VITAMINS AND MINERALS    

AMH 2022 section 7.6.2

Active ingredients (generic names)

IRON (i-on)

Capsules and tablets

medicine - slow-release

Mixture.

medicine - injection IM.jpg

medicine - injection IV.jpg

Other medicines for anaemia

Not included in this monograph — see individual monograph or AMH for information:

Anaemia medicine combinations

Not included in this monograph — see AMH for information:

  • Iron + folic acid (eg FGF , Fefol , Ferro-F )
  • Iron + Vitamin C (eg Ferrograd C )
What it is used for

Doses: Children, Adults, Pregnant women

How it works
  • Iron is needed to build red blood cells which carry oxygen to body's cells
  • Iron and folic acid normally come from red meat, eggs and leafy vegetables, but sometimes this isn't enough for the body's needs

Heart and blood vessels.

Side effects
  • Black faeces

Nausea

Abdominal pain

Constipation

Warnings

Anaphylaxis
severe allergic reaction
— rare, with injection

Interactions — Do not use together without medical consult

IRON with

  • Doxycycline (tetracyclines), antacids, calcium, zinc — take at least 2 hours before or after iron medicine
  • Quinolones (eg ciprofloxacin) — take at least 2 hours before taking iron medicine
  • Levodopa
  • Thyroxine
Tell the patient
  • Too much iron medicine is dangerous. Measure amounts carefully. Keep in a safe place out of reach of children
  • Do not take with tea or coffee — they stop it working properly
  • Mixture can stain teeth. Mix with water and drink through straw
  • Causes dark stools
  • Some iron medicines need to be swallowed whole (eg slow-release or coated tablets)
  • Eat foods with lots of iron — red meat, leafy vegetables

Lock up medicines

Take on empty stomach
(unless upsets stomach)

Eat healthy food

Check
  • Always have anaphylaxis kit with adrenaline (epinephrine) ready when giving iron injections
  • Check for and treat cause of anaemia (low iron) (eg heavy periods, NSAIDs, hookworm)

blood test.jpg

Blood test — do fasting iron studies, if needed