Maltofer - instructions for use, analogs, testimonials and release forms (solution, drops, syrup, chewable fat tablets) for the treatment of iron deficiency and folic acid in adults, children and pregnancy. Composition
In this article, you can read the instructions for using the drug Maltofer. Comments of visitors of the site - consumers of this medication, as well as opinions of doctors of specialists on the use of Maltofer in their practice are presented. A big request is to actively add their feedback on the drug: the medicine helped or did not help get rid of the disease, which were observed complications and side effects, possibly not declared by the manufacturer in the annotation. Analogues of Maltofer with available structural analogues. Use for the treatment of iron deficiency and folic acid in adults, children,as well as during pregnancy and lactation. Composition of the preparation.
Maltofer - contains iron in the form of a polymaltose complex of iron hydroxide. This macromolecular complex is stable and does not release iron as free ions in the gastrointestinal tract. The structure of Maltofer is similar to the natural iron compound ferritin. Due to this similarity, iron comes from the intestine into the blood through active transport. The absorbed iron binds to ferritin and is stored in the body, mainly in the liver. Then, in the bone marrow it is included in the hemoglobin. Iron, which is part of the polymetose complex of iron hydroxide, does not have pro-oxidant properties, unlike simple iron salts. There is a correlation between the severity of iron deficiency and the level of its absorption (the greater the severity of iron deficiency, the better the absorption). The most active absorption process occurs in the duodenum and small intestine.
Maltofer does not cause staining of teeth.
Composition
Iron (in the form of iron (3) hydroxide polymaltose) + auxiliary substances.
Iron (in the form of iron (3) hydroxide polimaltozata) + Folic Acid + adjuvants (Maltofer FOL).
Indications
- treatment of latent and clinically pronounced iron deficiency (iron deficiency anemia);
- prevention of iron deficiency during pregnancy;
- prevention of iron deficiency and folic acid (including before, during and after pregnancy, during lactation).
Forms of release
Solution for oral administration.
Drops, syrup (the ideal children's form of the drug).
Chewable tablets (Maltofer FOB).
Instructions for use and reception scheme
Solution
Maltofer solution for oral administration in single-dose vials is intended for oral administration.
The daily dose can be taken all at once or right after meals.
Drinking solution can be mixed with fruit and vegetable juices or with soft drinks. Weak coloring of the drink does not change its taste and does not reduce the effectiveness of the drug.
The daily dose of the drug depends on the degree of iron deficiency.
Children over 12 years of age, adults and nursing mothers:
Treatment of symptomatic iron deficiency (iron deficiency anemia): 1 vial 1-3 times a day for 3-5 months to normalize the level of blood hemoglobin.After this, the drug should be continued for several more months in order to restore iron stores in the body in a dosage of 1 bottle per day.
For the therapy of latent iron deficiency and for the prevention of iron deficiency: 1 vial a day for 1 -2 months.
Pregnant women:
Treatment of clinically pronounced iron deficiency (iron deficiency anemia): 1 bottle 2-3 times a day for 3-5 months before the normalization of hemoglobin level of blood. After this, the drug should be continued at a dosage of 1 bottle per day, at least until the birth to restore iron stores.
For latent deficiency therapy: 1 bottle per day for 1-2 months.
In the case of clinically severe iron deficiency, normalization of hemoglobin level occurs only after 2-3 months after the start of treatment.
Drops or syrup
The drug is taken orally during or immediately after a meal.
Drops and syrup can be mixed with fruit, vegetable juices or soft drinks. Chewable tablets can be chewed or swallowed whole.
The daily dose of the drug depends on the degree of iron deficiency.
Tablets, chewing
The drug is taken orally, during or immediately after a meal.Tablets can be chewed or swallowed whole.
The dose of the drug and the duration of therapy depend on the severity of iron deficiency. The daily dose of the drug can be taken 1 time per day.
Treatment of clinically pronounced iron deficiency (iron deficiency anemia): 1 tablet 1-3 times a day for 3-5 months before the normalization of the hemoglobin level of the blood. After this, the drug should be continued for several more months in order to restore iron stores in the body - 1 tablet a day.
Pregnant women should take the drug 1 tablet 2-3 times a day before the normalization of hemoglobin. Then the therapy should be continued at a dose of 1 tablet per day, at least until the birth to restore iron stores.
For the treatment of latent iron deficiency and the prevention of iron deficiency and folic acid, the drug is prescribed 1 tablet per day.
The duration of treatment for clinically significant iron deficiency (iron deficiency anemia) is 3-5 months before the normalization of the hemoglobin level. After that, taking the drug should be continued in a dose to treat latent iron deficiency for a few more months, and for pregnant women,at least until the birth to restore iron stores.
The duration of treatment of latent iron deficiency is 1-2 months.
In the case of clinically pronounced iron deficiency, the normalization of hemoglobin level and replacement of iron stores occurs only 2-3 months after the start of treatment.
Side effect
- signs of irritation of the gastrointestinal tract (including a feeling of overflow, pressure in the epigastric region, nausea, constipation or diarrhea);
- dark staining of the stool (black stool), caused by the release of unsweetened iron (has no clinical significance);
- allergic reactions to iron and folic acid (for Maltofer FOL).
Contraindications
- excess iron (for example, hemosiderosis and hemochromatosis);
- violation of iron utilization (lead anemia, sidero-achestic anemia, thalassemia);
- non-iron deficiency anemia (hemolytic anemia or megaloblastic anemia, caused by a lack of vitamin B12).
Application in pregnancy and lactation
In controlled studies in pregnant women in the 2nd and 3rd trimesters of pregnancy, there was no undesirable effect of the drug on the mother and fetus. There is no evidence of an undesirable effect of the drug on the fetus in the first trimester of pregnancy
Use in children
Due to the need to prescribe smaller doses, it is recommended to use a preparation of Maltofer drops in preterm infants, in children under 12 years (including infants) - the preparation of Maltofer syrup.
special instructions
In 1 tablet, Maltofer Fol contains 0.04 XE, which should be taken into account when appointing patients with diabetes mellitus.
Drug Interactions
Interaction with other drugs has not been identified.
Analogues of the medicinal product Maltofer
Structural analogues for the active ingredient and other drugs for the treatment of iron deficiency states:
- Aktiferrin compositum;
- Aloe syrup with iron;
- Biovital elixir;
- Biofer;
- Venofer;
- Vitrum Superstress;
- Vitrum Cirkus;
- Hemofer;
- Gino Tardiferon;
- Iron polymaltose;
- Likferr 100;
- Maltofer Foul;
- Multi Tabs Active;
- Pikovit Complex;
- Sorbifer Durules;
- Special Merz sweets;
- Stress formula with iron;
- Supradin Kids Junior;
- Tardiferon;
- Totem;
- Fenyuls Complex;
- Ferlatum;
- Ferri;
- Ferrinate;
- Ferro Folgamma;
- Ferrograduum;
- Ferronal;
- Ferrum Lek;
- Heferol;
- Enfamil Premium 2;
- Enfamil with iron.
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