Maltofer syrup for children. Dosage, instructions for use, reviews

Maltofer is a syrupused for children when diagnosing iron deficiency in the body. The drug helps to restore the deficiency, prevents the development of complications against the background of a decrease in the level of the element. It contains a sufficient amount of a component for therapy and prevention of the progression of a pathological condition. The prescription of the medication is made by the pediatrician after examining the child and identifying the cause of the decrease in iron levels.

Indications for use

The drug is an iron-based vitamin preparation that is used in the treatment of a substance deficiency or the prevention of such an abnormality.

The main indications for prescribing a medication:

• Iron deficiency in the body, in which patients have no signs of anemia.
• Prevention of the development of complications against the background of a lack of iron in the body. The medicine can be prescribed in short courses.
• Iron deficiency anemia. The drug is effective in diagnosing acute and subacute forms of the disease. It is often prescribed in combination with other medicines.

The medicine can be used in the treatment of other diseases, which are accompanied not only by signs of anemia, but also by other disorders.

Chemical composition

Maltofer is a syrup for children, the composition of which includes ferric iron as the main active substance. This ingredient helps to increase the level of hemoglobin in the blood, prevents the progression of the pathological condition.

The syrup includes auxiliary components:

• Sorbitol.
• Sucrose.
• Sodium hydroxide.
• Ethanol.
• Flavoring agent.
• Purified water.

Additional substances do not have medicinal properties, but are necessary to impart aroma and taste to the medicine. 1 ml of syrup contains 10 mg of iron.

Release form

The medication is available commercially as an oral syrup. It is a liquid with a specific aroma and taste, packaged in dark glass bottles of 150 ml.

The syrup is dark brown in color and has a characteristic odor. The bottle is in a cardboard box, in which you can find the description that came with the medicine. It specifies the features of the use of syrup, possible complications arising during treatment.

The cost of the syrup ranges from 250-320 rubles. per bottle. Pharmaceutical companies also provide chewable tablets, oral drops and parenteral solution. But these dosage forms are used to treat adults.

Pharmacodynamics

The medicine helps to normalize the level of iron in the blood, which prevents the development of anemia in patients with a deficiency of the component. If there is a history of such a disease, the drug helps to eliminate symptoms and reduce the likelihood of complications.

When it enters the digestive tract, the main ingredient is actively absorbed in the small intestine. The structure of the substance resembles the structure of the ferritin core protein. This ingredient in the body retains iron, if necessary, it is used by cells if the level of iron supplied from food is insufficient.

After absorption of the component, it spreads through the systemic circulation and binds to ferritin. The component is distributed to areas in which there is a lack of iron, and is also transported to the liver and spleen.

Pharmacokinetics

After absorption and distribution of the component in the blood, hemoglobin is synthesized in the bone marrow. At a normal level of the component, iron is deposited in the body, which also has a positive effect on the patient's condition.

The processing of the component is carried out in the liver, a certain part of the iron breaks down at the end of the erythrocyte life cycle. Some of the iron is not absorbed in the intestines, therefore it is excreted in the feces.

Disturbances from the intestines can lead to impaired absorption of ingredients with their subsequent distribution in the body.

Application for children under 18 years of age

Maltofer is used only for oral use according to a specialist regimen. The syrup is used for children after a preliminary examination. The dosage and duration of the course is determined individually, depending on the patient's condition and age.

Patient age	Dosage and duration of use
Children under 1 year	Patients older than 1 month can be prescribed syrup in courses of 1 month in order to prevent component deficiency. The daily dosage does not exceed 1 ml. With the development of anemia, the drug is used from 3 to 5 months, depending on the severity of the deviation. The dose for patients ranges from 2.5-5 ml per day, it is allowed to divide it into 2 doses during the day, observing an equal time interval
Patients from 1 to 12 years old	A prophylactic appointment for such children also lasts no more than 1 month. The daily rate is 5 ml. In the treatment of iron deficiency anemia, 10 ml of syrup is prescribed per day, it is allowed to divide the rate into 2 doses during the day. The minimum duration of the course during treatment is 3 months, but if necessary, it is allowed to use the medicine for 5 months
Teenagers over 12 years old	For patients at this age, the agent is used in preventive and therapeutic courses. In the first case, the daily dosage is 15-20 ml, in the second - 30 ml. Treatment is carried out within 1-3 months, depending on the initial level of the component in the body.

When using higher doses, it is recommended to divide them into several portions, which will ensure an even effect. If the dosage is minimal, a single dose is allowed, preferably at about the same time.

After completing the course, a second examination is carried out. Laboratory diagnostics can also be prescribed during treatment if the course is long with a pronounced deficiency and the presence of complications.

Contraindications

Maltofer is a syrup for children, which is not prescribed when detecting intolerance to the ingredients of the composition, both basic and auxiliary.

The official description indicates other contraindications:

• Elevated levels of iron in the blood when taking the medication can only make the condition worse.
• Diagnosis of anemia, the development of which is not associated with a deficiency in the body of iron. For example, the condition can be triggered by a lack of cyanocobalamin in the body. Do not use the medicine for hemolytic anemia.
• Chronic liver disease. With the viral origin of the pathology, the use of the drug is possible only after the elimination of acute symptoms.
• Traumatic brain injury in the acute stage, severe during the recovery period after undergoing such a violation.
• Diseases of the brain in acute and subacute form.
• Digestive tract pathologies, in which the absorption of iron into the blood is impaired. It is not recommended to use the drug in the form of a syrup for such a violation, since its effectiveness is minimal.
• Exacerbation of inflammatory bowel and stomach diseases.
• Gastritis in severe form, when there is an increased acidity of gastric juice.
• Renal failure in acute form.
• Intestinal obstruction.
• The presence of neoplasms in different parts of the intestine.

