Hemofer is a drug to eliminate existing iron deficiency in the body and prevent its development during periods of increased need for iron or insufficient intake in the body.
Release form and composition
Hemofer comes in the form of drops for oral administration, the main active ingredient of which is ferric chloride.
As excipients in the preparation used: sodium hydroxide, sodium benzoate, sorbitol, citric acid, dextrose, purified water, flavoring.
Hemofer is produced in dark glass bottles equipped with a dropper of 10 and 30 ml.
Indications for use
According to the instructions, Hemofer is used for the treatment and prevention of:
- Anemia caused by blood loss;
- Severe iron deficiency anemia;
- Pregnant anemia;
- Anemia due to insufficient absorption of iron in diseases of the digestive system;
- Latent iron deficiency;
- With insufficient intake of iron in puberty and in early childhood;
- To prevent iron deficiency in newborns from multiple pregnancies, premature babies, children whose mothers suffered from anemia during pregnancy.
According to the instructions, Gemofer does not apply when:
- High sensitivity to the components included in the preparation;
- Anemia not associated with iron deficiency (megaloblastic, hemolytic anemia);
- Excessive amounts of iron in the body;
- Anemia associated with impaired iron utilization of the body (lead, sideroachresticheskoy anemia);
- Inflammation of the mucous membrane of the digestive tract.
Dosing and Administration
Hemofer drops are intended for oral administration.
Hemofer, according to the instructions, taken orally with water (juice) in between meals.
Dosage of Hemofer:
- Adult patients - 55 drops, 2 times a day;
- Children over 12 years old - 28 drops, 2 times a day;
- Children 1-12 years old - 28 drops 1-2 times a day;
- Children up to 12 months - 9-19 drops per day;
- Premature babies - at the rate of 1.5-3 mg per kilogram of body weight per day.
The maximum therapeutic dose of Hemofer for children is 3 mg per kilogram of body weight per day, for adult patients 180-200 mg per day; prophylactic - 30-50% of therapeutic.
The duration of use of Hemofer depends on the severity of anemia and is at least two months; in premature babies - 3-5 months.
When using Gemofer, side effects may develop, mainly from the digestive system, such as: loss of appetite, difficulty swallowing, nausea, flatulence, abdominal pain, constipation, diarrhea.
When using Gemofer, it should be borne in mind that:
- During treatment, fecal darkening is possible due to an increase in the iron content in the intestine;
- Perhaps darkening of the teeth, so taking the drug is better through a straw, or after taking the drops to rinse your mouth. Dark staining of the teeth after the end of the course of therapy disappears.
- Symptoms of irritation of the gastrointestinal tract may occur due to sorbitol contained in the preparation;
- The absorption of the drug is reduced by drinking milk, dairy products, eggs;
- The drug contains glucose, which is important when prescribing Hemofer to patients with fructose intolerance, people with diabetes, people with glucose-galactose syndrome, sucrose-isomaltase deficiency;
- In the event of adverse reactions, you can take the drug immediately after a meal or during it;
- An overdose of Hemofer is manifested by nausea, vomiting, constipation or diarrhea; in severe cases, abdominal pain, diarrhea with blood. Perforation and bleeding from the gastrointestinal tract, clonic-tonic convulsions, hypovolemic shock, coma with increasing metabolic acidosis, and liver necrosis may also occur. In such situations, it is required to stop taking the drug, to give the patient a gastric lavage followed by the appointment of laxatives, symptomatic treatment and deferoxamine.
- The effectiveness of Hemofer decreases with its simultaneous use with neutralizing agents, calcium phosphate, colloidal bismuth citrate, Kolestiramine, chloramphenicol, tetracyclines, colestipol, zinc salts, pancreatin;
- The absorption of iron ions is enhanced by ascorbic acid;
- The hematological effect of iron ions is inhibited by vitamin E;
- Hemofer reduces the effectiveness of quinolones, tetracyclines, penicillin, levothyroxine, methyldopa, levodopa, sulfasalazine, zinc salts;
- Do not take the drug at the same time with allopurinol.
Hemofer analogues are ferric chloride, aloe syrup with iron.
Terms and conditions of storage
The drug is stored at a temperature of 15-25º in places with limited access of children, not more than two years.