The Formation Of Blood And Blood

Totem. Instructions for use. Price, reviews, analogues

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Totem - a means to increase the amount of hemoglobin in the blood. For the treatment of anemia medication should be taken according to the application and the recommendations of the expert's instructions. Medication is approved for the reduction of iron level for children from 3 months and pregnant women.

The content of the article:

  • 1 the drug
  • 2 release Form
  • 3 Pharmacodynamics and Pharmacokinetics
  • 4 Indications
  • 5 Contraindications
  • 6 for use and dosage instructions
  • 7 Overdose
  • 8 Side effects
  • 9 Interaction
  • 10 special instructions
  • 11 Terms of sale and storage
  • 12 drug analogues
  • 13 The cost of the drugstores of Moscow, St. Petersburg, regions
  • 14 Video of the Totem

the drug

Totem active elements are iron, manganese and copper, which are contained in a 10 ml (1 ampoule): 50 mg; 1.33 mg; 0.70 mg - respectively.

To impart the desired effect, texture and palatable preparation comprises additional elements:

  • glycerol. This viscous hygroscopic liquid, which is colorless and odorless. It has a sweet taste;
  • a simple sugar and sucrose;
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  • powdered citric acid;
  • sodium salt of citric acid, has a sweet and salty taste;
  • E 211;
  • polysorbate. This surfactant, which ensures emulsification of oily components of the formulation;
  • E 150c;
  • flavor (tutti-frutti);
  • purified water.
Totem. Instructions for use. Price analogues

This structure allows a means to increase the level of hemoglobin in the blood and strengthen the immune system.

release Form

Totem available in an oral solution that is placed in vials of 10 ml. The drug has a dark brown color and sweet, metallic flavor. The carton is 20 ampoules, which are arranged in 10 pieces. in the first pallet. When opening the package small precipitate may be present in the ampoule, it is normal for the drug.

Pharmacodynamics and Pharmacokinetics

Totem (instruction manual includes familiarization with the action of the drug and its assimilation in organism) is combined component, wherein iron, manganese and copper supplement the effect of each other. Iron is the main component of heme particles (part of hemoglobin), and iron-containing enzymes.

Hemoglobin is involved in gas exchange in the organism, and enzymes in oxidative metabolism.

Totem. Instructions for use. Price analogues

Manganese and copper are involved in the formation of hemoglobin. Their presence in the formulation allows better assimilate iron in the body. In addition, they normalize the biochemical and physiological processes. Stimulates cell metabolism and hormones.

Of the dose absorbed by the body to 20% of the formulation. When a strong iron deficiency rate may increase. Assimilation of medicament occurs primarily in the duodenum. Next, the desired portion of the medicament into the bloodstream, and the remainder iron accumulates and enters the bloodstream is lowered hemoglobin.

Undigested of the drug via renal and stool leaves the body. Due to the accumulating process Totem prolonged therapeutic effect after dosing.

Indications

The solution was assigned for increasing amounts of iron with 3 months of age. Pregnant drug helps make up for iron deficiency as a result of childbearing, and replenishes the body with essential micronutrients for the normalization of hematopoiesis.

Adults and children totem assigned to the prevention and treatment of anemia, which can be triggered by the following factors:

  1. Large blood loss (in trauma, childbirth, accident).
  2. Insufficient production of red blood cells or hemoglobin.
  3. Lack of manganese and copper in the body, in connection with which the production of red cells worsens.
  4. Malfunctions of the digestive tract, where the absorption of iron is deteriorated.
  5. Prematurity or children of multiple pregnancies. This group is exposed anemia more than 50%.
  6. Malnutrition, low number of products containing iron.
Totem. Instructions for use. Price analogues

If a woman has heavy menstrual flow, the solution can be assigned to a physician for preventive purposes. Also means recommended in treatment of cancers.

Contraindications

Totem (instructions for use is necessary for the review, as it contains the item contraindications) banned for use in the presence of certain pathologies.

They are as follows:

  1. Anemia, which develops not because of a lack of iron.
  2. With the accumulation of iron in the organs and tissues (hemosiderosis).
  3. Hemochromatosis - a genetic disease characterized by a failure in the metabolism of iron, so that it accumulates in the bodies tissues.
  4. Thalassemia. Hereditary pathology, in which the reduced hemoglobin synthesis.
  5. ileus.
  6. Immunity of the organism to the drug.
  7. When the poisoning metals, particularly lead.
  8. Genetic pathology of the liver and nervous system with impaired copper metabolism in the body (Wilson's disease).
  9. blood transfusions in large numbers.
  10. Hypersensitivity or intolerance to the components of the solution.
  11. Children up to 3 months.
  12. Ulcer formation in the stomach and intestines.
Totem. Instructions for use. Price analogues

In diabetes drug is given under the supervision of a physician or pediatrician, as in the medicament includes sugar and glucose. And when used with caution deviation hepatic and renal function.

for use and dosage instructions

Solution before use is recommended to take food, then the drug is completely absorbed. the drug should be roused to sediment left before opening the vial. After this end of the ampoule carefully removed, and the drug is poured into the desired container. Thereafter, the solution should be used within 24 hours.

Means desirably mixed with the sweetened water (milk, coffee, juices are not used). Serving means via cannula to avoid the staining of tooth enamel in brown. After receiving the money, rinse the mouth of the balance of the drug, children can be given a drink of water.

A single dose of the drug varies by age:

  • adults and children after 12 years assigned to 40 mg of drug per day, equivalent to 200 mg of iron. This amount is contained in the 4 ampoules. The dose can be divided into a morning and an evening reception. Depending on the severity of anemia therapist / pediatrician can adjust the dosage and duration of the receiving means. Self-change is not recommended to apply the treatment, since it is necessary to monitor blood dynamics of iron in the treatment process;
  • Children from 3 months to 12 years Totem take years depending on the weight. 1 kg of taken at 5-7 mg solution. This volume was used for the 2 doses. Before use the preparation is diluted as sweet water. To prevent the development of anemia dosage is reduced 2-fold;
  • women, Bears a child, the totem is appointed for the prevention of anemia, improve immunity and hematopoiesis. When prevention is necessary to take the first ampoule per day. In the treatment dose can be increased up to 4 ampoules. The solution is allowed to use on the 2nd and 3rd trimester of pregnancy;
    Totem. Instructions for use. Price analogues
  • lactation therapist assigned from the first to the 4 ampoules (depending on the purpose of administration, prophylaxis or treatment). If the means of affecting the quality of milk and the baby refuses the breast, it is necessary to replace analogue.

By normalizing the iron level requires to be monitored.

To do this, every 2-4 weeks is necessary to donate blood. If the speaker is not monitored for 1.5 months, the drug is replaced. The course of treatment may be up to 6 months. When receiving funds preventively control of iron levels is carried out at the end of the treatment course.

Overdose

Totem taken strictly according to instructions or appointment of specialists.

Assuming the use of random errors in the dose increasing direction, the body responds by the following symptoms:

  • severe weakness throughout the body;
  • dizziness even when lying down;
  • diarrhea or constipation;
  • pain in the stomach, pronounced (possibly necrosis of the gastrointestinal tract walls);
  • hyperthermia - a fever with poor heat dissipation into the environment;
  • bluish skin;
  • rarely occurs a state of shock;
  • nausea and vomiting.
Totem. Instructions for use. Price analogues

Depending on the severity of poisoning drug recommended different methods of assisting the victim:

mild It is necessary to wash the stomach baking soda solution (mixed in 1 liter of soda water 20-25 g). One can give the victim 200 ml of milk and absorbent preparations.
The average degree of Defoksarmin (Detoxication drug) is administered intramuscularly. Until the age of 18 and 1 g after 4-6 hours. After 18 years at 50 mg per kg body weight, up to 4 grams per day. With the same interval.
severe Deferoxamine is administered intravenously. Up to 18 years old, the dose is 15 mg per kg body weight per hour. Older than 18 years is 5 mg per kg body weight per hour to 80 mg per kg body weight per day.

In severe poisoning is an urgent need to call emergency assistance.

If a man had fallen into a state of shock, you must provide anti-shock therapy. After normalization of the general practitioner or pediatrician is checked blood.

Side effects

Acceptance of the solution may be accompanied by side effects. Brightness manifestations depending on the dosage and duration of drug application.

