Indications |
Oral Iron-deficiency anaemia Adult: Expressed in terms of elemental iron. Treatment: 60 mg bid up to 60 mg 4 times daily. Prevention: 60 mg daily. Child: Expressed in terms of elemental iron. Treatment: Severe: 4-6 mg/kg/day in 3 divided doses; Mild to moderate: 3 mg/kg/day in 1-2 divided doses. Prevention: 1-2 mgkg/day. |
Contraindications |
Haemochromatosis, haemolytic anemia. |
Warnings / Precautions |
Avoid in patients with peptic ulcer, enteritis, or ulcerative colitis and those who receive frequent blood transfusions. Not to be used in premature infants until the vitamin E stores (deficient at birth) are replenished. Avoid prolonged treatment (>6 mth) except in patients with continuous menorrhagia or bleeding. |
Adverse Reactions |
GI symptoms e.g. stomach cramping, constipation, nausea, vomiting, dark stools, heartburn, diarrhea, teeth staining, urine discoloration. |
Overdose Reactions |
Overdose may lead to severe iron toxicity, espcially in children. |
Drug Interactions |
Concurrent admin with antacids/H2 antagonists may reduce absorption of iron. Chloramphenicol may delay response to iron. Iron may reduce the absorption of levodopa, methyldopa and penicillamine when given together. Absorption may be reduced when used with quinolones or tetracyclines. Concurrent admin with vitamin C may increase iron absorption. See Below for More ferrous gluconate Drug Interactions |
Lab Interactions |
May cause false-positive for blood in stool by the guaiac test. |
Food Interactions |
Cereals, dietary fiber, tea, coffee, eggs and milk may reduce iron absorption. |
Mechanism of Actions |
Ferrous gluconate is used in the prevention and treatment of iron-deficiency anaemia. It replaces iron found in haemoglobin, myoglobin and enzymes. It also allows transportation of oxygen via haemoglobin. Onset: Haematologic response: Oral: 3-10 days. |
Administration |
Should be taken on an empty stomach. (Best taken on an empty stomach. May be taken w/ meals to reduce GI discomfort.) |
ATC Classification |
B03AA03 - ferrous gluconate ; Belongs to the class of oral iron bivalent preparations. Used in the treatment of anemia. |
Available As |
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Ferrous Gluconate
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Ferrous Gluconate Containing Brands
Ferrous Gluconate is used in following diseases
Drug - Drug Interactions of Ferrous Gluconate
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