The medicine is used with caution in the treatment of patients with mental disorders, but the decision in each case is made individually.

Overdose

The drug can provoke an overdose, despite the low toxicity of the main substance. In the case of prolonged use in high doses, severe complications can develop. Patients report headache, dizziness, and sleep disturbance. Efficiency is significantly reduced, there is a violation of coordination of movements.

Overdose may be accompanied by repeated vomiting throughout the day, lack of appetite and abdominal pain. Flatulence and bloating can bother the patient at the same time as persistent constipation. Pain in the intestinal area may increase with prolonged persistence of symptoms.

If symptoms of an overdose appear, it is important to immediately stop using the drug. Patients can undergo a gastric lavage procedure, after which medications are prescribed to improve the condition. The scheme of care may differ in each case, since the symptoms of overdose appear in different forms in different patients.

It is important to seek help in a timely manner in order to exclude the likelihood of progression of manifestations. Overdose deaths have not been reported.

Side effects

Maltofer is a syrup for children that provokes negative reactions if recommendations are violated. Compliance with all the rules reduces the risk of complications, but does not exclude it.

Patients may experience the following symptoms during treatment:

• Joint and muscle pain that interferes with normal household handling. The condition is aggravated if the patient additionally suffers from any chronic diseases of the musculoskeletal system.
• Most often, patients are worried about complications from the digestive tract. They manifest as heartburn, nausea and vomiting, persistent constipation, or frequent loose stools. Patients often talk about abdominal discomfort, poor appetite, and other disorders.
• From the side of the nervous system, complications also appear often, but they are usually associated with other negative reactions. Children experience decreased physical activity, sleep disturbances, and headaches. As symptoms progress, a psycho-emotional disorder may develop.
• Allergic symptoms appear often, can worsen the general condition, which is associated with severe itching of the skin, rash and the spread of lesions to large areas of healthy tissue. In children with a tendency to allergic manifestations, symptoms are expressed in an acute form.

Negative reactions may disappear without special treatment after discontinuation of the drug. But many patients require the appointment of funds to normalize the condition. It is strongly discouraged to ignore the manifestations or help the child on their own.

Special recommendations

If children under 1 year of age are treated, it is allowed to mix the syrup with food, milk or juice, water. This technique helps to facilitate the use, does not affect the therapeutic effect, does not lead to its weakening.

Children over 1 year of age are also allowed to mix the syrup with food or drinks. With this use, the absorption of the component of the composition into the blood improves, the likelihood of developing complications from the digestive system is reduced.

In the treatment of anemia, the course can be completed earlier if the doctor sees the desired therapeutic effect. This means that it is not necessary to consume syrup for 5 months without visiting a pediatrician.

Drug interactions

Maltofer is a syrup for children that is not prescribed concurrently with other ferric iron medicines. Allowed to use in combination with Tetracycline, Paracetamol, acetylsalicylic acid-based products.

Do not take syrup and medicines with antacid properties at the same time. The latter slows down the absorption of the component of the composition into the blood and can somewhat reduce the effectiveness. There is no interaction of the drug with other groups of medicines. Despite this, you should not use the medication on your own without prior consultation.

Storage conditions and periods

The medication is allowed to be stored for 3 years, the date of its production is indicated on the packaging. After the expiration of this period, use is not allowed.

During storage, it is worth limiting the access of moisture, direct sunlight, and keeping the product away from children.

Conditions of dispensing from pharmacies

Dispensing of medication from pharmacies is carried out after presentation of a certified prescription form.

Analogs

If it is impossible to prescribe the original medicine, substitutes with similar composition and properties are selected. When choosing, the doctor takes into account the individual characteristics of the patient's body, as well as the effect of the ingredients of a particular medicine. It is possible that preparations with the same composition contain different excipients, which affects the therapeutic effect.

Ferrum-Lek

One of the popular substitutes available for children as an oral syrup. For adults, tablets and a solution are produced, which are administered parenterally. The analogue contains trivalent iron, which helps to replenish the deficiency in the body and is prescribed to treat anemia caused by this deficiency.

Like the original remedy, the substitute is taken orally in a certain dosage. The duration of use is determined individually after examination. An analogue can also be prescribed for long courses if iron deficiency is pronounced.

Venofer

The agent is in the form of a solution for parenteral administration, which also has an effect due to the presence of ferric iron in the composition. Unlike the original, the substitute is not available in the form of tablets or syrup, but it can be used in the treatment of anemia in adults and children.

Parenteral administration allows the use of the drug even in the presence of pathologies of the digestive system. Despite this, the drug is not prescribed for high levels of iron in the body or allergies to its components.

The medicine is administered only by intravenous stream or with the help of a dropper. In each case, the most convenient method of infusion is selected. The duration of use, the specific dose and duration of the course are determined individually.

Ferinject

Solution for parenteral administration, which can be used to treat anemia caused by iron deficiency in the body. Unlike the original, the substitute is not available in other forms, it can only be used for adults and patients over 14 years old.

The drug is administered intravenously in the required dosage, determined individually, depending on the stage of the disease. The presence of only one form does not allow the treatment of young children, which is considered one of the disadvantages of the remedy. Despite this, the solution quickly eliminates the symptoms of a pathological condition, and can reduce the likelihood of complications against the background of the progression of the disease.

Maltofer is an effective syrup for adults and children, which helps to treat anemia due to the presence of ferric iron in the composition. The drug can be used for patients from the first months of life, is well absorbed in the body, and does not often provoke complications. Despite the relative safety and efficacy, only a doctor should prescribe a medicine after receiving the results of a diagnostic examination.

Video about the drug Maltofer

Treatment of anemia with Maltofer: