Iron supplements for anemia, for pregnant women, children, women and men. Benefits like taking pills, capsules, a list of the best means, titles and prices

Progression of iron deficiency is associated with a balance of iron excretion from the body and its receipt. If the rate of arrival of the trace element below its removal, it may develop anemia. The human body does not produce iron, it falls into it along with the food.

But in some cases, even regular consumption of iron-containing foods is insufficient to maintain the balance. And then doctors prescribe special therapy drugs iron for anemia.

Classification of iron-containing preparations

Iron preparations are classified according to the mode of administration:

• oral reception of medicines - receiving medicine through the mouth;
• parenteral administration - is administration by injection.

Absorption mechanism drugs are divided into groups:

• ionic compounds Fe II-salt, as salts of sulfuric acid, calcium gluconate, hydrochloric acid salts;
• nonionic compounds Fe III -nesolevye, in complex combination with iron, sugars and proteins.

Conditioning composition of the drugs are divided into:

• One-component - medicines, consisting only of Fe salts.
• multicomponent - medicines having auxiliary components.

Any iron supplements for anemia better with divalent or trivalent iron

Among pharmaceuticals, there are 2- and 3-valent formulation. Iron divalent form (Fe II) are largely absorbed and easily absorbed by the body than trivalent (Fe III) similarity. Basically divalent drugs used in format syrups, powders, tablets, capsules, and pills.

Salt Fe II quickly absorbed in the gastrointestinal tract, however, account for a considerable number of side effects at the highest doses.

Because the absorption of ionic drugs falls due to individual foods, they require fasting. Overdose of this type of drug is extremely dangerous, because it adversely affects the stomach. All divalent drugs differ in the number of iron per dose, and therefore processed by the body differently.

Ferrous sulfate is in the first place on digestibility, followed by the iron chloride, etc. iron fumarate, ferrous gluconate and iron lactate. Excipient mukoproteoza prevents intestinal inflammation: Fe II ions are released immediately, and the tolerance of components increases.

Iron supplements in pill form

Category nonionic better tolerated drugs, but at the same time have a low efficiency, barely absorbed by the intestinal mucosa, and therefore are not as popular.

iron supplements for anemia tablets have certain conditions for admission:

• Category nonionic better tolerated drugs, but at the same time have a low efficiency, barely absorbed by the intestinal mucosa, and therefore are not as popular.
• iron supplements for anemia tablets have certain conditions for admission:
• Shell capsules and tablets protects against irritating reaction gastrointestinal tract.
• The proportion of iron in the drug substance should not exceed 160 mg. Excess dosing may affect critical.
• To wash down pills must plenty of water, without chewing.
• Medical preparations with ferrous iron (Fe III) are recommended along with vitamin C.
• You should never self-medicate and stop your choice at the facility from anemia, guided by the reviews on the Internet.

Title, release Form	Manufacturer, Country of origin	Active ingredients	Features of the application	cost of
Sorbifer durules tablets in a special envelope 30 or 50 pieces	LLC "EGIS-RUS" Hungary	100 mg of Fe2 + 60 mg of an organic compound with vitamin C.	Holidays prescription, taken before meals for 40-45 minutes or 2 hours after, Patients over 12 years old	30 tablets - from 356 rubles. 50 tablets - from 516 rubles.
Ferretab COMP Capsules of 30 pieces	LANNAHER Austria	163.56 mg Fe fumarate - 50mg Fe2 + 0.54 mg of folic acid	Prescription medication, taken 30-60 minutes before a meal, Patients over 12 years old	from 350 rubles.
HEFEROL Capsules of 30 pieces	ALKALOID AD Macedonia	Fe fumarate 350 mg - 115 mg Fe2 +	Prescription medication, taken before meals for 60 minutes or 2 hours after, Patients older than 12 years	from 135 rubles.
Maltofer FOL Chewable tablets of 10 and 30 pieces	TAKEDA Pharmaceuticals Switzerland	Fe III hydroxide-polymaltose complex equivalent Fe content folic acid	Prescription medication, taken during or after a meal, Patients over 12 years old	10 tablets of 295 rubles. 30 tablets of 280 rubles.
Ferrum lek Tablets for razzhovyvaniya 30, 50 or 90 pieces	LEK d.d. Slovenia	Fe III hydroxide-polymaltose complex 400 mg 100 mg Fe peer	Prescription medication, taken during or after a meal, Patients older than 12 years	30 tablets of 308 rubles. 50 tablets of 490 rubles. 90 tablets of 800 rubles ..

iron preparations in drops, and as a syrup

The liquid concentrate of drugs, according to the pharmaceutical companies quickly digestible. Constituent substances contained in soluble form, which implies a more rapid process of chemical reactions in the patient and have fewer side effects.

Title, release Form	Manufacturer, Country of origin	Active ingredients	Features of the application	cost of
Ferrum lek Syrup 100 ml	LEK d.d. Slovenia	Fe III hydroxide-polymaltose complex 200 mg Fe + 3 50 mg	Prescription drugs, taken during or after a meal, Patients of all ages	from 175 rubles.
Aktiferrin Drops 30 ml	Teva Pharmaceutical Industries Ltd. Israel	Sulfate, ferrous sulfate heptahydrate 47.2 mg-9.48 mg	Prescription drugs, taken during or after a meal, Patients of all ages	from 345 rubles.
Ferlatum foul (FERLATUM FOL) A solution of 15 ml	ITALFARMACO S.p. A. Italy	Fe complex proteinaceous compound 800 Fe3 + mg 40 mg Ca folinate pentahydrate 0.47 mg	Prescription medication, taken during a meal or immediately after receiving it, Patients of all ages	from 675 rubles.

iron preparations for intramuscular administration

In particularly difficult situations in the struggle with anemia requires intramuscular and intravenous iron supplements.

Title, release Form	Manufacturer, Country of origin	Active ingredients	Features of the application	cost of
Ferinzhekt Solution for / in at 10 and 2 ml	VIFOR International Inc. Switzerland	Fe karboksimaltozat 156-208 mg Fe 50 mg	Prescription drugs, in adults and elderly	10 ml of RUB 5100. 2 ml of 4700 rubles.
Venofer Solution for / in 2 and 5 mL	VIFOR International Inc. Switzerland	Fe III hydroxide sucrose complex 540 mg Fe + 3 40 mg	Prescription drugs, in adults and elderly	5 ml of 2525 rubles.

How to take the medication: common rules for admission

Initial examination of the patient spends a therapist. He finds out what could be the reasons for the decline in blood hemoglobin standards (chronic diseases, lifestyle factors and work), assigns the appropriate medical examination and determine treatment.

With a lack of deeper knowledge of specific therapist directs the patient to a haematologist.

Designate a ferrous tool, medical specialist, primarily looking at a few highlights:

1. Results of laboratory examinations: general blood analysis; analysis biochemistry blood; stool occult blood.
2. Gender and age of the patient.
3. Overall assessment of the patient: skin and mucous membranes (the presence or pigmentation jaundice, bruising, pallor, cheilitis); The lymph nodes; digestive system (epigastric area, Banti syndrome); the respiratory system (tachypnea, dyspnea); the cardiovascular system.

iron supplements for anemia may reduce their effectiveness, if not stick to the following rules:

• iron-containing substance is not allowed to take with other drugs inhibiting iron absorption (the group of antibiotics, calcium citrates, substances that reduce the acidity in the stomach);
• sorbitol, vitamin C, succinic and citric acid should be taken in conjunction with the iron-containing preparations for more efficient absorption in the gastrointestinal tract;
• all preparations of ferrous taken on an empty stomach. During treatment should reduce consumption, and it is better to completely abandon the following foods:
• products from whole grains / maize;
• caffeinated drinks / Coke / chocolate;
• milk and dairy products / eggs;
• leafy vegetables / spinach.

Sorption of trivalent iron is not significantly associated with food, so they can be taken at any time.

To speed up the process of absorption of iron to be added to the daily diet of foods with high acid content:

• meat products / meat / seafood;
• citrus / pear and apple / plum / bananas;
• cauliflower / tomato / sweet pepper / cucumber;
• carrot / potato / beet / pumpkin / // broccoli cabbage and sauerkraut;
• kefir.

1. while skipping receiving the drug should not be drinking a double dose followed by a reception, risking a sharp surplus of iron in blood serum;
2. with a weak tolerance to the drug discovery side effects - it is necessary to tell the attending doctor and he will select another drug;
3. Do not exceed the recommended dosage.

The course of treatment - a sufficiently long period. Initially, the minimum prescribed dosage gradually increase. First, the patient takes 2-3 months needed dose of medication for treatment. Then, for another two or three months, continue to take preventive dose.

Means for treatment of anemia: it is better tablets or injections

Most often, doctors recommend oral.

Method medications in carry several advantages:

• natural process;
• cheaper;
• No special qualifications are required;
• there is no danger of inflammatory complications of the skin;
• less risk of fatal allergic reactions;
• a wide range of dosage forms for all age groups.

Important! iron supplements for anemia, intended for injection, used in exceptional cases under the supervision of the attending doctor, because it can cause serious complications.

The injections are justified in the following situations:

• the patient is in an unconscious state;
• violation of the swallowing reflex;
• reduced drug absorption in the gastrointestinal tract caused by prolonged pathology (disease, inflammation associated with intestinal wall);
• relapse ulcerative lesions and intestinal diseases;
• nonspecific ulcerative colitis;
• characteristic intolerance Fe;
• Endoscopic resection;
• the need in the near saturation of the iron-containing drugs before surgery.

iron supplements for anemia for adults

• Aktiferrin - gelatin capsules. Active ingredients: Fe sulfate, serine.
• tardiferon - The long-acting tablets coated with sugar. Excipients: an organic compound with vitamin C.
• Fenyuls - capsule with vitamins Fe complex.

• totem - a combined solution antianemic preparation. Excipients: copper, manganese.
• Maltofer foul - tablets razzhovyvaniya enriched with folic acid.
• Sorbifer durules - tablets with a specific smell. Auxiliary means: an organic compound with vitamin C, 60 mg.