Reception Totem is accompanied by:

  • staining of tooth enamel in a brown hue (due to incorrect reception means);
  • darkening of the stool to black. This is a normal reaction, since the iron improves the oxidation process. Present at any dosage formulation;
  • postprandial heartburn;
  • sometimes with accompanying nausea vomiting;
  • failure of the colon, leading to constipation, diarrhea and flatulence;
  • rash accompanied by itching;
  • pain in the stomach.
Totem. Instructions for use. Price analogues
Totem has side effects such as stomachache.

When severe pain or bright allergic reaction should consult a specialist. Possible change of dosage or replacing analog. Color chair and the tooth enamel is reduced after treatment.

Interaction

Totem (instructions for use need to introduce the complex treatment) can enhance or reduce the side effects of efficacy.

For example:

  • Drug uptake impairs cyclin series (tetracycline, minocycline, doxycycline);
  • reception salts, oxides or hydroxides of metals (magnesium, aluminum). These drugs reduce the absorption of iron;
  • drugs affecting bone (diphosphonates), reduced uptake Totem;
  • other medicines which increase the amount of iron in the blood. Increasing side effects of both drugs occurs a glut of the organism. Possible anaphylactic shock.

The above formulations (except iron medication) take recommended no sooner than 2.5-3 hours after administration Totem solution. In addition, the sharing of resources, it is recommended to clarify the compatibility of the attending physician.

special instructions

Before using the Totem you must pay attention to the specific instructions on the use of the drug:

  • If reducing the amount of iron is a symptom of the disease, it is necessary to complete the treatment;
  • means must be diluted with sugar water, to reduce the likelihood of irritation of the digestive tract;
  • a large number of tea drinks affects the assimilation of the formulation;
  • darkening stool pathology is not on the application means;
  • because of the content of sugar and glucose in a part of the Totem, it should be used with caution in patients with diabetes or people having intolerance to these substances;
  • Analysis for the presence of blood in the stool can give a false positive result;
  • Totem has no effect on the central nervous system and the efficiency of the brain;
  • the effect of treatment is achieved by the 3rd month of use of the formulation;
  • after receiving the medicament is desired to clean the teeth or rinse the mouth with water to prevent browning on the teeth enamel.
Totem. Instructions for use. Price analogues

Reception Totem has a positive effect in compliance with the instructions for receiving and taking into account the above guidelines.

Terms of sale and storage

The solution can be purchased with a prescription from a doctor indicating the course and the daily dose. Store at a temperature not exceeding 25 degrees in a dark place.

Once opened, use within one day.

Since overdose carries serious health risks, the drug should be kept away from children. When using the drug expired increases the effects of side effects.

drug analogues

Totem (instruction manual provides for the replacement of the drug analogue with significant side effects or contraindications) is replaced by the only physician or pediatrician, a leading treatment.

Analogs Totem:

