Tablets for iron in the body. Effective gland preparations with anemia

Preparations for injection

The effectiveness of treatment

Against the background of receiving iron-containing drugs and obtain a sufficient amount of iron to food symptoms very soon go. Improvement occurs within a few days (2-3 days). But even if the patient feels better, the course of treatment needs to be fully. Usually the course lasts up to 6 months.

Iron Pregnancy and Preparations

• Add products rich in iron to the daytime;
• Add to diet products rich in vitamin C. Vitamin C contributes to the absorption and absorption of iron;
• Eat lean red meat, bird and fish. Iron from such products is absorbed better than iron from plant products;
• Before applying any iron-containing drug, it is important to consult with the therapist, hematologist, sometimes a gynecologist. The reception of such medicines is most often not dangerous during pregnancy, while parenteral therapy is worth starting only if the risk is above the risk for the child, and only from the second trimester.

Prevention of low iron levels. Diet

Reduce the risk of anemia is possible, choosing:

• Red meat;
• Pork;
• Domestic bird;
• Seafood;
• Green leaf vegetables (spinach);
• Beans;
• Dried fruits (raisins, dried, prunes, dates);
• Gruble cereals, bread and pasta.

Vegetarians will need to increase vegetation consumption, rich iron. It:

• Oatmeal;
• Tofu;
• Lentil;
• Spinach;
• Whole wheat bread;
• Peanut butter;
• Brown rice.

Vitamin C for iron assimilation. Located in:

• Broccoli;
• Grapefruit;
• Kiwi;
• Greens;
• Melons;
• Oranges;
• Bulgarian pepper;
• Strawberry;
• Tangerines;
• Tomatoes.

Helpful advice: For prevention of anemia, it is useful to drink a glass of orange or grapefruit juice per day.

Avoid excessive consumption of such products as:

• Tea and coffee;
• Calcium is contained in dairy products;
• Whole grades - although they are a good source of iron, they also contain aptic acid that can slow down the process of absorbing iron.

Dr. Komarovsky about nutrition restrictions in the treatment

Facts about iron and its shortage

• Iron deficiency - the main cause of anemia;
• Iron deficiency is most often associated with an increase in the need of the body in the gland or with a decrease in iron absorption;
• The diagnosis of "iron deficiency" is based on;
• With a balanced nutrition, diets using iron additives, as well as correctly selected drugs, iron deficiency can be cured.

Hematologist

Higher education:

Hematologist

Samara State Medical University (Samgm, Kmi)

Education Level - Specialist
1993-1999

Additional education:

"Hematology"

Russian Medical Academy Postgraduate Education

Iron - an integral part of hemoglobin, protein that provides human blood oxygen, and respectively the whole body. With a low level of hemoglobin, doctors are diagnosed in the patient the iron deficiency, prescribe preparations with a high content of iron.

What are iron preparations for anemia

1. Medicines S. active substance - bivalent iron (FE2), contain iron in the form of sulfate, gluconate, chloride, succinate, fumarant, lactate. Fully absorbed into the blood of a person, produced in tablets, dragee, syrup are intended for oral administration (through the mouth).
2. Medicines with active substance - trivalent iron (FE3), in self-form or in combination with a vitamin complex, have a higher cost, are usually produced in ampoules for injections or intravenous administration, as a syrup, dragee.

ATTENTION!
Reduce the absorption of drugs can simultaneous reception with drugs from heartburn (Almagel, Renny, Maalox), Levomycetin, Tetracycline, Tea use, Milk. On the contrary, the absorption of iron improves in the use of fish and meat.

Side effects of drugs from anemia:

• Nausea, less often - vomiting;
• Bloating, elevated meteorism;
• Abdominal pain, possibly irritation of the gastrointestinal mucosa (stomach or intestines).

Additional concern may cause black colors, this is not a side effect, but the result of the action of iron-containing drugs.
In compliance with the dosages and recommendations of the doctor, hemoglobin will come to a normal level in a month and a half. Complete picture can give a general blood test.

Iron-containing drugs for anemia

The most beloved food additive In the prevention of iron deficiency anemia, hematogen is familiar since childhood. Sold in pharmacies and grocery stores. In industry, hematogen can be manufactured both on the basis of recycled blood and with enrichment of iron salts.

The list of drugs with a high content of iron is great, here you can choose and dear and cheaper option with excellent reviews. In any case, the appointment should make a doctor, self-medication can lead to deposits.

For pregnant women and children

Women and children are the most unprotected category of sick. Preparations are prescribed with great caution, in safe dosages. When diagnosing iron deficiency anemia and Malokrovia in women in any of the trimesters of pregnancy, or in children, the doctor may appoint the admission of the following drugs.

General list of drugs appointed during iron deficiency.

Preparations with bivalent iron (Fe2):

1. APO Ferroglyukonate, produced in the form of tablets, recommended reception before meals;
2. Hemoofer, a solution for receiving inside, it is recommended to be taken in a diluted form with water or juice, between meals;
3. Iron gluckonate 300, in the form of tablets covered with a shell. Take inside, before eating. With caution - with exacerbation of gastrointestinal diseases, impaired kidney functions and older persons.
4. Iron Fumarate 200, in the tablets covered with a shell. Not recommended in the first trimester of pregnancy;
5. Megaferin B. esiphey pills, it is necessary to take before meals, pre-soluble in a glass of water;
6. Orelon, produced in the form of dragee and drops, contraindicated in the presence of ulcerative disease, liver failure, allergies, bronchial asthma, alcoholism at any stages;
7. PMS iron sulfate (iron sulphate), tablets, are prescribed by adults before or after meals, with anemia, not related to iron deficiency - contraindicated;
8. Tartiferon (iron sulphate), produced in tablets. Can be recommended pregnant women and children from 6 years;
9. FEOOSAP, DRAGE, TAKE UNDER THE CONTROL OF THE CHOICE: In the ulcer of the GCT, disorders of the liver functions, anemia that are not associated with the deficiency of iron, allergic reactions;
10. Ferricitis, ampoules with solution for intravenous injections, contraindicated with simultaneous intake of vitamin C and glucose;
11. Ferrone, produced in the form of syrup and tablets, take under the control of the doctor: with ulcers, bronchial asthma, liver failure, alcoholism;
12. Heferol, produced in capsules, allowed to children over 12 years old, take under the control of the doctor: with a gastrointestinal ulcer, hepatitis, elderly patients;
13. Ecoter, in the form of an injection solution intramuscularly, is used in extensive blood loss, contraindicated in renal failure.

FE2 preparations containing foliic acid:

1. Falc and FerretAb Comp in capsules are used as prevention of iron deficiency and bleeding, including during pregnancy.

FE2 medications with folic acid and cyanocobalamin (vitamin B12):

1. Hessential-TD, IRovit, Ferro Folgamma - in capsules;
2. Folinbra, in drops;
3. Vitaminated complexes that can be applied are used by pregnant women and children.

Preparations with trivalent iron (Fe3):
It is noted that the injections are more likely caused by side effects, to anaphylactic shock, so injections and droppers are prescribed with caution and only in an exceptional case. Preparations for injection intravenously or intramuscularly:

1. Argeferr
2. Cosmofer
3. Licferr
4. Monofer
5. Ferbitol.
6. Ferineek
7. Ferrlecite
8. Ferrolec Health
9. Ferrofortat

Syrups, drops and solutions for internal reception:

1. PROFER
2. Feneuls complex
3. Ferri
4. Ferumbo

Means from anemia with FE3, folic acid for internal reception:

1. Capsules - Orofer and Ferry Foul
2. Chewable pills Biofer (in contrast to injections, an empty stomach is accepted, contraindicated with frequent blood transfusions)

FE3 capsules, high content of trace elements and vitamins:

1. Globron-N.
2. Glorem Tr.
3. Ranferon-12.
4. Fenotek
5. Feneuls.
6. Feranmin-Vita
7. Folk Vit.
8. Hemsi
9. Esmin.

Iron deficiency anemia is considered a very common disease that violates the quality of human life. Most often, this pathology is diagnosed in women, but can overtake men. At the same time, patients complain of severe weakness, dizziness, headaches.

The following changes are observed from the appearance and overall health status of health:

1. Dry skin.
2. Excessive pallor.
3. Hair loss.
4. Increased nail fragility.
5. Tachycardia.
6. Dyspnea.
7. Reduced arterial pressure.

A man loses its vital energy, becomes weak, sluggish and misintermetative. To confirm the diagnosis, it is necessary to pass blood tests that show a decrease in the level of hemoglobin and low iron content. When confirming the diagnosis, special iron-containing drugs are required, which are selected by a specialist.

The role of iron in the work of the body

Iron plays an important role in coordinated work. human organism. It takes an active part in the process of blood formation, so under anemia a person is experiencing such strong discomfort. Normally in the body there are no more than 3, 5 mg of iron, most of which is in hemoglobin.

