Hemady

Generic name:

Ferrous sulfate

Drug class:

Iron supplement (ferrous salt)

Dosage form:

Tablet, capsule, oral solution, drops

Root of administration:

Oral

Dose:

Adults: 325 mg (65 mg elemental iron) orally 1–3 times daily; Pediatrics: 3–6 mg/kg elemental iron daily divided in 2–3 doses

Mechanism of action:

Provides elemental iron for incorporation into hemoglobin and myoglobin, supporting erythropoiesis and oxygen transport

Drug usage cases:

• Treatment of iron deficiency anemia
• Prevention of iron deficiency in high-risk populations (e.g., pregnancy)
• Off-label: Restless leg syndrome associated with iron deficiency
• Off-label: Preoperative iron repletion

Drug contra indications:

• Known hypersensitivity to ferrous sulfate or any component
• Hemochromatosis or other iron overload disorders
• Hemolytic anemia
• Peptic ulcer disease, esophagitis, gastritis
• Colonic ulceration

Side effects:

• Gastrointestinal upset (nausea, vomiting, abdominal pain)
• Constipation or diarrhea
• Dark or black stools
• Teeth staining (liquid formulations)
• Metallic taste
• Hypersensitivity reactions (rash, pruritus)

Warnings:

• Risk of accidental overdose in children; keep out of reach
• Caution in patients with peptic ulcer disease or inflammatory bowel disease
• May interfere with absorption of certain antibiotics (e.g., tetracyclines, quinolones)
• Separate administration from antacids, calcium, and dairy by ≥2 hours
• Monitor for signs of iron overload in long-term therapy

Use during pregnancy or breastfeeding:

Use in pregnancy is recommended for treatment and prevention of iron deficiency anemia; classified as Pregnancy Category A. Monitor maternal hematologic status. Iron passes into breast milk in small amounts; considered compatible with breastfeeding. Monitor infant for GI intolerance.