Totem. Instructions for use. Price analogues
Name and type of drug At what age is allowed reception Single dose and treatment / prevention Features of the drug Price range (rub.)
iron gluconate (tablet) or a food additive E 579 From 6 years For the treatment to use up to 12 years on the first tablet. After 12 3 tablets per day. Used for the prevention of ½ a tablet once a day. The tablets are taken 1 hour before meals. treatment and prevention of a course should not exceed 6 months. When an excess of iron in the body, in the first trimester of pregnancy and people aged pills are not recommended. With care use in violation of the functioning of the digestive tract. A side effect of the agent is abdominal pain, nausea and allergic itch. Pills interfere with the absorption of antibiotics tetracycline. 180-220 100 tablets
Ferrogradumet (tablets) With 12 years Up to 18 years taken in the morning on the first tablet. After 18 2 tablets. They can not chew, and you must drink plenty of water. Course ends 2 months after reduction of the iron level. To accumulate in the body and is released with a decrease in the concentration of iron in the blood. Long-term use can cause diarrhea, vomiting and skin rashes. Tablets used with caution in pathologies of the digestive tract. The drug is not combined with tetracycline, penicillin and antacids. Reduces the effectiveness of both. 350-450 30 tablets
Ferro-Folgamma (gelatin capsules) From month For the treatment assigned use of 3 capsules a day (with mild disease) and 6 capsules in severe form. The duration of intake should not exceed 16 weeks. For prevention assigned to 3 capsules daily. The drug used postprandial. The capsule dissolves in the small intestine, so the tool does not hurt the stomach. When liver pathologies and intolerances means components used under supervision. Of the side effects observed occasionally nausea and allergic reactions. Failure to comply with instructions can overdose medication, which has similar symptoms Totem. In case of overdose the stomach should be washed. In severe poisoning administered intravenously or intramuscularly deferoxamine. The capsules should not be used in the treatment of gastrointestinal enzymes and tetracycline antibiotics. 20 280 capsules
Ferro-vital (tablets) With 12 years To 6 years (if necessary and at the discretion of the pediatrician) is assigned for the first tablet 3 times a day. Older than 6 years in a single dose is increased by 2 times. The course of treatment and dosage for the prevention appointed by the attending specialist. In pregnancy, the tablet should not be taken arbitrarily, only for the purpose of the gynecologist or general practitioner. Side effects of the drug are:
  • rash over the whole body;
  • dyspnea;
  • swelling of the face;
  • pain in the digestive tract;
  • vomiting, followed by loose stool;
  • headache;
  • increased nervousness.
260-300 20 tablets
Ferropleks (dragees) After 12 years Dragees used for 30 minutes before eating. Up to 18 years for first tablet 3 times during the day. Over 18 years of age the dosage is increased by 2 times. The course of treatment is not more than 3 months. In the prevention of a similar course, take 1-2 pills a day. Part of the pellets ascorbic acid improves absorption of the drug. Long-term use can cause vomiting, diarrhea, or an allergic rash. This tool can not be combined with iron supplements. Simultaneous application of forces act side effects. 100-135 100 pills
Fenyuls (capsules) With 18 years Eat 1 time per day for the first capsule. It's important to drink water, chew means impossible. The course shall be appointed by the attending physician. With abundant menstruation recommended to take 2 days prior to the beginning and 2 days after their completion. Capsules are enriched with vitamin complex. Capsules compensate for the deficiency of iron and vitamins. Improve the condition of the eye tissue, the digestive tract. Action means observed in 2 hours. Full release element occurs within 12 hours after administration. The capsules are not recommended in Combination with enveloping stomach medicines (Almagel, Maalox). Long-term use can cause dizziness and discomfort in the digestive tract. 50-70 of 10 capsules
Sorbifer Durules (tablets) After 12 years For the treatment it is necessary to use 1-2 tablets 2 times a day. The course of treatment up to 4 months. In the prevention of dosage is reduced by 2 times. The drug is gradually absorbed into the blood, due to the presence of ascorbic acid tablets efficiency is enhanced. Tablets may not be used for thrombosis, allergic response, and renal pathologies. If you violate the functioning of the digestive tract means taken under physician supervision. Long-term use of pills can cause the formation of kidney stones, thrombosis and severe allergic itching. It does not fit in the complex treatment. If required other pharmaceuticals receiving recommended Sorbifer replace analogue. 450-520 of 500 tablets
Gemofer (drops and pills) It has no age limit The droplets must be diluted in water or juices, dragees abundantly drink. Depending on the type of drug and the patient's age appointed single dose per day. The course of treatment not to exceed 5 months. Chronic administration or overdose may cause loose stool streaked with blood, pain in the gastrointestinal tract and pressure increase. In the pathology of digestive tract means forbidden to receive. 290-340 30 140-190 for tablets and drop volume of 10 ml.

The cost of the drugstores of Moscow, St. Petersburg, regions

In Russia, according to the region and the supplier, the cost of the drug is changed.

The following are the prices for Totem solution in the major regions of the country:

Totem. Instructions for use. Price analogues
Russian city Minimum price (rbl.) Maximum price (rbl.)
Moscow 480 550
St. Petersburg 460 520
Yekaterinburg 410 500
Permian 400 490
Volgograd 415 470
Vladivostok 470 580
Sochi 450 520

Totem solution can be used for the treatment of iron deficiency and for the prevention of iron deficiency. When used according to the instructions for use, of the side effects observed a darkening of feces. Overdose can have a profound disturbance in the digestive tract.

Author of the article: Svetlana Kotlyachkova

Registration of the article: Lozinski Oleg

Video of the Totem

Totem - the instruction and method of use:

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