Ferrum Lek solution 100mg/2ml 2ml #5

Ferrum Lek solution instruction for use

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Description of the dosage form, composition

The solution for parenteral administration Ferrum Lek is a clear brown liquid that should not contain impurities. The main active component of the drug is iron (III) hydroxide polyisomaltozate, its content in 1 ml of solution is 50 mg, in one ampoule - 100 mg. It also includes auxiliary substances, which include hydrochloric acid, sodium hydroxide, water for injection. Ferrum Lek solution is in 2 ml ampoules. A cardboard pack contains 5 or 50 ampoules with a solution, as well as instructions for using the drug.

Therapeutic effects, pharmacokinetics

The main active component of the drug is iron (III) hydroxide polyisomaltozate, which contains 3 valent iron. Due to this, after the introduction of the solution, the deficiency of this compound in the body is quickly replenished, the process of hemopoiesis is stimulated (hemoglobin synthesis, the formation and maturation of red blood cells in the red bone marrow). After intramuscular injection of Ferrum Lek solution, iron is rapidly absorbed into the bloodstream, mainly accumulates in the liver, red bone marrow, and muscles, where it is incorporated into metabolism.

Indications for use

The main medical indication for applying the solution in ampoules of Ferrum Lek is the development of an iron deficiency condition that requires rapid replenishment of iron in the patient's body:
    Severe violation of the process of absorption of iron from the intestine into the blood.
    Severe iron deficiency in the body due to the development of blood loss.
Also, Ferrum Lek solution is used in iron-deficient conditions in which the use of oral forms of anti-anemia drugs is ineffective.

Contraindications for Ferrum Lek solution.

In a number of pathological and physiological states of the patient's body, the use of a solution for parenteral intramuscular administration is contraindicated, these include:
    Uncontrolled hyperparathyroidism is a pathological increase in the functional activity of the parathyroid glands, which cannot be controlled with medication.
    Violation of the process of incorporation of iron in hemoglobin - sideroahresticheskaya anemia, thalassemia, anemia, provoked by lead poisoning.
    Conditions involving an excess of iron in the body - hemochromatosis, hemosiderosis.
    Acute course of infectious pathology, localized in the kidneys.
    Infectious hepatitis (inflammation of the liver).
    Anemia, the development of which is not associated with iron deficiency.
    Cirrhosis of the liver (replacement of hepatocytes by connective tissue), characterized by a pronounced decrease in the functional activity of the organ.
    Family hereditary telangiectasia (Osler-Rand-Weber syndrome).
    Pregnancy in the first trimester of flow.
    Individual intolerance to any of the components of the drug.
With caution, this drug is used for concomitant bronchial asthma, cardiovascular insufficiency, chronic polyarthritis, pathological reduction in the patient's body's ability to bind iron, folic acid deficiency necessary for the formation and maturation of erythrocytes in children of children up to 4 months. Before prescribing the solution for parenteral intramuscular administration of Ferrum Lek, the doctor must rule out the presence of contraindications.

Rule of use, dosage

Ferrum Lek solution in ampoules is intended only for intramuscular administration. Before the introduction of the first therapeutic dose, the solution is injected partially (1 / 4-1 / 2 of the volume of the entire ampoule), in the absence of negative reactions, the entire dose is administered within 15 minutes. The average therapeutic dosage is selected by the doctor individually, depending on the severity of iron deficiency or iron deficiency anemia. For this purpose, a special formula is used that takes into account the patient's body weight, the severity of iron deficiency (the iron level is determined by laboratory blood tests), the hemoglobin level per unit volume in the blood, as well as indications for using the drug (bleeding and its severity, nutritional iron deficiency). When prescribing a high dosage, intramuscular injection of the solution is recommended 2 times a day. It is imperative that you follow the rules for administering the solution, which include:
    The introduction of the solution is recommended in the upper outer quadrant of the buttock, for this purpose, a needle with a length of 5-6 cm is used.
    Before the injection, it is recommended to move the tissue down by 1-2 cm, which will prevent the solution from flowing back.
    After the introduction of the tissue solution should be pressed with a cotton-gauze pad.
Before the introduction of Ferrum Lek solution should ensure that the solution in the ampoule is transparent and does not contain impurities. After opening the ampoule, the solution should be injected for a short period of time.

Side effects of Ferrum Lek solution

Against the background of using the solution for parenteral intramuscular administration of Ferrum Lek, the appearance of negative pathological reactions from various organs and systems may occur:
    Digestive system - nausea, accompanied by periodic vomiting.
    Nervous system - headache, intermittent dizziness.
    Cardiovascular system - a decrease in the level of systemic arterial pressure (arterial hypotension).
    Musculoskeletal system - pain in the joints (arthralgia).
    The immune system - an increase in regional lymph nodes in size.
    General reactions - fever, general malaise.
    Local reactions in the area of ​​the solution - the appearance of pain, inflammation, staining of the skin in the area of ​​injection.
    Allergic reactions that may be systemic in the form of anaphylactic shock with a critical decrease in the level of systemic arterial pressure and multiple organ failure.
In the case of signs of the development of negative pathological reactions, the question of withdrawing the drug is decided by the attending physician, which depends on their nature and severity.

Features of use

Before prescribing the solution for parenteral intramuscular administration of Ferrum Lek, the doctor necessarily reads the instructions for use of the drug, and also draws attention to several features of its proper use:
    The introduction of the solution is possible only in a medical hospital.
    Before the appointment of the drug must be performed a clinical blood test, determined the level of ferritin and iron in the plasma.
    For effective treatment should be excluded pathological disorders of iron absorption.
    Treatment with oral forms of iron-containing drugs can be started no earlier than 5 days after the last intramuscular injection of Ferrum Lek solution.
    The contents of the ampoule with the drug should not be mixed with other drugs for parenteral administration.
    The possibility of using this drug in the II and III trimester of pregnancy, as well as during breastfeeding is determined individually by the attending physician according to strict medical indications.
    Do not use the solution for intramuscular parenteral administration of Ferrum Lek in conjunction with oral dosage forms of other iron preparations.
    The combined use of the drug with ACE inhibitors (angiotensin-converting enzyme) can cause the development of systemic reactions provoked by iron.
    The drug does not directly affect the functional state of the nervous system. Since the development of negative side effects in the form of headache and dizziness is not excluded, the performance of work associated with the need for increased concentration of attention and speed of psychomotor reactions is not recommended.
In the pharmacy network, the solution for parenteral intramuscular administration of Ferrum Lek is available on prescription. To prevent the development of complications and health effects, independent use of the drug is not recommended.

Overdose

A significant excess of the recommended therapeutic dose of the solution for parenteral intramuscular administration of Ferrum Lek leads to an acute overload of the patient's body with iron and hemosiderosis. In this case, symptomatic therapy is carried out in a medical hospital. Intravenous administration of the antidote, which is deferoxamine, can also be used. Its dosage is selected by the doctor individually, depending on the severity of the overdose. Hemodialysis (hardware blood purification) is ineffective.

Proper storage

The shelf life of the solution for parenteral intramuscular administration of Ferrum Lek is 5 years. It should be stored in the original factory packaging, in a dark, dry, out of reach of children, at air temperature not higher than + 25 ° C. Do not allow the solution to freeze.

Terms of sell

You don't need a prescription to buy Ferrum Lek solution.