For parenteral administration:

• Ferrum Lek - used when you want to quickly make up for deficiency of iron in the body. Macromolecular compounds Fe III poliizomaltozat hydroxide.
• Kosmofer - used by intravenous drip infusion or intramuscular injection. The drug is used only in hospital conditions resuscitation.

iron supplements for anemia Maternity

The required amount of iron for an average woman reaches 18-20 mg / day. The same rate and in the first ten days of pregnancy, which is twice as much iron norm for men. By the third decade of this figure rises to 30-33 mg / day. Assimilable iron from food is about 2 mg.

The negative impact of iron deficiency in a short time depletes the mother's body, which had a negative impact on a child's development. Only one power adjustment to increase hemoglobin index will not be enough. Selection of a synthesized drug, dosage form, dosage and period of treatment - the prerogative of the attending physician.

Self-treatment is strictly prohibited.

In the treatment and prevention of iron deficiency anemia during pregnancy recommend the following products:

1. Aktiferrin and Aktiferrin kompozitum - used in the treatment and prophylaxis during pregnancy and lactation.
2. Sorbifer - a pronounced efficacy of the medicament, generated by the combined interaction of its components FeII sulphate and ascorbic acid.
3. totem - French antianemic drug, recommended for pregnant and lactating women.
4. tardiferon - slow and uniform tablets property dictated by the properties of their constituent components.
5. gemofer - drops for oral administration containing iron chloride (II) 157 mg, therefore, for the prevention of pregnancy is received 1/2 dose.
6. Gemohelper - used to reduce the risk of iron deficiency of varying severity during pregnancy and breast-feeding.

Drugs for anemia for children

Anemia is not excluded at all ages, it can develop as in infants and school age. With the development of anemia bad kids gain weight, often get sick, activity decreases. Nervousness, weakness, frequent mood swings, should be the occasion of the visit to the therapist.

iron supplements for anemia for the little ones are well represented by pharmaceutical companies in the form of syrups and drops. Such forms of drugs like more children than their counterparts in the tablets.

• Maltoferas a syrup and drops - differs from adult concentration degree of drugs has a sweet taste.
• Fenyuls drops Complex - have a milder action are assigned with simple forms of anemia.
• Sorbifer Durules - is designed for children from 12 years.
• Ferry drops - can be mixed with juice or mixtures, without fear of reducing the effectiveness of the drug.
• Ferlatum solution - can be used with the newborn period.

The effectiveness of iron-deficiency anemia with vitamins

With the advent of the Internet, many people have a tendency to put a diagnosis on their own and engage in self-healing. Vitamin compounds containing iron in itself, is widely available modern pharmacology. With the help of vitamin complexes iron deficiency anemia can only alert, but, in any case, not a treat!

vitamins prevention should be in every family. Many vitamin complexes are actually biologically active additives, simply Badami. These additives do not contain vitamins and minerals, or contain very small. But often can include poorly understood components. Not to harm the health, especially children, should consult a doctor.

Hematogen for anemia: benefits and harms

Another myth as a therapeutic agent is hematogen. In the XIX century Switzerland hematogen was opened - a rich mixture of iron-based livestock blood components. The effect of the invention was so high, that means quickly gained mass calling.

Popularity as a tasty medicine has caused the emergence of numerous analogs that replicate the taste of money and do not have any useful features. Correct hematogen Bud is valuable for preventing decrease of hemoglobin. But only as a dietary supplement! Belly tiles hematogen iron deficiency anemia not cure.

The interaction of iron supplements with other medications

iron supplements for anemia can not be used with medications to improve digestion, some antibacterial drugs, and tetracycline. The absorption of trace elements in the gastrointestinal tract from below: Carbonates and phosphoric acids, salts of zinc, antacids. With caution at single treatment of steroid hormones.

Should avoid overlapping with nonsteroidal anti-inflammatory drugs because of the increasing irritation of the mucous membranes. Considering the above facts, the appointment of therapy antanemic certainly worth a voice doctor about the use of other drugs.

Contraindications to receiving

Iron-containing drugs are contraindicated in a number of disease:

• chronic inflammatory diseases of liver and kidneys;
• leukemia;
• aplastic anemia;
• peptic ulcer disease;
• hypersensitivity to preparations of iron;
• diseases caused by various bacteria;
• pronounced side effects. In this case, the doctor will make a replacement vehicle or reduce the dosage.

Possible side effects

When oral treatment is not possible the emergence of this kind of side effects:

• unpleasant metallic taste in the mouth;
• a painful sensation in the stomach prior to vomiting, diarrhea;
• poor appetite;
• constipation.

In some cases, a darkening of the teeth. Iron compound with hydrogen sulphide, are in the mouth, giving such a reaction. In order to avoid this unwanted effect, it is recommended after taking the drug thoroughly rinse your mouth.

Thus, properly chosen iron preparation with anemia and compliance with recommendations by the procedure use, allows no unpleasant symptoms increase the hemoglobin level in the shortest possible time.

Author: Natalia Ivanova

Helpful videos on various formulations of iron for anemia

Dr. Komarovsky about the kinds of iron supplementation:

How to treat anemia: