Feosol, Fer-In-Sol, Fer-Iron, Fero-Gradumet, Ferospace, Ferralyn, Ferra-TD, Fesofor, Hematinic, Mol-Iron, Novoferrosulfa , Slow-Fe
Feco-T, Femiron, Feostat, Fersamal, Fumasorb, Fumerin, Hemocyte, Ircon-FA, Neo-Fer-50 , Novofumar , Palafer , Palmiron
Fergon, Fertinic , Novoferrogluc , Simron
Classifications: bloods formers, coagulators, and anticoagulants; iron preparation
Pregnancy Category: A
Ferrous Sulfate 167 mg, 200 mg, 324 mg, 325 mg tablets; 160 mg sustained release tablets, capsules; 90 mg/5 mL syrup; 220 mg/5 ml elixir; 75 mg/0.6 mL drops
Ferrous Fumarate 63 mg, 100 mg, 200 mg, 324 mg, 325 mg, 350 mg tablets; 100 mg/5 mL suspension; 45 mg/0.6 mL drops
Ferrous Gluconate 240 mg, 325 mg tablets
Ferrous sulfate: Standard iron preparation against which other oral iron preparations are usually measured. Corrects erythropoietic abnormalities induced by iron deficiency but does not stimulate erythropoiesis. May reverse gastric, esophageal, and other tissue changes caused by lack of iron. Ferrous gluconate: Claimed to cause less gastric irritation and be better tolerated than ferrous sulfate.
Experienced within 48 h as a sense of well-being, increased vigor, improved appetite, and decreased irritability (in children). Reticulocyte response begins in about 4 d; it usually peaks in 710 d (reticulocytosis) and returns to normal after 2 or 3 wk. Hemoglobin generally increases by 2 g/dL and hematocrit by 6% in 3 wk. Iron supplements correct erythropoietic abnormalities induced by iron deficiency but do not stimulate erythropoiesis.
To correct simple iron deficiency and to treat iron deficiency (microcytic, hypochromic) anemias. Also may be used prophylactically during periods of increased iron needs, as in infancy, childhood, and pregnancy.
Peptic ulcer, regional enteritis, ulcerative colitis; hemolytic anemias (in absence of iron deficiency), hemochromatosis, hemosiderosis, patients receiving repeated transfusions, pyridoxine-responsive anemia; cirrhosis of liver.
Pregnancy (category A), lactation.
Adult: PO Sulfate (30% elemental iron) 7501500 mg/d in 13 divided doses; Fumarate (33% elemental iron) 200 mg t.i.d. or q.i.d.; Gluconate (12% elemental iron) 325600 mg q.i.d., may be gradually increased to 650 mg q.i.d. as needed and tolerated
Child: PO Sulfate (30% elemental iron) <6 y, 75225 mg/d in divided doses; 612 y, 600 mg/d in divided doses; Fumarate (33% elemental iron) 3 mg/kg t.i.d.; Gluconate (12% elemental iron) <6 y, 100300 mg/d in divided doses; 612 y, 100300 mg t.i.d.
Adult: PO Sulfate Pregnancy, 300600 mg/d in divided doses; Fumarate 200 mg once/d; Gluconate 325600 mg once/d
Child: PO Fumarate 3 mg/kg once/d; Gluconate <6 y, 100300 mg/d in divided doses; 612 y, 100300 mg once/d
Infant: PO Fumarate Low birth weight, 2 mg/kg/d up to 15 mg/d; 3 y, 1 mg/kg/d (max: 15 mg/d)
By coloring feces black, large iron doses may cause false-positive tests for occult blood with orthotoluidine (Hematest, Occultist, Labstix); guaiac reagent benzidine test is reportedly not affected.
Assessment & Drug Effects
Patient & Family Education