Indications And Usage

Iron Deficiency Anemia

Anemia Associated with Chronic Renal Failure

Vitamin/Mineral Supplementation

Administration

Take ferrous sulfate on an empty stomach, at least 1 hour before or 2 hours after a meal. Avoid taking antacids or antibiotics within 2 hours before or after taking ferrous sulfate.

Usual Pediatric Dose for Iron Deficiency Anemia:

0 to 5 years: 15 to 30 mg/kg/day ferrous sulfate (FeSO4) (3 to 6 mg/kg/day elemental iron)

5 to 12 years: 300 mg FeSO4 (60 mg/day elemental)

Usual Pediatric Dose for Vitamin/Mineral Supplementation

Preterm infant (less than 37 weeks gestation), 0 to 12 months: 10 mg/kg/day ferrous sulfate (FeSO4) (2 mg/kg/day elemental iron)

0 to 6 months: 1 to 1.35 mg/day FeSO4 (0.2 to 0.27 mg/day elemental)

7 to 12 months: 35 to 55 mg/day FeSO4 (7 to 11 mg/day elemental)

1 to 3 years: 20 to 45 mg/day FeSO4 (4 to 9 mg/day elemental)

4 to 8 years: 20 to 50 mg/day FeSO4 (4 to 10 mg/day elemental)

9 to 13 years: 30 to 40 mg/day FeSO4 (6 to 8 mg/day elemental)

14 to 18 years: 40 to 75 mg/day FeSO4 (8 to 15 mg/day elemental)

Contraindications

Hypersensitivity to iron salts or any component of the formulation; hemochromatosis, hemolytic anemia

Precautions

• Gastrointestinal disease: Avoid in patients with peptic ulcer, enteritis, or ulcerative colitis.

Adverse Reactions

constipation , black or dark-colored stools, temporary staining of the teeth.

Pregnancy and lactation

Ferrous Sulfate  is safe in pregnancy.

Renal and liver Impairment

Oral iron therapy is considered not only for patients with CKD but also for peritoneal dialysis patients and patients after kidney transplantation if mild iron deficiency should be corrected.

Laboratory Tests