Adult Dosing

Treatment of iron deficiency anemia

• 60-100 mg elemental iron PO bid
• ALT: 2-3 mg/kg/day PO divided bid-qid

As iron supplement

• 60-100 mg PO qd

Note:

• Ferrous gluconate contains 12% elemental iron
• Dosages are expressed as mg of elemental iron

Pediatric Dosing

Treatment of iron deficiency anemia

Children and Infants

• Severe iron deficiency anemia: 4-6 mg/kg/day PO divided tid
• Mild to moderate iron deficiency anemia: 3 mg/kg/day PO divided qd-bid

Neonates, premature

• 2-4 mg/kg/day divided qd-bid [Max: 15 mg/day]

Prophylaxis

• 1-2 mg/kg/day PO divided qd-bid [Max: 15 mg/day]

Note:

• Ferrous gluconate contains 12% elemental iron
• Dosages are expressed as mg of elemental iron

[Outline]

• Adult Dosing
• Pediatric Dosing

• Iron deficiency anemia
• As iron supplement

• Hypersensitivity to any of the ingredients of the product
• Hemochromatosis
• Hemosiderosis
• Patients receiving blood transfusion
• Anemia not due to iron deficiency

• Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6. Keep this product out of reach of children. In case of accidental overdose, call a doctor or poison control center immediately.

Renal Dose Adjustment

• Renal impairment: No dose adjustments

Hepatic Dose Adjustment

• Hepatic impairment: No dose adjustments

• Long term administration of iron can cause hemosiderosis leading to excessive iron absorption, excess tissue iron stores, and potential tissue injury and as there is no excretory mechanism, repeated phlebotomy or long-term administration of deferoxamine is necessary to prevent or reverse tissue damage
• Iron overload is associated with an increased susceptibility to certain infections (caused by Vibrio vulnificus, Yersinia enterocolitica, or Y. pseudotuberculosis)and can adversely affect the prognosis in patients infected with human immunodeficiency virus (HIV)
• As premature infants have low serum vitamin E concentrations, administration of iron preparations can cause increased red cell hemolysis and hemolytic anemia, IM administration of the vitamin may be advisable
• Except in patients with continued bleeding, menorrhagia, or repeated pregnancies, long term (more than 6 months) administration of iron should be avoided
• Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children less than 6 yrs of age.

Cautions: Use cautiously in

• Severe renal impairment
• Severe hepatic impairment
• Peptic ulcer disease
• Ulcerative colitis or regional enteritis
• Alcoholism

Pregnancy Category: Not Applicable

Breastfeeding: Safe.

• CNS: Dizziness, headache, syncope
• GI: Nausea, constipation, dark stools, epigastric pain, GI bleeding, vomiting

• Mineral; present in all cells and has several vital functions like energy transfer and transport and utilization of oxygen
• Half-life: Unknown

US Trade Name(s)

• Fergon

US Availability

ferrous gluconate (generic)

• TABS: 240, 324, 325 mg

Fergon

• TABS: 240 mg

Canadian Trade Name(s)

• N/A

Canadian Availability

• N/A

UK Trade Name(s)

• N/A

UK Availability

• N/A

Australian Trade Name(s)

• N/A

Australian Availability

• N/A

[Outline]

Nutrition/Electrolytes

Iron Products

Pricing data from www.DrugStore.com in U.S.A.

• Ferrous Gluconate 324 MG TABS [Bottle] (PADDOCK)
  100 mg = $15.99
  200 mg = $22.98
• Ferrous Gluconate 325 MG TABS [Box] (MAJOR PHARMACEUTICALS)
  100 mg = $14.99
  200 mg = $19.98
• Fergon 240 (27 Fe) MG TABS [Bottle] (BAYER CONSUMER)
  100 mg = $17.99
  200 mg = $24.97

Warning: This pricing information is subject to change at the sole discretion of DS Pharmacy. For the most current and up-to-date pricing information, please visit drugstore.com.