Independently, this substance is not synthesized, but comes with food. The excess is deposited in the liver in the form of hemosiderin, at the expense of which the deficit of this element is then filled. If all reserves are over, oxygen starvation comes with all the ensuing consequences.

Causes of the lack of iron

Iron deficiency anemia can be caused by different reasons, so the treatment must select a specialist. Only he will identify the origins of the disease, will find funds that work faster and safer.

Common causes of anemia:

1. Internal bleeding.
2. Pregnancy, childbirth and lactation.
3. Abundant menstruation.
4. The presence of chronic inflammatory processes.
5. Pathology of intestines and digestive system.
6. Improper nutrition with low iron content.
7. Increased physical exercise No diet correction.

In gastritis, ulcerative disease and erosions, the absorption of iron is disturbed, against the background of which the anemia is developing.

If a woman has a painful and abundant menstruation every month, it loses a huge amount of iron.

If we do not adjust the diet on such days, weakness occurs, up to a fainting state. In the same way, internal bleeding, which accompany many intestinal diseases, misa and hemorrhoids.

During pregnancy, the body requires more iron, as it goes to the development of the embryo. With the lack of this element, the development of the internal bodies of the kid is violated, and the mothers of mothers deteriorates.

Similar changes occur during GW when many are given to the milk kid nutrients. For the prevention of doctors, prescribe drugs with iron with glands. The prescribed medicine from Malokrovia apply several days a month to stabilize health.

Vegetarians often face anemia, as they lack protein food in their diet. To prevent problems, special additives should be taken. Also, special attention should be paid to the nutrition to athletes, since increased physical exertion require a huge amount of oxygen.

If a person does not take into account this feature, fainting, dizziness and problems with work are possible. of cardio-vascular system. With any ailment, you should visit the doctor and go through full examinationTo avoid more serious changes.

Contemporary drugs for the treatment of anemia

With low hemoglobin, experts appoint a survey, after which special drugs are selected for treatment. The doctor takes into account the overall condition of the patient and the availability of related pathologies, and inventory. Some medicines are characterized by too high worth, so the doctor is obliged to consult with the patient. Only due to the collaboration, it is possible to choose such an impact scheme that will give the maximum result and will arrange both sides.

Traditionally, anemia is prescribed two types of iron preparations:

1. Bivalent.
2. Trivalent.

Preparations including bivalent iron

The most effective is the iron in tablets, as it is absorbed better. To reduce the influence of iron on the intestines, you can use medicine in capsules.

If the patient has serious problems with the functioning of the intestine, medicinal products Enter intravenously. However, the effectiveness of the impact in such cases is much reduced.

In which drugs contain 3 x valence iron:

In this case, there is a list of drugs that are prescribed most often:

• Malto,
• Ferlam
• Feneuls,
• Ferro - Folgamma.

Preparations of bivalent iron are gradually displaced by means with a high content of trivalent iron. At the same time, only a specialist can say exactly what better to use medicines and when. And for each category of patients there are medicines from iron deficiency anemia.

The following drugs are provided for pregnant women:

• Totema
• Sorbifer durul
• Malto,
• Ferrum-Lek.

To increase the effectiveness of treatment in pregnant women, sorbifer and folic acid are often prescribed at the same time. Folic acid improves the absorption of iron and favorably affects the health of the child.

The best medicines for children:

• Totema
• Malto,
• Malto Foul
• Ferrum-Lek,
• Voofer
• Akiterrin.

In order to better understand the possibilities of drugs, it should be carefully examined by their composition and impact on the body.

Drugs with bivalent iron

If the patient is limited to the budget, you can try the analogues of famous drugs. Such a drug like Phenyuls, names in Russia - Gemofer Prolrangatum, Sebidine. Ferrofolgamma from the Belarusian manufacturer is called Ferront, which is not inferior to the original, but pleases low.

If the patient is interested in the medicine, which is absorbed in the body better, it is worth a preference to complexes with trivalent iron. Sorbifer is often assigned to patients, which can be taken with children from 12 years old and adults. Because of this, doubts arise, totem or soribifer - what is better and more efficient.

Video: Iron preparations for ironfinder anemia

If you compare these drugs in efficiency, it is similar, but the sorbifer's safety is inferior. It affects the concentration of attention, therefore it is a danger in performing accurate work and management of vehicles.

Trivalent gland preparations

Features of reception

Many experts recommend precisely drugs based on trivalent iron containing vitamins. They quickly find a response in children and adults, cause fewer side effects and are characterized by maximum efficiency.

However, the cost in the pharmacy on such complexes is impressive, so patients are trying to choose a reasonable alternative. Instead of maltofer, with iron deficiency, it takes gem, iron Sakharat or a project, which are analogs of Ukrainian production.

Regardless of whether the drug is prescribed to the patient, it should be remembered about the main features of iron intake.

Features of the reception of iron preparations:

1. An independent reception of drugs with iron is prohibited.
2. It is impossible to exceed therapeutic doses.
3. Liquid drugs cause greater irritation than pills and capsules.
4. It is impossible to make some antibiotics and iron-containing complexes at the same time.
5. It is recommended to drink iron before meals.
6. Iron injeces are less efficient, therefore used last.
7. You can not independently stop treatment.

If the patient needs to undergo an additional examination, it must prevent the doctor about the reception of iron preparations. They can influence the results of some analyzes, which makes it difficult to diagnose.

It should also be attentive to treat your own well-being, reporting on the presence of any disturbing symptoms.

Side properties

Iron preparations, especially in liquid form, cause negative reactions from the gastrointestinal tract. They also represent a danger to a person with uncontrolled use. It should be understood that there are no drugs without side effects. They are not always manifest and not always and not in all patients.

Side effects:

1. Nausea.
2. Pain in the stomach area.
3. Vomiting.
4. Reduced appetite.
5. Total weakness.
6. Stool disorder.

Especially strong symptoms becomes if the doctor prescribed a liquid agent. When the patient's condition deteriorated greatly, the drug should be replaced or pick up another form of influence.

If the medicine was introduced in injections, then side effects Next:

1. Headache.
2. Weakness.
3. An unpleasant taste in the mouth.
4. Muscle pain.
5. Discomfort in the joints.
6. Rash.
7. Tachycardia.
8. Painful sensations at the injection site.

Negative treatment of treatment is amplified if the daily dose of a woman and a man exceeded. Even more dangerous consequences There are for children, so a specialist picks up a particular means and his dosage.

The side reactions are developing at the iron itself, so the replacement of the analogs often does not result. The only option in such cases is to reduce the dose or replacement on the liquid drug for intramuscular administration.

The effectiveness of treatment

The effectiveness of treatment is determined by the overall condition of the patient and the results of the tests. The first changes appear in the month of the proper use of the selected medication.

When hemoglobin began to rise, the specialist determines the duration of the use of the drug, which is usually half a year. During this period, the iron deficiency depot is possible, after which there is enough preventive reception of the designated complex.

A specific treatment regimen is selected by a specialist, taking into account the state of the patient, as well as on the basis of the action of various drugs.

Video: What you can not eat when we take iron preparations

Sometimes in the survey process it becomes clear that anemia is negligible. In such cases, saying the drug for treatment and how to help the patient can only attending a doctor on the basis of numerous studies.

In a standard situation, under anemia, drug impact turns out to be effective, and a person has been feeling a significant relief in a few weeks. If pathology is provoked by some diseases of the internal organs, a comprehensive impact is necessary. Only so manages to get the most outcome and return health to man.

Thank you

The site provides reference information solely to familiarize yourself. Diagnosis and treatment of diseases must be under the supervision of a specialist. All drugs have contraindications. Consultation of a specialist is obligatory!

Forms of release, titles and composition

• 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 saharat. 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 of ferrum lec 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

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

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. However, intravenous administration of the 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

• 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

• 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 Ferrum Lek in the form of a syrup or tablets, since they have the least pronounced allergenic properties, the minimum risk of 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, the reception of Ferrum Leka in any dosage form is made 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

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

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 mass (kg) * (normal hemoglobin level - 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 estimated amount of the ampoules of the intravenous or intramuscular administration, which is necessary for the treatment of anemia of various severity, depending on body weight.

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

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 the thumb is removed from this point to the side of the back and the wing of the ileal bone also groped. A large and index finger, as well as a mentally spent line connecting the tips of their nails, form a triangle. Bottom part This triangle, which is before the imaginary line, conducted from the connection of the index finger with the palm and to the intersection with large, 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 intravenously

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 drip administration The solution, since in this case the risk of a sharp decline in pressure 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

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 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

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

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

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

Tablets and syrup during pregnancy under different states 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

• 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

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 fast and people have a good effect of injections, people note the strong painfulness of injection and long-continuous bruises with which you have to put up.