CosmoFer in ampoules. Price, instructions for use, reviews

CosmoFer - iron-based preparation, which is in ampoules and is prescribed to patients in order to increase the level of hemoglobin. The price of the drug is high, but it is justified by its effectiveness and relative safety for patients. Unlike many drugs, the drug helps to normalize blood counts, prevents the development of additional complications against the background of a decrease in hemoglobin levels.

Composition and form of release

The medication is available for purchase by patients in the form of a solution for parenteral administration. It is placed in 2 ml ampoules made of dark glass. The containers are placed in cardboard boxes, each of which contains 5 pieces.

The description is attached to the ampoules and is in the box. It contains all the features of the application, possible contraindications and complications. The solution has a specific aroma and is almost black in color. It contains ferric iron, which has the main therapeutic effect.

The dosage of the main substance in 1 ml of the drug is 50 mg. The solution contains hydrochloric acid, sodium hydroxide and purified water. Other active substances are not contained in the preparation.

Terms of sale, prices

CosmoFer in ampoules is expensive, but this is justified by its high efficiency. The price of the medicine ranges from 3900-6500 rubles. per pack, depends on the region of distribution and the specific pharmacy.

Dispensing of medication in pharmacies is carried out after presentation of a certified prescription form from a doctor. Store ampoules in a dark and cool place, preventing prolonged exposure to sunlight. The maximum duration of use is 3 years. After the expiration date, the use of the medicine is prohibited. The production date is indicated on the packaging. It is worth studying it before using it.

Action and efficiency

The drug has an effect due to the presence of iron in the composition, which is necessary for the normal process of hematopoiesis. The medication helps to increase the level of hemoglobin, which can decrease against the background of various factors.

The drug improves the general condition, and also prevents the development of complications against the background of a critical decrease in hemoglobin parameters. When applied, the blood is saturated with iron, blood circulation and tissue oxygenation are improved. As a result, metabolic processes in the blood system are normalized, the formation of the most important cells is improved.

The tool has another effect on the body:

• Eliminates weakness, rapid fatigue, which is observed in patients against the background of a decrease in hemoglobin levels. When using the drug, the patient's condition does not return to normal immediately, but after a while he may notice positive changes.
• The structure of the main ingredient resembles that of iron, which is normally present in the human body. That is why it is quickly absorbed.
• Ferric iron is considered the safest for patients, since when it is processed in the body, a large amount of toxic substances that can provoke complications are not formed.

When administered parenterally, the drug is well absorbed into the systemic circulation, quickly distributed through the vessels. Its component is almost completely absorbed in the body after absorption by phagocytic macrophages.

CosmoFer in ampoules (the price of the drug is very high for many patients) is considered a potent medicine precisely due to its good absorption in the body. High doses of iron are found in the liver, spleen, and bone marrow.

The concentration of the ingredient is maintained over a long period, is gradually absorbed, and enters the bone marrow. When studying the pharmacokinetic features, it is noted that the ingredient is gradually absorbed into the bloodstream for 2-3 weeks, depending on the individual characteristics of the organism the patient.

After processing of the active substance, the products of its decay are excreted with the help of erythrocytes, bile and the digestive tract. With the help of the urinary system, the drug is not excreted. If the functioning of the digestive organs is impaired, it is possible to slow down the process of removing the ingredients, which leads to the accumulation of the substance in the body.

The evacuation process of an ingredient takes up to 3 weeks, in each case the duration of this period may vary. With prolonged use, it is possible to increase the concentration of ingredients in the blood, which may affect the patient's condition.

The drug in liquid form is considered effective, which is explained by the long-term preservation of its high concentration in the blood and good absorption in the body.

Indications and contraindications for use

A solution for parenteral administration is prescribed to patients when certain indications are diagnosed:

• Anemia associated with iron deficiency, accompanied by various symptoms from the internal organs.
• Inability to use drugs for oral use. Sometimes patients suffer from severe forms of gastritis with low acidity, when drugs for oral medication are not absorbed in the body and do not help improve the condition.
• A severe course of anemia, in which several different methods are used. The drug in ampoules is used as an auxiliary method of therapy to increase its effectiveness.

