Carbonyl Iron
Indications
Dietary supplement, Iron deficiencies, Iron deficiency anemia
Adult Dose
Oral
One capsule daily.
In more severe cases, 2 capsules a day may be required
Child Dose
Oral
>12 years old: One capsule daily.
Severe Iron Deficiency Anemia
4-6 mg/kg PO divided q8hr
Mild to Moderate Iron Deficiency Anemia
3 mg/kg PO qDay or divided q12hr
Prophylaxis
1-2 mg/kg PO; 15 mg PO maximum
Administration
For maximum absorption take on empty stomach, but may take with or after meals to minimize GI irritation
Contra Indications
This product is contraindicated in patients with a known hypersensitivity to any of the ingredients.
Precautions
Do not take within 2 hr of oral tetracycline antibiotics
Not for use in patients receiving frequent blood transfusions
Avoid in premature infants until their deficient vitamin E stores at birth are replenished
May cause increased red cell hemolysis & hemolytic anemia in infants with low serum vitamin E concentrations
Ask healthcare professional if it is safe to use if do not have an iron deficiency; this drug is generally not for use by people who have a normal iron balance
Tablet dosage form may contain lactose; ask healthcare professional if lactose intolerant or milk allergy
Dose needs may be different during pregnancy or while breastfeeding
Not for use >6 months unless prescribed by healthcare professional or in patients with continuous bleeding or menorrhagia
Keep out of reach of children; accidental overdose can be fatal
Severe iron toxicity may occur in overdose, especially when ingested by children
Nonintentional iron overdose is leading cause of fatal poisoning in children <6 years; keep out of reach of children
Pregnancy-Lactation
Not Classi
Pregnancy Category: Not available
Lactation: Excreted in breast milk
Interactions
Antacids may decrease the absorption of carbonyl iron.
Contraindicated (0)
Serious (14)
baloxavir marboxil
ciprofloxacin
demeclocycline
doxycycline
eltrombopag
fleroxacin
gemifloxacin
levofloxacin
minocycline
moxifloxacin
mycophenolate
ofloxacin
oxytetracycline
tetracycline
Adverse Effects
>10%
Constipation,Diarrhea,Nausea,Epigastric pain,Dark stools,Vomiting
Frequency Not Defined
Hemosiderosis (during long-term administration of large amounts),Urine discoloration,Dental stain by some formulations,Heartburn
Mechanism of Action
Iron: Essential component in the formation of hemoglobin; adequate amounts of iron are necessary for effective erythropoiesis; also serves as a cofactor of several essential enzymes, including cytochromes that are involved in electron transport. Replacement of iron stores found in hemoglobin, myoglobin, and enzymes; works to transport oxygen via hemoglobin.