug had to cancel. Regarding Ferrum Lek, people generally respond positively, noting that the injection of the drug very quickly allowed to increase the level of hemoglobin. However, in addition to the rapid and good effect of Ukolov, people note a strong painfulness of injections and long-term non-commissioning bruises with which you have to put up.
For normal life human organism It must be attended by iron. This is one of the main components of cell processes. With it, the oxygen is transported from the lung to all organs of a person. Iron is contained in gemoglobin protein. Low level Hemoglobin is the cause of iron deficiency anemia. Healthy blood red calves at the same time in the body are present in insufficient quantities. As preventive Mer And the treatment of iron deficiency in the body, as well as with a lack of food, pregnant women and women in the period of feeding the child, iron preparations are prescribed by anemia.
On the meaning of iron
This mineral is very important to man. About 70 percent of iron is part of hemoglobin, while it is not the result of the synthesis of internal organs, and falls into the body only due to food. With the help of hemoglobin protein, the oxygen molecules are associated with erythrocytes that carry oxygen from a light person in fabric. The lack of iron leads to the formation of a small amount of hemoglobin, and, as the result of this, oxygen starvation occurs.
Special protein carrier Transferrin binds iron in the intestine and delivers it into bone marrow cells. The synthesis of red blood cells occurs. Hemosidererine (surplus mineral) is stored in internal organ Human liver and with it can normalize iron content in the blood.
The cause of the occurrence of illness
Iron-deficiency anemia arises in the following cases:
- The most common factor that is the cause of iron deficiency in the body - chronic bleeding. It can occur in the gastrointestinal tract due to ulcers, tumors, about the cause of hemorrhoids, erosive gastritis, diverticulosis in the intestine. In women mioma in the uterus, long and abundant menstruation Can lead to the development of anemia. When bleeding from the nose and in the lungs, in the presence of urolithiasisWhen cancer in bladder bubble Both kidneys, when pyelonephritis and other diseases, iron deficiency in the body may also occur.
- A chronic inflammatory disease may result in the blood factor in the blood. This happens because of the deposit of iron in these diseases. There is a hidden deficit process. As a result, it is not enough to create hemoglobin of this mineral.
- With the increased need of iron in the blood arising from future moms, with fast Growth In a child, women in feeding breast milk Children, athletes in large physical exertion arises shortage of it in the body.
- In disruption in the assimilation of the mineral, which is happening against the background of chronic enteritis, amyloidosis in the intestine, resection in thin intestinesMalabsorption syndrome can also occur the development of iron deficiency anemia.
- With incorrect power, which contains little iron in its composition, anemia develops. It is typical for vegetarians and kids.
If a person has diagnosed with iron deficiency anemia, it can lead to a little manor. It is necessary to find out what led to the development of this disease and take all measures to eliminate this reason. And of course you need using iron-containing drugs For anemia, normalize hemoglobin in the blood. Then about 4 months is recommended for replenishing iron reserves in the body to drink medicines from anemia.
Symptoms
The lack of iron in the body can manifest itself in iron deficiency anemia and a hidden iron deficiency in the body. The color indicator, the level of erythrocytes, serum and hemoglobin in blood analysis will be reduced. Based on this will be diagnosed with anemia. At the same time, the patient will have the following symptoms of this disease:
- the patient will complain about the general weakness;
- it will be reduced appetite, the taste of preference will change, it will want to try inedible food like chalk, ice, raw meat, toothpaste;
- the skin will have a pale and dry look;
- in the hair and nails, the fragility is uncharacteristic for them;
- it may be unfortunately to start circling their head;
- walking will be accompanied by shortness of breath and rapid heartbeat;
- the level of blood pressure level may be reduced;
- funny is possible.
It is important to know that only a specialist will be able to correctly diagnose iron deficiency anemia. medical institutionHaving in the hands of all surveys and knowing what other diseases people are sick. On the basis of this will be determined medicinal products from anemia, their dosage and duration of reception.
About the action of drugs
The basis for drugs for treatment against anemia is the presence of 2 and 3 valence iron. The active substance is 2 valence iron contained in medication, more bioavailable, as a result, it is almost all absorbed by the body. Therefore, a medication containing 2 valence iron is done to receive orally orally. One of the advantages of this type of glands with iron is their availability. The effect of drugs with a content of 3 valence iron is based on converting it using ascorbic acid in 2 valence iron.
