Totem - Instructions For Use, Indications, Doses, Analogs

2024 Author: Rachel Wainwright | [email protected]. Last modified: 2023-12-15 07:39

Totem

Instructions for use:

1. 1. Release form and composition
2. 2. Indications for use
3. 3. Contraindications
4. 4. Method of application and dosage
5. 5. Side effects
6. 6. Special instructions
7. 7. Drug interactions
8. 8. Analogs
9. 9. Terms and conditions of storage
10. 10. Terms of dispensing from pharmacies

Prices in online pharmacies:

from 481 rub.

Buy

Totema is an antianemic drug, a stimulant of hematopoiesis.

Release form and composition

Dosage form - oral solution: dark brown liquid, slight sediment is allowed, with a characteristic odor (10 ml each in glass (type III) double-ended yellow ampoules, 10 pcs. In a cardboard pallet, 2 pallets in a cardboard box) …

1 ml of solution contains:

• active ingredients: iron (elemental, iron gluconate dihydrate) - 5 mg, copper (elemental, copper gluconate) - 0.07 mg, manganese (elemental, manganese gluconate) - 0.133 mg;
• auxiliary components: sucrose, dextrose (glucose), glycerol, polysorbate 80, anhydrous citric acid, sodium benzoate, sodium citrate dihydrate, tutti-frutti flavor, TPS caramel color (E150c), purified water.

Indications for use

Prevention and treatment of iron deficiency anemias caused by the following reasons:

• bleeding;
• increased need for iron during pregnancy;
• impaired absorption of iron or a deficiency in its intake with food.

Contraindications

• anemia of non-ferrous deficiency;
• thalassemia;
• hemosiderosis, hemochromatosis;
• period of exacerbation of gastric ulcer and duodenal ulcer;
• poisoning of the body with lead, manganese, copper;
• Wilson-Konovalov disease;
• syndrome of glucose-galactose malabsorption, fructose intolerance, sucrase or isomaltase deficiency;
• age up to 3 months;
• hypersensitivity to the components of the drug.

It is recommended to use the Totem solution with caution in patients with diabetes mellitus.

Method of administration and dosage

The solution is taken orally before meals.

For safe opening of the ampoule, it is recommended to tear off a piece of cardboard from the package along the dotted line and bend it in half. After shaking the contents of the ampoule, break it on both sides and pour the solution into a glass with plain or sweetened water.

Before starting treatment, it is necessary to determine the total iron-binding capacity of the serum and, during the use of the drug, to monitor it and the level of iron concentration in the blood serum at intervals of 1 every 2 months.

Recommended dosage:

• treatment: adults - 2-4 ampoules (100-200 mg) per day, children - at the rate of 5-7 mg per 1 kg of the child's weight per day, the dose received should be divided into 2-4 doses;
• prevention: adult patients and pregnant women (from the II trimester of pregnancy) - 1 ampoule per day. Children (depending on age) - from 1/4 to 1/2 of the daily therapeutic dose for adults.

Treatment should be continued until the complete restoration of iron stores in the body, the average duration of the course is 3–6 months.

Side effects

• from the digestive system: pain in the epigastric region, nausea, heartburn, vomiting, constipation, diarrhea, stool staining black (not a pathology), darkening of tooth enamel;
• others: the development of allergic reactions.

special instructions

The effectiveness of treatment should be checked only 3 months after starting the drug.

Tea reduces the absorption of iron, so excessive consumption should be avoided during treatment.

To prevent the enamel of the teeth from darkening, the solution should be swallowed without holding it in the mouth or using a tube.

Patients with diabetes mellitus should take into account that the content of sucrose in 1 ampoule is 3 g, and carbohydrates in a daily dose (4 ampoules) corresponds to 1 XE (bread unit).

Reception of Totem can contribute to the staining of feces in black, this is the norm for all iron preparations and does not need medical intervention. While taking the solution, fecal occult blood test indicators may be false positive.

The negative effect of the drug on the patient's ability to drive vehicles and mechanisms has not been established.

Drug interactions

While taking the Totem:

• tetracycline, ciprofloxacin, bisphosphonates, when administered orally, reduce their absorption;
• oxides, salts and hydroxides of aluminum, magnesium or calcium interfere with the absorption of iron salts, so the solution should be taken only 2 hours after taking these funds;
• other iron-containing agents, including those administered parenterally, cannot be used.

Analogs

Totem analogs are: Hemofer, Sorbifer Durules, Aktiferrin, Tardiferon, Ferrous fumarate, Ferro-Folgamma, Ferrogradumet, Ferroplex, Ferronat.

Terms and conditions of storage

Keep out of the reach of children.

Store at temperatures up to 25 ° C.

Shelf life is 2 years.

Terms of dispensing from pharmacies

Dispensed by prescription.

Totema: prices in online pharmacies

Drug name Price Pharmacy

Totem oral solution 10 ml 20 pcs. RUB 481 Buy

Totem solution for indoor approx. 10ml 20 pcs. RUB 500 Buy

Information about the drug is generalized, provided for informational purposes only and does not replace the official instructions. Self-medication is hazardous to health!