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Ferrous gluconate

Generic name: ferrous gluconate [FER-us-GLOO-koe-nate]
Brand names: Fergon Ferate Ferralet, Simron
Form of dosage: oral tablet (240 mg or 324 mg).
Drug class: iron products

What is Ferrous glutconate?

Ferrous gluconate, a form of iron, is available. Iron is normally obtained from food. Iron is incorporated into hemoglobin and myoglobin in your body. Hemoglobin transports oxygen from your blood to your organs and tissues. Myoglobin helps your muscle cells store oxygen. The use of ferrous gluconate to treat or prevent anemia is a treatment for iron deficiency. Ferrous gluconate can be used in other ways not mentioned in this guide.

Side effects of Ferrous gluconate

If you experience any of the following symptoms of an allergic reaction, seek immediate medical attention: hives; blistering, peeling, or blistering skin; difficulty breathing; swelling of your lips, face, tongue, or throat; or a fever.

Ferrous gluconate can cause serious side effects. If you experience:

  • Bright red blood in the stool;
  • Black or tarry stools
  • A fever
  • Stomach pain;
  • Canine vomiting blood that resembles coffee grounds
  • You may experience pain in the chest or throat after swallowing a tablet of ferrous gluconate.

Some of the common side effects associated with ferrous gluconate include:

  • Constipation, diarrhea;
  • Nausea, vomiting, and stomach pain;
  • Loss of appetite
  • Green-colored stools;
  • Temporary staining of teeth

There may be other side effects.Need advice regarding side effects? For medical assistance on such concerns, reach out to your provider immediately. The FDA can be contacted at 1-800-FDA-1088 to report side effects.

Similar/related drugs

ferrous sulfate, folic acid, ergocalciferol, thiamine, zinc, ferosulfate, and venofer

Warnings

If you have hemosiderosis or hemolytic anemia, then you should avoid using ferrous gluconate.

Before you take this drug

Ferrous gluconate should not be used if:

  • Iron overdose disorder (hemochromatosis or hemosiderosis);
  • Hemolytic anemia is a condition caused by the destruction of red blood cells.

Tell your doctor about any of the following to ensure that ferrous gluconate will be safe for you:

  • Ulcerative Colitis
  • Stomach ulcers and similar stomach problems
  • Thalassemia
  • If you regularly receive blood transfusions,

You may need a different dose during pregnancy or breastfeeding. Anyone younger than 18 is not allowed to use ferrous gluconate.

How to take Ferrous glutconate?

Do not exceed the recommended dosage or use it longer than prescribed by your physician. Use it only as directed. Do not exceed the recommended dosage or use it for longer. Ferrous gluconate should be taken on an empty stomach at least one hour before or two hours after eating. If you have a stomach upset, take ferrous gluconate with food. Ferrous gluconate should be taken with water or juice. Use the provided dosing syringe or a dose-measuring cup or spoon to measure liquid medicines. Ask your pharmacist if you don't have a device for measuring doses. You should not chew or crush an extended-release tablet. The stains are temporary. Mix the liquid ferrous gluconate (not milk) with water or juice, and drink it through a straw to prevent staining. Baking soda can be used to clean your teeth once a week if you have any staining.

The ferrous gluconate is only one part of an overall treatment program that may also include a special diet. Your doctor or nutritionist will have a diet plan for you. Learn about the foods that you can eat to ensure you are getting enough iron. Store away from heat and moisture at room temperature.

Details on dosage

Adult dose for iron deficiency anemia:
Initial dose: 960 mg/day of ferrous gluconate (120% elemental iron).
Give in divided doses (up to three times per day).
Adult dose for vitamin and mineral supplementation:
Initial dose: Take 1 tablet three to four times per day.
Initial dose: 48–144 mg/day of ferrous gluconate (elemental iron, 6–18 mg/day) taken orally in divided doses (1-3 times per day).
For those aged 51 and older: 40 to 64 mg/day of ferrous gluconate (elemental doses of 5 to 8 mg/day) taken orally in divided doses (1–3 times daily).
Adult dose for anemia associated with chronic renal failure:
Initial dose: 1600 mg/day ferrous gluconate (200 mg/day elemental iron) divided into 1 to 3 doses daily.
Comments:
If goals aren't met after 1 to 3 months with oral iron, consider IV iron supplements.
Smaller daily doses are more likely to be tolerated.
The usual dose for iron deficiency anemia in children is:
From 0 to 5 years: 24 to 48 mg/kg/day of ferrous gluconate (between 3 and 6 mg/kg/day of elemental iron).
From 5 to 12 years old: 480 mg ferrous gluconate (60 mg/day elemental).
12–18-year-old male: 480 mg ferrous gluconate daily (60 mg elemental).
Feminine 12–18 years: 480–960 mg/day of ferrous gluconate.
Give in divided doses (up to three times per day).
Normal Pediatric Dose of Vitamin/Mineral Supplementation:
Preterm infants (less than 37 weeks of gestation), from 0 to 12 months: 16 mg/kg/day ironous gluconate (2 mg/kg/day elemental iron)
0 to 6 months: 1.6 to 2,16 mg/day (0.2 to 0,27 mg/day elemental).
7 to 12 months: 56 to 88 mg/day ferrous glutconate (elemental doses of 7 to 11mg)
From 1 to 3 years old: 32 mg to 72 mg/day of ferrous gluconate (4 mg to 9 mg/day of elemental).
From 4 to 8 years old: ferrous gluconate, 32 to 80 mg/day (4 to 10 mg/day of elemental).
9- to 13-year-olds: 48 to 64 mg/day ferrous-gluconate (6–8 mg/day elemental).
From 14 to 18: ferrous gluconate (64 to 120 mg/day) (8 to 15 mg/day of elemental).
Give in divided doses (up to three times per day).

What happens if I miss the dose?

As soon as you recall, take the missed dose. If your next scheduled dosage is approaching, skip the missed dose. You should not take more medicine to compensate for a missed dose.

What happens if I overdose?

If you believe you've used too much ferrous gluconate or if your child has accidentally ingested it, call Poison Help at 1-800-222-1222. A child can die from an overdose of ferrous gluconate. Overdose symptoms include drowsiness or severe nausea, stomach pain, or vomiting. Other symptoms are bloody diarrhea or vomit that looks similar to coffee grounds.

What should be avoided?

Consult your doctor before taking any vitamin, mineral, or antacid supplement. Only use the antacids or supplements your doctor has prescribed. Minerals or antacids may make it more difficult for your body to absorb ferrous gluconate. Avoid taking antacids and antibiotics 2 hours before or 2 hours following ferrous gluconate. It is important to take this precaution if you are taking:

  • Ciprofloxacin, levofloxacin, lomefloxacin, norfloxacin, and ofloxacin;
  • Demeclocycline, doxycycline, minocycline, or tetracycline.

Ferrous gluconate can be absorbed less efficiently by your body if you eat certain foods. Take this medication at least 2 hours before or after eating liver, fish, whole grain breads, cereals, or foods containing "fortified" grains or whole grains.

Interaction with other drug

Ferrous gluconate may interact with other drugs, such as prescription and over-the-counter medicines, vitamins, and herbal supplements. Inform your doctor of all the medicines you are currently taking and those that you will begin or stop using.

DRUG STATUS

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Prescription only

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