Ferro-Folgamma
Ferro-Folgamma: instructions for use and reviews
- 1. Release form and composition
- 2. Pharmacological properties
- 3. Indications for use
- 4. Contraindications
- 5. Method of application and dosage
- 6. Side effects
- 7. Overdose
- 8. Special instructions
- 9. Application during pregnancy and lactation
- 10. For violations of liver function
- 11. Drug interactions
- 12. Analogs
- 13. Terms and conditions of storage
- 14. Terms of dispensing from pharmacies
- 15. Reviews
- 16. Price in pharmacies
Latin name: Ferro-Folgamma
ATX code: B03AE01
Active ingredient: iron sulfate + folic acid + cyanocobalamin (ferrous sulfate + folic acid + cyanocobalamin)
Producer: CATALENT GERMANY EBERBACH (Germany)
Description and photo update: 2018-24-10
Ferro-Folgamma is a complex hemostimulating preparation containing vitamins and microelements. It is used to treat iron deficiency anemias.
Release form and composition
Ferro-Folgamma dosage form - capsules: gelatinous soft, oblong shape; two-color shell: one of the longitudinal halves is light brown, the other is dark brown (10 pcs in a blister strip packaging, 2 or 5 packs in a cardboard box).
Composition of one capsule:
- active substances: ferrous sulfate - 112.6 mg (equivalent to 37 mg Fe 2+), folic acid (vitamin B 9) - 5 mg, cyanocobalamin (vitamin B 12) - 0.01 mg, ascorbic acid (vitamin C) - 100 mg;
- auxiliary components (capsule contents): hard fat, rapeseed oil, gelatin, soy lecithin (E322);
- shell: sorbitol solution 70%, glycerol, ethyl vanillin, red iron oxide dye (E172), black iron oxide dye (E172).
Pharmacological properties
Pharmacodynamics
Ferro-Folgamma includes a combination of active ingredients that cause the antianemic effect of the drug in the treatment of iron deficiency conditions: ferrous iron (in the form of an iron sulfate salt), folic acid, vitamin B 12 and ascorbic acid.
Iron is part of such important blood elements as hemoglobin, myoglobin, as well as a number of enzymes. Folic acid and cyanocobalamin are involved in the formation of red blood cells (erythropoiesis). Ascorbic acid helps to improve the absorption of iron in the intestine.
Due to the special neutral capsule shell, the absorption of the active substances of the drug occurs mainly in the small intestine. Due to the fact that the gastric mucosa is not exposed to local irritant action, the drug is well tolerated by the gastrointestinal tract.
Pharmacokinetics
Information on the pharmacokinetics of the drug is not provided.
Indications for use
- anemias caused by a combined deficiency of iron, folic acid and vitamin B 12, resulting from chronic blood loss (intestinal, stomach bleeding, metrorrhagia, menometrorrhagia, bleeding from hemorrhoids, bladder), as well as against the background of infectious diseases, chronic alcoholism, oral contraceptives or anticonvulsants;
- anemia during pregnancy and lactation;
- prevention of iron and folic acid deficiency in the second and third trimesters of pregnancy and after childbirth during breastfeeding.
Contraindications
- excessive iron content in tissues and organs (hemochromatosis, hemosiderosis);
- not associated with iron deficiency anemias (including isolated megaloblastic anemia caused by a lack of vitamin B 12, as well as hemolytic anemias);
- violation of the processes of iron utilization (including sideroachrestic anemia and anemia caused by lead poisoning);
- liver dysfunction;
- individual hypersensitivity to any components of the drug.
Instructions for the use of Ferro-Folgamma: method and dosage
Ferro-Folgamma is taken orally after a meal.
Recommended dosage:
- anemia: mild course - 1 capsule 3 times a day, course of treatment - 3-4 weeks; moderate form - 1 capsule 3 times a day, course of treatment - 8-12 weeks; severe form - 2 capsules 3 times a day, course of treatment - 16 weeks or more;
- prevention of iron and folic acid deficiency during pregnancy and lactation: 1 capsule 3 times a day in the second and third trimesters and after childbirth during breastfeeding.
Side effects
When taking Ferro-Folgamma, allergic reactions may occur in the form of urticaria, anaphylactoid or eczematous phenomena, anaphylactic shock.
From the side of the digestive system, nausea may occur.
Overdose
In case of an overdose of Ferro-Folgamma, the following symptoms may develop: diarrhea, nausea, vomiting, epigastric pain, drowsiness, the development of a shock state (up to coma), pallor of the skin.
Treatment for intoxication consists in gastric lavage, the introduction of deferoxamine, symptomatic and supportive treatment.
special instructions
During the period of application of Ferro-Folgamma, it is possible to stain the stool in a darker color, which has no clinical significance, since it is due to the excretion of undigested iron.
Application during pregnancy and lactation
According to the instructions, Ferro-Folgamma is prescribed to women during pregnancy and breastfeeding according to indications.
For violations of liver function
The drug should not be used for violations of liver function.
Drug interactions
- preparations containing pancreatic enzymes: decrease in iron absorption;
- calcium, phosphorus salts, organic acids, phytin, antacids containing aluminum, cholestyramine, calcium, magnesium: impaired absorption of iron due to the formation of insoluble compounds;
- antibiotics of the tetracycline group: violation of their absorption from the gastrointestinal tract;
- phenobarbital, sodium valproate, carbamazepine, sulfasalazine, hormonal contraceptives, triamterene, pyrimethamine, trimethoprim, folic acid antagonists: decreased absorption of folic acid;
- solid food, raw cereals, bread, eggs, dairy products (during therapy with tetracycline antibiotics and penicillamine): reduced absorption of iron due to the formation of complex compounds that reduce the absorption of iron and inhibit the antimicrobial activity of antibiotics.
Analogs
Ferro-Folgamma analogs are: Aktiferrin, Aktiferrin compositum, Tardiferon.
Terms and conditions of storage
Store at a temperature not exceeding 25 ° C, out of the reach of children.
Shelf life is 5 years.
Terms of dispensing from pharmacies
Dispensed by prescription.
Reviews about Ferro-Folgamme
In reviews of Ferro-Folgamme, users note the rather high cost of capsules.
Women taking the drug are usually satisfied with the result. After the course of treatment prescribed by the doctor with Ferro-Folgamma vitamin capsules, the level of hemoglobin increases significantly, other analytical blood parameters are normalized, and the state of health improves.
In rare cases, patients write about the occurrence of adverse reactions such as nausea and constipation.
Price for Ferro-Folgamma in pharmacies
The average price for Ferro-Folgamma (per package) is approximately: 20 capsules - 280 rubles, 50 capsules - 600 rubles.
Maria Kulkes Medical journalist About the author
Education: First Moscow State Medical University named after I. M. Sechenov, specialty "General Medicine".
Information about the drug is generalized, provided for informational purposes only and does not replace the official instructions. Self-medication is hazardous to health!
