IRONORM

Method of administration Oral Posology Prophylactic:

A daily dose of 5 mg of elemental iron as prophylactic iron supplementation for babies of low birth weight who are solely breast-fed is recommended. Higher doses up to 2mg/kg of elemental iron per day might be needed to cover the needs of growing exclusively breastfed infants.

Supplementation is started 4-6 weeks after birth and continued until mixed feeding is established. 5 – 30 mg elemental iron). 4 ml per day (60 mg elemental iron). 24ml (3mg – 6mg elemental iron) per kg body weight, up to a maximum of 8ml (200mg elemental iron) given daily in two or three divided doses.

0 ml once or twice per day (100 – 200 mg elemental iron)

Anorexia, nausea, vomiting, gastrointestinal discomfort, reversible dental staining, constipation, diarrhoea, dark stools and allergic reactions. The product contains metabisulfite as a preservative which can precipitate allergic reactions and bronchospasm in susceptible individuals.

Reporting of suspected adverse reactions Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store

• Patients post-gastrectomy have poor absorption of iron. • Caution is advised when prescribing iron preparations to individuals with history of peptic ulcer. • Duration of treatment should generally not exceed 1-2 months after end of pregnancy.

• Coexisting deficiency of dietary vitamin B12 should be ruled out since combined deficiency produces microcytic blood film. • Care should be taken in patients with intestinal strictures and diverticulae. • Caution is required in the elderly where there is an increased risk of faecal impaction.

• The label will state “Important warning: Contains iron. Keep out of the reach and sight of children, as overdose may be fatal”. This will appear on the front of the pack within a rectangle in which there is no other information. • Metabisulfite can cause allergic reactions (such as skin rash and fluid retention) and bronchospasm (asthma-like difficulty in breathing) in susceptible individuals.

8ml. Sorbitol is a source of fructose. If your doctor has told you that you (or your child) have an intolerance to some sugars or if you have been diagnosed with hereditary fructose intolerance (HFI), a rare genetic disorder in which a person cannot break down fructose, talk to your doctor before you (or your child) take or receive this medicine.

8ml. If your child is less than 5 years old, talk to your doctor or pharmacist before giving them this medicine, in particular if they use other medicines that contain propylene glycol or alcohol.

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Contraindicated for use in patients with the following conditions:

Haemosiderosis and haemocromatosis, Active peptic ulcer, Repeated blood transfusion, Regional enteritis and ulcerative colitis, Haemolytic anaemias.