ferrous sulfate




Full Prescribing Info
Capsule: Vitamin B complex, ferrous fumarate. Syrup/Oral Drops: Ferrous sulfate.
Capsule: Each capsule contains: Ferrous Fumarate 320 mg (Equivalent to 105.4 mg Elemental Iron), Thiamine Mononitrate (Vitamin B1) 10 mg, Nicotinamide 30 mg, Pyridoxine HCl (Vitamin B6) 5 mg, Cyanocobalamin (Vitamin B12) 25 mcg.
Syrup: Each 5 mL (1 teaspoonful) contains: Ferrous Sulfate heptahydrate 220 mg (equivalent to 44 mg elemental iron).
Oral Drops: Each 0.6 mL contains: Ferrous Sulfate 75 mg (equivalent to elemental iron 15 mg).
Capsule: For all types of anemia as in pregnancy and convalescence, adolescence, blood loss, severe infections. Also used for Vitamin B complex deficiencies.
Syrup/Oral drops: For the treatment of iron-deficiency anemia.
Dosage/Direction for Use
Capsule: One capsule daily or twice daily or as prescribed by a physician.
Syrup: Adult: 100 to 200 mg of iron daily in divided doses for the treatment of iron-deficiency anemia and prophylactic dose of 60 mg to 120 mg of iron daily. Or as prescribed by a physician.
up to 2 mg iron per kg body-weight three times daily for treatment and 1 mg per kg daily for prophylaxis of iron-deficiency anemia.
Oral drops: For Prophylaxis: 500 mcg-1 mg elemental iron/Kg daily, (single or in divided doses).
For Iron Deficiency Anemia: 6 mg elemental iron/Kg daily in divided doses with meals. Or as prescribed by a physician.
Special Precautions
Iron compounds should not be given to patients receiving repeated blood transfusions or to patients with anemias not produced by iron deficiency. Care should be taken in patients with iron-storage or iron-absorption diseases.
Capsule: Care should be taken in patients with existing gastrointestinal diseases.
Syrup, oral drops: Oral iron therapy should not be administered concomitantly with parenteral iron.
Syrup: Liquid preparations containing iron salts should be well diluted with water and swallowed through a straw to prevent discoloration of the teeth.
Adverse Reactions
Syrup, oral drops: The astringent action of iron preparations sometimes produces gastrointestinal irritation and abdominal pain with nausea and vomiting. These irritant side-effects are usually related to the amount of elemental iron taken rather than the type of preparation. Other gastrointestinal effects may include either diarrhea or constipation. Side effects may be reduced by administration with or after food (rather than on an empty stomach) or by beginning therapy with a small dose and increasing gradually. Oral liquid preparations may blacken the teeth and should be drunk through a straw. The feces of patients taking iron salts may be colored black.
Oral drops: Absorbed iron is conserved by the body, iron overload, with increased storage of iron in various tissues (hemosiderosis) may occur as a result of iron deficiency anemia and also at risk as are those with pre-existing iron storage or absorption diseases.
Drug Interactions
Syrup: Compounds containing calcium and magnesium, including antacids and mineral supplements, and bicarbonates, carbonates, oxalates, or phosphates, may impair the absorption of iron by the formation of insoluble complexes. Similarly the absorption of both iron salts and tetracyclines is diminished when they are taken concomitantly by mouth. If treatment with both drugs is required, a time interval of about 2-3 hours should be allowed between them. A suitable interval is also advised if an iron supplement is required in patients receiving trientine. Zinc salts may decrease the absorption of iron.
Some agents, such as ascorbic acid and citric acid, may actually increase the absorption of iron. The response to iron may be delayed in patients receiving systemic chloramphenicol.
Iron salts can also decrease the absorption of other drugs and thus reduce their bioavailability and clinical effect. Drugs so affected include biphosphates, entacapone, fluoroquinolones, levodopa, methyldopa, penicillamine, and tetracycline. Iron salts may reduce the efficacy of thyroxin (levothyroxine).
Store at temperatures not exceeding 30°C.
MIMS Class
Vitamins & Minerals (Pre & Post Natal) / Antianemics
ATC Classification
B03AE10 - various combinations ; Belongs to the class of iron in other combinations. Used in the treatment of anemia.
Cap/Oral drops: Rx; Syr: Non-Rx
Ferosal cap
100's (P647.5/pack)
Ferosal oral drops 75 mg
15 mL x 1's (P73.55/bottle)
Ferosal syr
60 mL x 1's (P87.2/bottle)
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