On how it will be assumed by the Human Organization Iron affects what he eats. When eating meat and fish products, lactic acid, the level of gland absorption increases, when inclusive of tea, milk, some drugs in its diet, deteriorates.
Use for the treatment of iron deficiency anemia of medicines provides for the knowledge that the body of the surplus of iron is practically not taken out, so only the attending physician will be able to properly choose the dose of drug intake, otherwise poisoning is possible.
List of medicinal products containing iron
What are iron preparations are considered the most effective?
Based on the reviews of medical workers, clinical protocols In the treatment of diseases and recommendations, the best iron-containing drugs for anemia were named. The list includes the following drugs for the adult population:
- Ferlam
- Malto;
- Feneuls;
- Malto Foul;
- Faltum Foul;
- Licferre (Russia);
- Ferro Folgamma.
When entering the child, the next list was adopted:
- Sorbifer Durules;
- Malto;
- Totema;
- Ferrum Lek;
- Gino Tartiferon.
IN childhood The best recognized:
- Akimerrin;
- Voovefer;
- Malto Foul;
- Tirdiferon;
- Gemifier prolongate;
- Malto;
- Totema;
- Ferrum Lek.
Description of drugs containing 3 valence iron
The main purpose of Malto is inside, is made in the form of syrup, drops, solution and chewing pills. Syrup and drops of doctors, as a rule, prescribe a newborn. Effectively mix this drug with a drink or juice. When using this medication, the teeth are not painted in black.
The composition of Malto Fola includes 3 valence glands and folic acid. To reduce irritating action on the mucous membrane of the trap ferthum. It is made in the form of a solution, he is recommended to take after breakfast, dinner, dinner.
If anemia is caused by hemorrotype or music bleedingThe duration of the course can be more than six months.
As part of the Flav's Faltum except 3 valence iron contains calcium folinate. This medicine is desirable not to use patients who do not carry milk protein and fructose.
Ferrum Lek can be represented in the form of chewable tablets, syrup, solution.
With oral form of use, the medicine can be used in an overwhelmed form or swallow immediately. The tablet can be divided and manifold during the day in several techniques. Children prescribe syrup, which can be added when eating in food.
Sakharaosis is present in Winefer. It applies only: in case of urgent replenishment of the body of the human body, if orally introduce iron-containing drugs, it is impossible if the patient suffers from acute inflammatory gastrointestinal disease. Only intravenous drip administration of this drug is envisaged.
Description of drugs containing 2 valence iron
In addition to 2 valence iron, ascorbic acid and vitamins belonging to the group V. Due to this, there is a better absorption of the medicine itself. Produced in the form of capsules, as a result of a gradual dissolution of the drug, irritation of the gastric mucosa does not irritate.
In the ferro-folgamm, the content of folic acid and cyanocobalamin allows patients to carry it well and is well absorbed in their body.
In the totem, in addition to 2 valence iron, there is elements of manganese and copper. Used orally, doctors the name of this drug is prescribed for kids from 3 months. This drug causes a change in the color of dental enamel, so it is recommended to dissolve it in beverages or water. The release is made in the form of ampoules.
Askorbinic acid is present in sorbifer Durules. For this drug, adoption of the drug is recommended for a whole, it is impossible to chew a tablet. Use the medicine is necessary 30 minutes before eating.
One of the side effects in the adoption of this drug is a decrease in the reaction rate.
Presence in the composition of the Gino-Tardiferon of Folic Acid allows a woman if she drank this drug, to fill the deficiency of iron, prevent the miscarriage, to have a good effect on the fruit.
The release of a prolonum hemofer is made in the form of dragee. This medicinal remedy is prescribed when entering the fetus and women, nursing breast milk kids, as well as children after 12 years. Reception is carried out before meals or in a break between meals. When irritating the gastrointestinal tract, this drug is allowed to apply after meals.
To date, the most digestible forms of iron applies. The funds already have vitamins C, B12 and folic acid for better assimilation.
How to take medicine
Medical treatment involves compliance with the general principles of drug administration. The treatment of anemia includes some additions. In general, these rules include the following knowledge:
- prohibition of admission together with iron-containing drugs of levomycytin, tetracycline, antacids, calcium preparations due to the fact that they reduce the absorption of iron;
- in order to eliminate digestion disorders associated with the reception of drug-based hardware, drink well enzyme preparations Type of Festal;
- when using ascorbic, amber, citric acid, sorbitol, iron absorption process is improved. It is better to take an anemic drug of iron together with vitamins B1, B6, and, with, e, cobalt and copper. It will all help speed up the process of hemoglobin synthesis;
- it is recommended to drink tablets in breaks between meals intake, as it helps to reduce the concentration of iron, and in some cases, with a salt of salts, acids and alkalis in the received food, and alkalis can form substances containing iron and which cannot be dissolved later;
- it is necessary to start drinking medicines with small doses to determine how the drug is transferred to a person. If problems occur, it is replaced by another. The dose gradually increase until they find an efficient and carrying person;
- each patient with iron deficiency anemia is selected an individual course of drug intake;
- treat anemia is necessary for one and a half to two months. Then they drink the same medicine for prevention;
- in adults, when calculating the medicinal dose of the drug is taken into account that iron should not exceed 200 mg in 24 hours. On the example of the sorbier, it should be drunk on one tablet 2 times during the day;
- how long it is necessary to take the iron-containing drug depends on how the process of improving the level of hemoglobin is being improved. Typically, these indicators are adjusted for three weeks by 50%, and after 8 weeks they must come to normal;
- it is impossible to cancel the reception of drugs after two months of their reception. Now it is necessary to create a stock of iron. To do this, you need to drink drugs for about 2 months;
- if a person does not tolerate iron-containing medicines, it can be tested to take them after breakfast, dinner, dinner or increase the time of taking medication and reduce its dosage;
- for young women and children, it is recommended as prevention of iron-containing drugs up to 10 days within a month.
In contact with
Various trace elements are necessary for normal operation of the human body. It is especially important that a sufficient amount of iron is incorporated into the blood. Without it, erythrocytes will not be able to carry oxygen, and the person will experience it shortage. This condition is called iron deficiency anemia. Especially often it is found in women and children, the elderly or weakened people's diseases. In this case, it is recommended to take iron in tablets. There are a large amount of this trace element, many of them have contraindications and various therefore, if you suspect the iron deficiency anemia, you need to visit the doctor. Only a specialist may appoint proper treatment.
Signs of iron deficiency anemia
Iron - one of the most necessary elements for all organs and systems. Usually in the body exist its reserves, for example, in the liver. Therefore, signs of lack of iron are felt at once. A person feels weakness, reduced performance or fast fatigue. But it does not always bind to the lack of iron. Therefore, often the deficit of this trace element is increasing over time. The first symptoms join more serious:
- pallor skin;
- tachycardia;
- depression;
- changing taste sensations or loss of appetite;
- dizziness;
- reduced immunity and frequent colds;
- dry skin, bone and nail fragility, hair loss.
Causes of the lack of iron
Among them are the following:
- strong bleeding, for example, during operations, donation or menstruation in women, also some diseases cause chronic blood loss: hemorrhoids, ulcers, various tumors;
- incorrect and defective nutrition, passion for weight loss diet;
- diseases of the gastrointestinal tract, which cause violation of the imperativeness of iron;
- helmintoses;
- malabsorption syndrome.
In addition, there are conditions during which a person needs elevated gland doses, and often it is not enough with food:
- in premature babies;
- during the growth and development of children and adolescents;
- in women during pregnancy and breastfeeding.
How to fill iron deficiency
This trace element enters the body with food and is absorbed into the blood in the intestine. Therefore, the deficit of iron is best to fill in food products, and in difficult cases of anemia - to take iron in tablets.
But you need to know that not all of them are effective, as they can irritate the stomach or accumulate in cells, causing poisoning. In addition, the peculiarity of the treatment of iron deficiency anemia is that this is a rather long process, often lasting until six months. Hemoglobin, which shows the presence of iron in the blood, begins to rise only in three weeks, and its stabilization of its level is observed after a couple of months of reception of drugs. Although sometimes a person feels an improvement in the state after several days of reception of some drugs. But it is not recommended to immediately stop treatment - some time you need to drink tablets with preventive goal. In addition, it is necessary to eat in food it can be buckwheat, liver, lentils, spinach, oatmeal or barley cereals, raisins and cedar nuts.
What drugs are
All drugs are divided into groups depending on the percentage and quality of iron, as well as on the presence of secondary ingredients. Most often allocate such:
- Bivalent iron in tablets is most common. But these drugs have recently enjoy less popular, as they cause a lot side effects. The active substances include iron sulphate, as well as fumarate, glucanate and they are part of such drugs: "Aktimerrin", "Gemofer", "Totema", "Ferrone" and others.
- More modern iron preparations in tablets are best transferred. They include trivalent iron in combination with other elements that increase its digestibility. For example, hydroxide polymaltosate contained in modern preparationsMakes iron easily disabled independently of the used products. In this form, this trace element can be obtained from such medicines: "Malto", "Feneuls", "Ferrum Lek", "Wenior", "Sideral" and others.
What else can come into tablets
- Ascorbic acid is an effective antioxidant. It can translate iron from salts in an easily dismissed form.
- The amino acid serine also helps better suction and rapid flow into the blood of the trace element.
- Protein carrier succinitate quickly delivers iron to the place of its best suction.
- The microelement connection with the sucrose complex allows you to prevent overdose. In addition, the tablets containing such a composition are better absorbed, does not interact with food and does not cause side effects. Therefore, more and more often, it is recently prescribed exactly such medicines, especially and drinking them convenient - just 1-2 times a day.
The best gland preparations in tablets
1. It is good because iron ions are slowly released in the digestive tract, without irritating its mucous membrane.
2. "Tartiferon" contains ascorbic acid and mucoprotease, due to which the iron is easily absorbed and rarely causes side effects.
3. "Malto", which can be found as early as "Ferrum Lek" or "Aktimerrin" is very effective drug And quickly increases the level of hemoglobin. Available in the form of chewing tablets, bodies can be used even to children and pregnant women.
4. "Feneuls" is a multivitamin complex. It contains except foliic acid, vitamin C, thiamine, group vitamins B and other useful elements.
Side effects
Most often, they occur when iron overdose due to non-compliance with the recommendations of the doctor. Most of all, such medicines annoy the gastrointestinal tract and can cause:
- diarrhea or constipation;
- nausea and vomiting;
- painstroke pain.
These tablets may cause weakness, dizziness, confusion of consciousness and increase pressure. Therefore, you should not take them without the recommendation of the doctor. In addition, tablets containing iron sulphate can cause the emergence of a metal lift in the mouth and darkening of the teeth.
Features of glage preparations
It is important to take into account the following:
- these tablets can not be stored in a warm place or where elevated humidity;
- vitamin iron in tablets requires accurate adherence to the dosage and the amount of tablet reception, if missed once, then drink the medicine should be immediately, as they remembered this (undesirable to take a double dose, as this may cause side effects);
- it is impossible to drink iron in tablets together in some other drugs, for example, antibiotics or calcium preparations;
- in order not to worsen the digestibility of such drugs, as well as for iron to be absorbed better, it is impossible to drink coffee or tea for two hours after it is received, there is a grain bread, dairy products or eggs; In addition, impess his assimilation of antacid - "Almagel", "Phospholyugel" and others.
Iron for pregnant women
In tablets, these drugs are better transferred and have fewer side effects. Therefore, this form is shown during pregnancy. At this time, the woman's body is experiencing an increased need of hardware. Especially in the second and third trimesters.
The use of iron preparations under the control of the doctor is considered safe, and, subject to the admission rules, it does not cause any side effects. It is recommended for pregnant women to use medicines containing, except for iron, folic acid, vitamins C and E. Best to choose iron in tablets. The name of the drugs can be found at the doctor. Most often, pregnant women recommend taking Phenyuls, Tirdiferon or Ferroplex.
The human body, both adult and small in need vitamins and trace elements that contribute to the right development, growth, strengthening immunity. One of the most important elements is iron. Its deficiency can even lead to such a serious pathology as anemia. The recently born babes and pregnant women react to the lack of vitamins, because in such a period they are especially vulnerable.
If a child has revealed the child after passing blood tests low level hemoglobin, it is undoubtedly necessary to increase with special drugs
Causes and types of iron deficiency
A slight deficit of iron, of course, notice is difficult, and this is also a serious danger, as a rule, it does not bear. However, with regular ignoring a trace element other than deterioration of well-being, iron deficiency anemia can develop. It manifests itself in the form of an accelerated rhythm of the heart, chronic gastritis, delays mental and physical development. The disease can be divided into three stages:
- Prelatented iron deficiency is the emptying of the tissue depot of iron while preserving the level of transport and hemoglobin funds. Without clinical manifestations.
- Latent deficit - functional violationwhere the content of deposited and transport iron decreases. The activity of important enzymes is also falling, however, while maintaining the level of hemoglobin.
- The iron deficiency is the last and most dangerous stage.
Weakness, increased fatigue and other disturbing signals should be a reason for a visit to the doctor and checking the level of hemoglobin Anemia can develop both a very tiny child and children school age. Among the common causes of children's anemia, the following can be distinguished:
- prematurity;
- anemia in mom during the toasting of the fetus;
- multiple pregnancy;
- hemolytic disease of the newborn;
- artificial feeding with a sharp increase in weight;
- infections, viral diseases.
Also provocateurs can be unbalanced nutrition, problems with gastrointestinal tract, assimilation of food. In order for this not happened, you need to follow health care carefully and at the very first suspicious symptoms to contact the doctor.
Symptoms of iron shortage
If the prettente stage is difficult to determine due to the lack of symptoms, then the latent (or pre routemia) is characterized clinical manifestations. The list of the most obvious signs indicating the lack of iron:
- irritation epithelial tissue (dry, skin pallor, hair loss, itching, burning, fragility and bundle of nails);
- violation B. muscular system, weight loss, decline in appetite;
- disorder nervous system (Emotional instability, increased fatigue, chronic insomnia, problems with taste and olfactory receptors).
Anemia does not depend on age, can be both an adult and a child To determine the neglence of the disease, the doctor sends a patient to give the analysis to hemoglobin. So, if the indicator is at the level of 90-100 g / l - the diagnosis of "Easy anemia". If oscillations are noticeable from 70 to 90 g / l, then the pathology has passed into middle degree. Level below 70 g / l is considered severe and dangerous.
Often, it is precisely in infants that anemia is diagnosed with a light degree, but it is rapidly treated with vitamins and drops with iron content (more in the article :). Dosage, as well as the type of drug itself, is appointed a strictly physician depending on the weight, age of the child and other problems. Otherwise, such deviations as mental retardation, inability for learning and memorizing a large amount of information can be added to the existing diseases. chronic fatigue, Weakening of immunity. In girls, there may be problems with menstruation in the future. That is why the anemia is very important to properly select the drug containing iron. Then the treatment and recovery of hemoglobin will pass quickly and without consequences.
What are iron preparations better for children?
The best and convenient option will be gland preparations for children in the form of droplets or syrup. They do not annoy neither the mucous membrane, nor the child himself, and it will like this medicine more than the solid pills that need to be chewed. Therapy with liquid formations of drugs lasts from one and a half to 3 months. The duration of the course depends on the degree of anemia.
Many mammies are afraid to stuff newborn tablets and are looking for alternative treatments, for example, including fruits, vegetables and other products with the necessary vitamins. However, for the treatment of iron deficiency, Malokroviya, it is necessary to obtain a considerable amount of substance that with food, unfortunately, it is impossible to obtain, because otherwise it faces indigestion. Food iron in large quantities is very long and poorly absorbed in contrast to contained in modern medicines.
You still need to remember what medicines should be supported by additional vitamins. For example, iron in a divalent form is prescribed along with vitamin C, but the trivalent is not absorbed by the body with low immunity without amino acids. This is important not only for treating anemia, but also for bone marrow, closely related to the problem under consideration.
Drops and solutions for children up to year
For the prevention of any disease, including anemia, a child up to 1 year is obliged to eat by the clock and the most important - breast milk. In all artificial mixtures there is no required amount of nutrients. It is in maternal milk that contains iron in a bioavailable form.
Drops "Malto" are convenient to take thanks to the exact number of drug (recommend reading :) For the smallest kids, the doctor can prescribe iron-containing drugs in the form of droplets:
- compounds of 3-valence iron - "Malto", "Ferrum Lek" and "Faltum";
- compounds of bivalent iron - "Akiterrin", "Gemofer", "Totema", "Ferronat" and others.
Such medicines will help to increase the level of hemoglobin, the amount of iron and contribute to the correct assimilation (more in the article :). Assigned to the pediatrician according to individual indicators.
Syrups after 2 years
With drops, we figured out: use them more convenient to a year (maximum up to 2 years). If the child is from 2 to 5 years old, but to swallow and chew pills (which is most likely) he still does not know how to "rescue circle" will be medicines in the form of a syrup. So, for example, "Ferrone", "Ferrum Lek" and "Akiterrin" are used in small doses in coordination with the doctor (we recommend reading :). To accurately measure the desired number of syrup, in the box together with the bottle you can find a special measuring cap.
Pills after 5 years
By 5 years, as a rule, Chado can already swallow the capsule. The most effective at that age is precisely tableted drugs. The dosage of the supposed iron should also be clarified by the doctor. It also prescribes the drug itself, for example, "actiferrin", "Tardiferron", "Ferrum Lek" or "Gemofer". If preference was given to capsules, it is important to teach the child to swallow them correctly. This type of medicine will not damage the gastric mucous membrane, however, however, it will be necessary to include fruits, vegetables and meat products in the diet. It is required for proper and fast assimilation. By the way, with a latent iron deficiency, the dosage for each child can differ significantly, so in no case give drugs without a consultation with a pediatrician.
Preparations from anemia in the form of pills prescribe children over five years The opinion of Dr. Komarovsky
Few of young mammies do not know the famous pediatrician and TV host Dr. Komarovsky. Not only new parents listened to his advice, but also more experienced. Komarovsky argues that the amount of iron should be seamless not only on the basis of the age of the child, but also individual characteristics, including sex. So, the approximate daily rate should be as follows:
- from birth to 12 months - from 4 to 10 mg;
- aged after 1 year to 6 years - 10 mg;
- from 6 to 10 years - no more than 12 mg;
- from 11 to 17 years old, boys - 15 mg, in girls - 18 mg.
The first few months after the birth of Kroch, it is especially sharply reacting to external and internal stimuli. Hungable need for vitamins (including iron), low hemoglobin in the blood forces to resort to the use of additional preparations with iron content (see also :). For example, a bivalent iron in the right amounts can be found only in medications, and in combination with ascorbic acid, it helps rapid absorption. The trivalent trace element, of course, can be found in food, but its transition to a divalent state lasts long.
It is necessary to strictly monitor the dosage of the drug, which the doctor wrung out the child from anemia It is important to understand the parents that one power supply, even the most correct and balanced, is impossible to cure iron deficiency anemia. It is worth highlighting several useful Soviets From pediatricians:
- Sharp dyspeptic disorders, changing the color of the feces should not frighten moms. This is a completely natural reaction to the appliance of iron. However, if a liquid chair is observed, this indicates irritation in the gastrointestinal tract. In this case, it is better to reduce the dosage of medicine for several days.
- If the children's stomach does not perceive the iron ions, nausea and vomiting appears, then amber, ascorbic, peyrogradic acid, sorbitol and fructose, vitamins C, B, E. It is also desirable to limit calcium and phosphorus, antibiotics at this time, because of this time They reduce the production of hydrochloric acid in the stomach.
- Iron-containing medicines are more efficient to take on an empty stomach, at least 1-2 hours before meals.
- It is important to drink a full course of tablets, even if the level of hemoglobin has already risen. It is necessary to secure this result.
Hemoglobin can increase both with an average standard velocity of 10-14 g / l per week, as well as quite slowly depending on the severity of the disease (more in the article :). In any case, the physician prescribed medications must be taken at least 2-3 months, otherwise the stock of iron in the body of the child just is simply confused. In addition, the hemoglobin level is not the only indicator to pay attention to when determining recovery. In severe launched cases, the doctor's hematologist will be required.
The treatment of anemia in children, as a rule, is complex in nature, and in addition to iron preparations, patients receive other vitamins and microelements that influence the blood formation system and metabolism (more in the article :). Some of the important can be called cyanocobalamin, folic acid.
Iron is one of the essential elements that ensure the stable operation of the body. Basically, this trace element enters the body together with food - there are a number of products in which the level of iron content is very high. But in some cases, even the active use of such peculiar food does not help keep the balance of iron in the body - in this case, the doctors are diagnosed with the type and is prescribed by therapy with specific drugs.
Table of contents:Basic data on iron preparations
In the dosage form, the considered useful trace element may be contained in two different forms:
- bivalent shape - iron preparations are absorbed quickly and fully applied orally (inside by swallowing);
- trivalent shape - Preparations are digested worse, injected into the injection.
The drug with iron content is absorbed in the digestive tract, but for this process it is necessary for the presence of a sufficient amount of hydrochloric acid in the stomach. Therefore, if the patient is prescribed therapy with iron-containing drugs, but he had previously diagnosed insufficient of hydrochloric acid production, necessarily parallel to the patient should take medicines that increase the acidity of gastric juice.
There is a certain differentiation of substances that enhance or reduce the absorption of iron preparations:
- fructose, succinic acid, cysteine \u200b\u200band ascorbic acid - raise;
- tanin, phosphoric acid, tetracycline, almagel - lower.
Naturally, the last substances are in use medicinal preparations With the content of iron you need to exclude.
Iron preparations for use inside
We recommend reading:Usually, when diagnosing iron deficiency anemia, doctors prescribe drugs for use inside. The dosage is installed strictly individually, but there is also general recommendations - Adults usually need to consume 2 mg per kilogram of weight and, as a rule, it is 100-200 mg of the drug per day, extremely rarely 300 mg.
If the dose of the iron-containing drug was chosen correctly, after a few days of therapy, the patient begins to feel better feeling of well-being, the standard symptoms of iron deficiency anemia virtually disappear. In the first 5-7 days of the use of drugs with iron content, the first positive changes appear in the results of laboratory tests of blood - the number of reticulocytes begins to grow. And after 60-90 days of regular use of iron-containing drugs, a steady increase in hemoglobin is noted.
Note: Patients to restore health will need to take iron preparations inside a long time. Even if the hemoglobin indicators and the overall health status have already stabilized, it is impossible to stop therapy - it is necessary to create a stock of a trace element in the body. But at the time of "storage" of iron in the body, it is not necessary to take a prescribed daily dose of drugs - a doctor, based on the results of laboratory blood studies, usually adjusts the dosage to a decrease in it by 2 times.
Reception of gland preparations orally (inside) can be accompanied by the development of side effects:
- and vomiting that appear regardless of food eating;
- decline in appetite, and in some cases a complete disgust for food;
- a brightly pronounced metallic taste in the mouth;
- disorder of intestinal work - or.
Often, against the background of the use of iron-containing drugs orally (inside) may appear gray raid On dental enamel, so doctors recommend either thoroughly rinse the mouth immediately after using medication, or drink it through the tube if the tool is in liquid form.
There are a number and conditional contraindications, that is, iron preparations can be prescribed, but their use should be under the constant control of the patient's condition by medical workers. The conditional contraindications include:
- and / or duodenal estate;
- enteritis of various etiologies.
Doctors do not prescribe iron preparations simultaneously with drugs that reduce the acidity level of gastric juice belong to the group of tetracycline antibiotics. Such precaution is necessary to ensure maximum iron absorption in the body.
Medicines for anemia in tablet form
The drugs are listed below with iron content, which are usually prescribed under therapy against iron deficiency anemia:
- Akiferrin - refers to the group of combined drugs, produced in the form of capsules and drops.
- Gemoofer Prolonum - the main active substance is iron, is produced in a tablet form.
- Tartiferon - tablets, as part of which are contained, except for iron, ascorbic acid and mucoproteoz.
- Ferrogradumet - produced in the form of tablets with a shell, in composition there is iron sulfate and a plastic matrix.
- Gexineral -TD - produced in granules, in the composition there is an elementary iron, cyanocobalamin and folic acid.
- Ferrone and Ferroglyukonate - 300 mg tablets, based on iron sulfate.
