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One milliliter of drops for oral administration contains 50 mg of the polymaltose complex of ferric trivalent iron hydroside + sodium propylparahydroxybenzoate, water, cream flavor, sodium methyl parahydroxybenzoate, sodium hydroxide, sucrose. In terms of iron, in one drop of the solution is 2.5 mg.Syrup Maltofer (1 ml) contains: 10 mg of polymetal iron complex + auxiliary substances (propyl parahydroxybenzoate, sorbitol solution 70%, water, cream flavor, methyl parahydroxybenzoate, sodium hydroxide, 96% ethanol, sucrose).One tablet contains: iron 100 mg + additional ingredients (vanillin, talc, chocolate flavor, microcellulose, dextrates, sodium cyclamate, macrogol 6000, cocoa powder).On one ml of the solution for ingestion is 20 mg of iron (in the form of a polymetose complex of ferric hydroxide) + auxiliary substances (sodium propylparahydroxybenzoate, sorbitol 70% rr, sucrose, sodium methylpahydroxybenzoate, sodium hydroxide, water, flavor).In one ml of the solution for the / m administration contains 141 to 182 mg of iron hydroxide (50 mg ferric hydroxide) plus water for injection, sodium hydroxide, hydrochloric acid.
The preparation of iron replenishing its deficiency in the body.
Iron - a very important and necessary for the body element. It is a part of hemoglobin and myoglobin, it performs a number of important functions in the metabolism process. Deficiency of iron leads to anemia.Due to the fact that the polymetal complex is more stable and practically does not enter the oxidation reaction, iron is not released into the digestive tract as Fe3 + ions. Its structure is most similar to the natural structural element - ferritin. Due to this, the frequency and the number of possible side effects from taking the drug is significantly reduced.Reduces the degree of susceptibility to oxidation of low and very low density lipoproteins.Getting into the systemic bloodstream, by sucking into the intestine (in the duodenum or small intestine) or by direct injection (injection solution), iron passes through the reticuloendothelial system and accumulates in the liver. And then, in the bone marrow, it participates in the processes of formation of hemoglobin, myoglobin and other elements.Studies were carried out using the technique of double isotopes, which showed that the degree of assimilation of iron is selective. If a sufficient amount of substance is present in the body, then the degree of absorption will be extremely low, in comparison with the state of iron deficiency. The stronger the body lacks iron, the more it absorbs.The product has a low toxicity. Unused iron is excreted with feces, dead cells of the epithelium of the gastrointestinal tract and skin, during breathing, with bile and urine. It should be remembered that in women there is a large loss of iron during menstruation.If it is not possible to use the drug in tablets or another form, an injectable solution is used. When intravenously administered one day after the injection, the drug reaches the maximum concentration in the plasma.
The regimen, dosage and duration of treatment are determined by the attending physician.Drops, syrup, tablets or a solution are taken orally during or after a meal. Tablets can be cracked or chewed, liquids can be diluted in juice or water.
In order to normalize the level of hemoglobin in the blood (for adults) one bottle of the drug is drunk 1 or 3 times a day. The course is from 3 to 5 months, then the dosage is reduced to 1 bottle. For prophylaxis take 1 bottle a few months. For pregnant women, the dosage will be slightly higher.
The likelihood of an overdose is extremely small, especially when taken orally. No cases of overdose have been reported. Clinical studies have confirmed that even with the intake of 2000 mg of iron per kg of human weight, a lethal outcome is unlikely.The likelihood of an overdose increases with intramuscular injection of the drug. There can be an acute overload with iron, symptoms of hemosiderosis will appear.Therapy - according to the manifested symptoms, the reception of chelates (Deferoxamine intravenously).
Antacids, vitamin E, eggs, milk, coffee and black tea, cheeses and some cereals can complicate the process of iron absorption in the intestine. Citric acid and vitamin C, on the contrary, strengthen the process.Plasma concentrations of penicillamine, tetracycline and sulfasalazine are reduced by the action of iron salts.Storage conditions
Keep out of direct sunlight, keep away from light and from children. Temperature regime: up to 25 degrees.Shelf life - 5 years. Ampoules should be used immediately after opening.
The drug (especially the form for oral use) can stain the feces black.Care should be taken in patients with diabetes mellitus or with intolerance to fructose.The drug is not recommended for patients with leukemia.Ampoules with the drug should not contain sediment or be damaged. After opening, the injection solution should be used immediately.Intramuscular administration of the drug to children younger than 4 months is not recommended.
For children under 12 years, the most appropriate is the use of a syrup. At the age of up to one year, it is recommended that syrup be changed to drops for children.The drug has positive feedback when taking children, the drug is well absorbed, practically does not cause adverse reactions.
There have been studies confirming that in women in the 2nd and 3rd trimester of pregnancy, taking the drug does not cause illness of the mother or fetus.Reviews during pregnancy on the medicine are good. The drug well raises hemoglobin, rarely causes adverse reactions. If there is an urgent need to use the product during lactation, you should consult with your doctor about the advisability of continuing to breast-feed.
The drug helps to raise low hemoglobin in a relatively short time. The medicine has, basically, positive reviews. Side effects occur rarely, most often it is diarrhea or constipation. Some people do not like the unpleasant taste of syrup or drops, unlike the smell. After injections with a remedy with the wrong technique of administration, sometimes dark spots remain on the skin, which last a long time.Reviews for babies
Maltofer quickly and effectively raises hemoglobin to small and nursing infants. Parents give preference to drops or fluids for oral administration. Often diluted with milk. Side effects occur infrequently.
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