Sometimes the remedy is used for prophylactic purposes in patients with a tendency to anemia, bleeding. It is imperative that a preliminary examination is carried out, which includes a laboratory blood test and the identification of hemoglobin levels.

The drug has contraindications that should be studied before using. The most important obstacle is considered intolerance to any ingredient in the composition. Sometimes patients develop symptoms of allergy to the auxiliary ingredients of the composition, so it is important to exclude such complications.

Other contraindications include the following conditions:

• Diagnosis of anemia, which is not associated with a deficiency in the body of iron. The drug in this case can provoke complications as a result of the accumulation of ingredients in the blood.
• Acute hepatitis of viral and other origin, liver failure. If there is a history of such diseases, the process of processing the component in the body is disrupted. If the patient suffers from other diseases of the liver and gallbladder, a preliminary consultation with a specialist is necessary, who will decide on the appointment of the solution.
• Internal bleeding due to trauma, lesions of the mucous membranes of the stomach or intestines. After elimination of bleeding, it is allowed to use a remedy to increase the level of hemoglobin.
• Severe bronchial asthma, accompanied by frequent attacks.
• Eczema and other serious dermatological diseases. The course of pathologies can be aggravated when using the drug.
• Renal failure The drug is not evacuated by the kidneys, but such a disease is a contraindication.
• Acute rheumatoid arthritis. During the period of remission, it is allowed to use the medicine.
• Acute urticaria, other allergic skin pathologies.
• Infectious pathologies of the digestive tract.
• The patient's age is up to 18 years. If necessary, use for children and adolescents, other means are selected.
• Heart failure, an uncontrolled form of arterial hypertension.

The medicine is not used in the 1st trimester of bearing a child, as it can provoke negative reactions in the fetus and mother. In the 2nd and 3rd trimester, the drug is used only for specific indications, when the benefit to the mother outweighs the potential risk to the fetus. Individual contraindications can be determined upon examination of the patient.

CosmoFer in ampoules, the price of which exceeds the cost of many drugs with such properties, can provoke complications, despite good absorption in the body and positive properties for patients with anemia. Complications affect the work of internal organs and can worsen the general condition.

Damage area	Frequent negative reactions
Nervous system	On the part of the nervous system, complications manifest themselves in the form of weakness and fatigue, sleep disorders. Despite insomnia, patients constantly report drowsiness, decreased performance, and headaches.
Heart and blood vessels	With prolonged use of the drug, it is possible to develop arrhythmias and tachycardia, thrombophlebitis and some other vascular diseases. If patients have a tendency to such complications, symptoms can be acute.
Digestive system	Persistent constipation or diarrhea can be observed when using the solution for long courses. In addition, complications such as nausea, flatulence, and bouts of vomiting may appear on the part of the digestive tract.
Skin	On the skin, complications appear with the development of allergies. A rash appears on the body, irritation and peeling, patients are worried about severe itching, which makes them scratch the affected area, damaging the outer layer of the skin.

Negative reactions are considered a reason for refusing to use the solution and visiting a doctor. Special treatment is not always required to eliminate the manifestations, but sometimes it is necessary to prescribe therapy if the symptoms worsen.

The drug can provoke an overdose, in which all negative manifestations are aggravated, there is repeated vomiting, severe headache and impaired coordination of movements. In case of an overdose, the patient can be admitted to a hospital to provide qualified comprehensive care.

Method of administration and dosage

CosmoFer in ampoules (the price of the drug depends on the number of ampoules in the box) is used only for parenteral administration for specific indications. Depending on the severity of the manifestations of anemia, the dosage and duration of use may vary.

Mild iron deficiency anemia

In this condition, the agent can be used 2 times a week. The daily dosage of the drug is 2 ml. It can be administered intramuscularly or intravenously. In the first case, deep intramuscular injection is shown according to the standard scheme.

The duration of use usually does not exceed 4 weeks, that is, 8 ampoules of the drug are needed for the entire course. For intravenous administration, a dropper is used. 100 ml of sodium chloride 0.9% accounts for 2 ml of solution. The drug is injected slowly over 30 minutes. This avoids negative reactions.

After that, the patient re-visits the doctor, donates blood for research in the laboratory. The hemoglobin level should rise after treatment. If this does not happen, an extension of the therapeutic course and the appointment of additional drugs that enhance the effectiveness are required.

Severe anemia

With a neglected state and the appearance of complications from the internal organs, the drug can be used for 6-12 weeks, but the correction of the course duration is determined individually.

The procedures are carried out 2 to 3 times per week, depending on the severity of the accompanying manifestations. The dosage for severe anemia is 4 ml per day. It can be administered intramuscularly or intravenously. The effect of the treatment does not change.

As in the treatment of a mild form of a pathological condition, when diagnosing severe anemia, the drug is administered intravenously only after adding 0.9% sodium chloride to 100 ml. It is important to carry out the drip slowly to reduce the likelihood of complications during the procedure.

If the therapeutic effect occurs faster than the course ends, it is allowed to discontinue therapy earlier, but after consultation with a specialist. The patient alone cannot exceed the daily rate or prolong the treatment.

Some analogues

CosmoFer in ampoules (the price of the drug for 1 package depends on the batch produced by the manufacturer) has analogues, which, if necessary, can be prescribed by a doctor, if the original medicine for various reasons cannot be used.

The following substitutes are considered the most effective:

• Ferrum Lek has similar therapeutic properties, so it can be used as a substitute. Unlike the original, the medication is available as a solution for parenteral administration, as well as chewable tablets and syrup. This allows the drug to be used not only for the treatment of adults, but also in the treatment of children. The drug contains ferric iron, which helps to increase the level of hemoglobin in patients with iron deficiency anemia. As a result of its use, the patient's condition improves and the likelihood of complications developing against the background of the progression of the condition decreases. The cost of the medication depends on the dosage form, ranging from 260 to 2500 rubles. Packages with a large number of ampoules can cost up to 10,000 rubles.
• Likferr also has an effect due to the presence of ferric iron in the composition. The medication is prescribed for adults when diagnosing varying degrees of iron deficiency anemia. The drug is highly effective and is usually well tolerated by patients. It is produced in the form of a solution for parenteral administration, which can be administered intravenously. Unlike the original, which can be used intramuscularly if necessary. The impossibility of using the drug for the treatment of children makes it less versatile than other drugs, but no less effective. The cost of an analogue ranges from 2800-3200 rubles. per package, it is lower than the original price.
• Venofer can also be purchased as a solution for intravenous administration using a dropper. The dosage of the active ingredient in 1 ampoule is 100 mg, that is, 20 mg per 1 ml. The drug is administered dropwise after dissolving it in 100-200 ml of sodium chloride. The duration of treatment with an analogue depends on the severity of the manifestations. The standard scheme involves the introduction of 1-2 ampoules per day, the procedures are repeated 2-3 times a week. The average duration of therapy is 4 weeks, but according to individual indications, it can be increased.
• Maltofer has an antianemic effect due to the presence of ferric iron in the composition. The medicine is available to patients in the form of tablets, solution and syrup for oral administration, which allows in each case to choose the most convenient form. In pharmacies, you can also find a solution intended for intramuscular administration. Depending on the severity of the deficiency, the optimal dosage form is selected for the patient. The duration of the therapeutic course is 2-6 weeks, the dosage for an adult is 100-200 mg per day. For children, the dose is determined individually after a blood test. The cost of the substitute ranges from 270-800 rubles. This medication is considered the most affordable analogue.

When appointing a substitute, the doctor takes into account not its cost, but the effect on the body of a particular patient. It is forbidden for the patient to choose an analog on his own, especially in the case when the child needs treatment.

CosmoFer is an effective agent with antianemic properties, which is in ampoules and is administered parenterally when necessary. The high price of the product is considered one of the important disadvantages. It is for this reason that some patients refuse treatment. If the patient is unable to administer the drug, a suitable analogue with the same properties is prescribed. Most substitutes contain the same active ingredient in their formulation.

Video about the analogue of the Cosmofer

Maltofer tablets - indications: