Ferlatum Fol solution 15ml #10

Ferlatum Fol instruction

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See also - Ferlatum

Composition

1 bottle (15 ml) contains:
Active ingredient: iron protein succinylate 800 mg (equivalent to 40 mg Fe + 3)
Excipients: corbitol - 1400 mg of propylene glycol - 1000 mg sodium metilparagidroksibenzot - 45 mg sodium propyl parahydroxybenzoate - 15 mg cherry flavoring (flavor Wild black cherry concentrate, vanillin, amyl acetate, minor amounts of other ethers, benzaldehyde, clove bud oil, propylene glycol, diethylene glycol monoethyl ether, water) - 60 mg sodium saccharinate - 15 mg purified water - up to 15 ml.
Each dispensing lid (cap-container) contains:
Active ingredient: calcium folinate pentahydrate - 0.235 mg (equivalent to 0.200 mg of calcium folinate or 0.185 mg folinic acid);
Excipients: mannitol - 99.8 mg.

Description

In the bottle: a clear solution of a brownish color with a pleasant characteristic cherry smell.
In the cap-dispenser (cap-container): white powder with a yellowish hue, color, odorless.
Pharmacotherapeutic group: Iron drug.
ATC code: B03AB09.

Pharmacological properties

Ferlatum Fol - a preparation of iron and calcium folinata, replenishes the lack of iron and folate in the body.
The main function of iron is the transfer of oxygen to the tissues. The iron part of hemoglobin, myoglobin, cytochrome iron-containing enzymes, transports electrons and works as a catalyst of oxidation reactions, hydroxylation and other metabolic processes.
Fol Ferlatum contains iron-protein suktsinilat representing a complex compound, wherein the atoms of trivalent iron (Fe3 +) are surrounded by a semi-synthetic carrier protein, preventing damage to the gastric mucosa. The protein carrier is redissolved in the duodenum, releasing iron at the site of its better absorption.
From the intestine to the blood, trivalent iron comes through active absorption, which explains the impossibility of overdosing and poisoning.
Calcium folinate is the calcium salt of folic acid, which compensates for the lack of folate in the body.

Indications for use

- Treatment of latent and clinically pronounced iron deficiency (iron deficiency anemia) and folate;
- Preventive therapy of iron deficiency and folate during pregnancy, lactation, active growth; after prolonged bleeding, against a background of inferior and unbalanced nutrition.

Contraindications for Ferlatum Fol

- Hypersensitivity to the drug;
- Iron overload (hemochromatosis);
- Disruption of iron utilization (lead anemia, sidero-anh- mal anemia);
- Non-iron deficiency anemia (hemolytic anemia, megaloblastic anemia, caused by a lack of vitamin B12);
- Chronic pancreatitis;
- Cirrhosis of the liver.

Carefully

Care should be taken in patients with: gastric ulcer and duodenal ulcer, malabsorption in the pathology of the small intestine (enteritis, insufficiency malabsorption syndrome, resection of the small intestine, stomach resection according to Billroth II with the inclusion of the duodenum).

Pregnancy and lactation

The use of Ferlatum Fol is especially recommended for the prevention and treatment of iron deficiency and folate, which develops during pregnancy and lactation.

Dosing and Administration

Ferlatum Fol is taken internally before or after a meal.
To prepare the solution for oral administration, it is necessary to press forcefully onto the perforator of the dispenser cover so that the powder pours out into the solution in the vial. Shake vigorously, remove the dosing cap and drink the solution from the vial.
Adults: 1-2 vials a day in an amount equivalent to 40-80 mg of Fe3 + and 0.235-0.470 mg of calcium folinate of pentahydrate or in accordance with the recommendations of the doctor, in 2 divided doses.
Children (from the newborn period): 1.5 ml / kg / day (in an amount equivalent to 4 mg / kg / day of Fe3 + and 0.0235 mg / kg / day of calcium folinate pentahydrate) in 2 divided doses or according to the doctor's recommendations.
1 bottle (15 ml) contains: iron protein succinylate 800 mg (equivalent to 40 mg Fe + 3) and 0.235 mg calcium folinate pentahydrate (equivalent to 0.185 mg folinic acid).

Pregnant women

For the prevention of iron deficiency anemia - 1 bottle per day.
For treatment of latent or clinically pronounced iron deficiency - 1-2 vials a day in 2 divided doses.
After reaching the normal values ​​of serum iron and hemoglobin, the treatment is continued for at least 8-12 weeks, setting a maintenance dose.

Side effects

In rare cases, the occurrence of gastrointestinal disorders, which disappear when the dose is lowered or the drug is withdrawn.

Overdose

To date, no signs of intoxication and excessive supply of the Ferlatum Fol drug have been described.

Interaction with other drugs

No interaction of Ferlatum Fol with other drugs of their simultaneous application was noted.
The absorption of iron can be increased with simultaneous administration of more than 200 mg of ascorbic acid and reduced with the use of antacids. Chloramphenicol causes a delayed response to iron therapy.
There was a lack of pharmacological interaction with concomitant treatment with H2-receptor antagonists.
Some antitumor and antileukemic drugs (aminopterin, methotrexate and other pterin derivatives) behave like folate antagonists.

Special instructions

The continuous period of application of Ferlatum Fol should not exceed 6 months, except for cases of chronic hemorrhage (menorrhagia, hemorrhoids, etc.) and pregnancy.
Does not affect the employment of potentially hazardous activities that require an increased concentration of attention and speed of psychomotor reactions (including driving).
Care should be taken to administer the drug to patients suffering from intolerance to milk protein, which may have an allergic reaction.
Ferlatum Fol contains sorbitol, so patients suffering from hereditary intolerance to fructose should not use the drug.

Form of issue

Solution for oral administration. For 15 ml of solution in a polyethylene bottle and 100 mg of powder in a sealed cap-dispenser (container-cap) with control of the first opening.
10 or 20 bottles with instructions for use in a cardboard bundle.
Shelf life - 2 years. Do not use the drug with expired shelf life.

Storage conditions

At a temperature of no higher than 25 ° C. Keep out of the reach of children!

Terms of leave from pharmacies

To buy Ferlatum Fol the prescription is not required.