Ferrous Sulfate (Ferlum) 44mg/5ml Elixir Mineral Syrup 60ml

Generic Name: IRON

Brand Name: FERLUM

Strength: 44mg / 5mL

Form: Syrup

Manufacturer: LUMAR PHARMACEUTICAL LABORATORY, INC.

Imported and Distributed by: 

Classification: HEMATINIC

Indication/Uses: 

Product Description:

Ferrous Sulfate (Ferlum) 44mg/5mL Elixir Mineral Syrup 60mL is an oral iron supplement in the form of a liquid syrup. Each 5 mL dose contains 44 mg of Ferrous Sulfate, which provides an essential source of iron to support the body's needs. This formulation is commonly used to treat or prevent iron deficiency anemia, a condition where the body lacks adequate healthy red blood cells due to insufficient iron. Iron is a critical mineral required for the production of hemoglobin, a protein in red blood cells that carries oxygen throughout the body. Ferrous Sulfate helps to replenish iron stores, improve red blood cell production, and restore normal hemoglobin levels.

Indications:

Ferrous Sulfate Elixir is indicated for:

• Iron Deficiency Anemia: To treat or prevent iron deficiency anemia in both adults and children, particularly when dietary iron intake is insufficient or when iron absorption is compromised.

• Iron Supplementation: In patients who have increased iron requirements, such as pregnant women, menstruating women, or individuals with malabsorption issues.

• Postoperative Recovery: To support iron levels during recovery after surgery, especially if there has been significant blood loss.

• Chronic Blood Loss: For patients experiencing long-term blood loss due to conditions like gastrointestinal bleeding or heavy menstrual periods.

Dosages:

The dosage of Ferrous Sulfate Elixir depends on the age and medical condition of the patient. It should be taken with food to minimize stomach upset.

• Adults:

  • Typically, the recommended dose is 10-20 mL (88-176 mg of ferrous sulfate) once or twice daily, depending on the severity of iron deficiency.

  • Maintenance dose: After correction of the deficiency, a lower dose (e.g., 10 mL daily) may be used to maintain iron levels.

• Children (2 to 12 years):

  • The recommended dose is usually 5-10 mL (44-88 mg of ferrous sulfate) daily, based on the severity of the deficiency.

  • For children under 2 years, a healthcare provider will determine the appropriate dosage based on the child’s specific needs.

Note: It is important to follow the healthcare provider's instructions for dosing and adjust the dose based on individual needs and response to treatment. The syrup should be taken using the provided measuring spoon or dropper to ensure accurate dosing.

Side Effects:

Common side effects of Ferrous Sulfate Elixir include:

• Gastrointestinal discomfort: Nausea, upset stomach, and constipation are the most common side effects associated with iron supplementation.

• Diarrhea: Some individuals may experience diarrhea or changes in bowel movements.

• Dark stools: A common, harmless side effect is the darkening of stool color, which occurs due to the iron content.

• Abdominal pain: Mild cramping or discomfort in the stomach may occur.

• Metallic taste: Some individuals may experience a metallic or bitter taste after taking the syrup.

Less common but more serious side effects may include:

• Allergic reactions: Rash, itching, swelling of the face, lips, or throat, or difficulty breathing.

• Severe constipation: Difficulty passing stools, pain, or straining may occur with iron supplements.

• Iron overdose: Symptoms of iron overdose can include vomiting, diarrhea, abdominal pain, weakness, and confusion. Iron overdose can be life-threatening, particularly in children.

If any of the following serious side effects occur, contact a healthcare provider immediately:

• Severe allergic reactions: Difficulty breathing, swelling of the face or throat, or hives.

• Signs of overdose: Nausea, vomiting, diarrhea, dizziness, or fainting.

Contraindications:

Ferrous Sulfate Elixir should not be used in the following situations:

• Hypersensitivity to Iron: If the patient is allergic to ferrous sulfate or any of the components of the elixir, it should be avoided.

• Hemochromatosis: A condition where there is an excess of iron in the body. Iron supplementation can exacerbate the condition.

• Iron Overload Disorders: In conditions like thalassemia or sideroblastic anemia, where iron accumulation is already a problem, supplementation can worsen the condition.

• Peptic Ulcer Disease: Caution should be used in patients with active peptic ulcers, as iron can sometimes irritate the stomach lining and exacerbate symptoms.

• Gastrointestinal Obstruction: If there is any obstruction in the gastrointestinal tract, iron supplements may not be properly absorbed or may cause irritation.

Warnings and Precautions:

• Overdose Risk: Iron overdose, particularly in children, can be dangerous. Always store iron supplements in a secure place, out of reach of children.

• Gastrointestinal Effects: Iron supplements can cause constipation or diarrhea. Patients may be advised to take stool softeners or increase their fiber intake to alleviate constipation. Drinking plenty of fluids and eating fiber-rich foods may also help.

• Absorption Interactions: Certain foods or medications can interfere with the absorption of iron. For instance, calcium, dairy products, tea, coffee, and some medications (such as antacids or proton pump inhibitors) can reduce the effectiveness of iron supplements. It is generally recommended to take the elixir separately from these substances if possible.

• Pregnancy and Breastfeeding: Ferrous sulfate is commonly used during pregnancy to prevent or treat iron deficiency anemia. However, it should only be used as recommended by a healthcare provider to avoid excessive iron intake. Iron supplementation is also considered safe during breastfeeding but should be taken according to medical advice.

Conclusion:

Ferrous Sulfate (Ferlum) 44mg/5mL Elixir Mineral Syrup is an effective iron supplement for the treatment and prevention of iron deficiency anemia. It helps replenish iron levels in the body and supports the production of red blood cells. It is essential to follow the recommended dosage and consult with a healthcare provider to avoid potential side effects or overdose. If any unusual or severe side effects occur, it is crucial to seek medical advice immediately.