| DRUG | SUPPLIED | DOSE | COMMENTS |
|---|---|---|---|
| IRON PREPARATIONS (Paeds) (Ferrous fumarate (Palafer), Ferrous sulfate (Fer-in- Sol), Ferrous gluconate (Fergon)) Mechanism of action: Iron salt for supplementation Ref: 44, 249, 251, 329 Last update: 2022-07-03 |
Fe refers to elemental iron Ferrous fumarate capsule: 300 mg (100 mg Fe) liquid: 60 mg/mL (20 mg Fe/mL) Ferrous sulfate: tablet: 300 mg (60 mg Fe) syrup: 30 mg/mL (6 mg Fe/mL) drops: 75 mg/mL (15 mg Fe/mL) Ferrous gluconate: tablet: 300 mg (35 mg Fe) |
Doses in elemental Fe. Iron Deficiency Anemia: Treatment: Infants & Children: 3-6 mg Fe/kg/dose PO once daily or div. BID. Max: 150-200 mg Fe/day Adults: 100-200 mg Fe PO once daily or div. BID to TID Prophylaxis: Term Infants and Children: 1-2 mg Fe/kg/dose PO once daily or div. BID to TID Adults: 100-200 mg Fe /24 hrs divided daily to TID |
Avoid calcium supplements, dairy products and antacids; may decrease iron absorption. Space doses by 2 hours. Liquid iron may stain teeth, give with dropper or drink through straw. For best absorption, give on an empty stomach. If GI irritation occurs, may give with food or a snack. May discolour stools. If oral iron is poorly tolerated, consider every other day or once daily dosing, which has been associated with improved absorption in adults. Standard Prescription: ferrous fumarate __mg Fe PO Q__H (__mg/kg/24hr elemental Fe) ferrous gluconate __mg Fe PO Q__H (__mg/kg/24hr elemental Fe) ferrous sulfate __mg Fe PO Q__H (__mg/kg/24hr elemental Fe) |