Ferrous Sulfate is indicated in the treatment and prevention of iron deficiency anaemia and anaemia of pregnancy where routine administration of iron is necessary.

Ferrous Sulfate has the general properties of iron salts and is one of the most widely used iron salts in the treatment of iron deficiency anaemia. Ferrous sulfate facilitates oxygen transport via haemoglobin. It is used as an iron source as it replaces iron found in haemoglobin, myoglobin, and other enzymes.

Adult:

• Initial therapeutic dose: 3-4½ teaspoonfuls daily in divided doses or as prescribed by the physician.

• Maintenance dose: 1½ teaspoonfuls daily, but if needed, up to 1.8 g (9 teaspoonfuls) daily can be given.

Children:

• Under 1 year: ¼ teaspoonful three times daily or as directed by the physician.
• 1-5 years: 1 teaspoonful three times daily.
• 6-12 years: 1½ teaspoonfuls twice daily.

Mix with water or fruit juice to avoid temporary staining of the teeth. Do not mix with milk.

Absorption of iron salt and tetracycline is diminished when taken concomitantly by mouth. If treatment with both drugs is required, the iron salt should be given 3 hours before or 2 hours after tetracycline. Absorption of iron is also decreased in the presence of antacids or when taken with tea.

Iron therapy is contraindicated in haemochromatosis and haemosiderosis. It should not be given to patients receiving repeated blood transfusions or those with anaemia not caused by iron deficiency.

Therapeutic doses of iron may cause gastrointestinal symptoms like diarrhoea, nausea, and vomiting. Although iron is better absorbed between meals, side effects can be reduced by taking it with or immediately after food. Continuous administration may sometimes cause constipation. Iron-containing liquid medication may cause temporary staining of the teeth (this is less likely when diluted).

Should be administered with caution when given to patients with iron storage or iron absorption disease, haemoglobinopathies, or existing gastrointestinal disease.

Oral Iron preparations

Keep below 30°C temperature, away from light & moisture. Keep out of the reach of children.