- Feneuls is a combined drug that is produced in the form of capsules. The composition has riboflavin, acid ascorbic and folic acid, pyridoxine, fructose, yeast, iron sulfate, cyanocobalamin, cysteine.
- Gino-Tardeferon - tablets, in which the dose of elementary iron is 80 mg. Parts are available, in addition to the main active substance, folic and ascorbic acids, mucoproteoz.
- Heferol - capsules, which contain 100 mg of iron, are manufactured based on fumaric acid.
- Globiron - gelatin capsules, which contains iron sulphate, Vitamins B6 and B12 ,.
- Totema - produced in the form of a solution for oral administration (inside) in ampoules of 10 ml. The composition includes sucrose, copper and benzoate / sodium citrate.
- Ranferon-12 - produced in two pharmacological forms: Elixir and capsules. In the first case, the iron content of 5 ml is 41 mg, and in one capsule is 100 mg of elementary iron.
- Sorbifer Durulis - capsules containing 100 mg of iron.
Which of the listed drugs of iron will be appointed by the doctor, it is determined individually. Therefore, it is not recommended to make a selection yourself categorically.
Iron preparations for parenteral applications
It will be about injection iron injection. You need to know what they are prescribed only under certain circumstances:
Iron preparations in the form of injection are prescribed and in the event that the patient's body needs to quickly and maximize the iron before the appointed operational interventions over hemorrhoids, fibromomy and other diseases.
Note: It is strictly forbidden to injection into the body of more than 100 mg of iron preparation - this dose fully ensures the daily need for the microelegen.
If iron-containing drugs are injected into the patient injectable, then with high probability you can expect the appearance of side effects:
- seals (infiltrates) at the injection site of the drug of iron;
- fleaters;
- abscesses in injection places;
- allergic reaction - sometimes anaphylactic shock is immediately developed;
- DVS syndrome;
- overdose of iron in the body.
- Ferrum lec is produced in 2 ml ampoules, which is identical to 100 mg of elementary iron, intramuscularly introduced. The composition contains hydroxide of iron and dextran - they are also the main active substances.
- Venoofer - 5 ml ampoules, intended for intravenous injections, which is equivalent to 100 mg of iron. The composition has iron hydroxide of sucrose complexes.
- Ferkens - a sacharata iron, carbohydrate solution and cobalt gluconate are present. Available in 1 ml ampoules, intended for intravenous injections.
- Zhectefer is a combined drug, which contains an iron-sorbitol-lemon-acid complex. Available in 2 ml ampoules, the route of administration is intramuscular.
- Ferrlecite - the main one active substance In this preparation, the active sodium is the iron-breather complex. Available in a solution for injection in ampoules of 1 and 5 ml. In the first case, the drug is introduced intramuscularly, and 5 ml ampoules are intended for intravenous administration.
- Ferbitol - the basis this drug It is a iron ivory complex, produced in 1 ml ampoules for intramuscular administration.
Iron preparations during pregnancy
If iron deficiency anemia has been diagnosed with a woman during the period of having a child, then all of the above drugs are allowed to use within the framework of therapy. But the destination should only do a specialist - often precisely during pregnancy, the daily dosage is reduced. Often, in the period of tooling the child, it is necessary to carry out preventive reception of iron preparations - in this case, the dose can also be seamless.
- if pregnancy proceeds without any pathologies, the woman in the third trimester prescribed iron preparations orally at 30 mg per day;
- if the pregnancy proceeds within the normal range, but a woman has a tendency to develop iron deficiency anemia, the prevention is carried out in the period 21-25 pregnancy weeks - 30 mg twice a week;
- if iron deficiency anemia is fully diagnosed on the background of pregnancy, then daily dose For a woman's ordinary - 100-200 mg, depending on the weight of the patient;
- if iron deficiency anemia has been diagnosed with a woman before pregnancy, then she should take iron preparations and all pregnancy, and during the feeding of a child with a breast of 200 mg per day.
Iron preparations can and you need to take people and as anemia treatment, and in the framework of preventive measures. But the dosage and duration of the reception course should determine only a specialist - much depends on the picture of a laboratory blood test, on whether iron deficiency anemia was previously diagnosed, which pathologies are in the body.
Tsygankova Yana Aleksandrovna, Medical Observer, therapist of the highest qualification category
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