Introduction
Iromia is an iron replacement product. It is used to treat a type of anemia where you have too few red blood cells because you have too little iron in your body (iron-deficiency anaemia). Iron is needed to produce the red blood cells that carry oxygen around your body.
Take Iromia as a whole – do not break, chew or crush them. You will be watched carefully to make sure you do not have an allergic reaction. Your doctor will decide how much dose you need depending on the cause of your anaemia, it may help to eat a well-balanced diet that has enough iron, vitamins and minerals. Good sources of iron include meat, eggs, raisins, broccoli and lentils.
The most common side effects include diarrhea, constipation, dark colored stools, and injection site reactions (pain, swelling, redness). Most of these usually go away within a short time. If you are bothered by them or they go on for longer, talk to your doctor or nurse.
You should not have this medicine if your anemia is not caused by a lack of iron. Before taking it, tell your doctor if you have rheumatoid arthritis, asthma or other allergies, high blood pressure or liver problems. This may affect your treatment. It is not known whether this medicine is safe for use if you are pregnant or breastfeeding so please take advice from your doctor. You will have tests to check your blood cells and iron levels, monitor your progress and check for side effects. It may be advisable to limit alcohol during treatment.
Uses of Iromia
- Iron deficiency anemia
- Anemia due to chronic kidney disease
Side effects of Iromia
Common
- Nausea
- Dark colored stool
- Diarrhea
- Constipation
How to use Iromia
Take this medicine in the dose and duration as advised by your doctor. Check the label for directions before use. Measure it with a measuring cup and take it by mouth. Shake well before use. Iromia is to be taken empty stomach.
How Iromia works
Iromia is an anti-anemic medication. It replenishes the iron stores in your body. Iron is vital for the formation of new red blood cells and hemoglobin, a substance that gives these cells the ability to transport oxygen.
What if you forget to take Iromia?
If you miss a dose of Iromia, please consult your doctor.
Indication
Iron-deficiency anemia
Adult Dose
Dosage and duration of therapy are dependent upon the extent of iron deficiency.
Adults: 10 ml once or twice daily
Child Dose
Dosage and duration of therapy are dependent upon the extent of iron deficiency.
Children (6 - 12 years): 10 ml daily
Children (2 - 6 years): 5 ml daily
Premature infants & Infants: 3.33 mg of elemental iron/kg body weight (0.06 ml drops/kg body weight) daily.
Contraindication
Hypersensitivity or intolerance to iron and overloading of iron in the body. Anaemia not caused by iron deficiency. Disturbances in iron utilisation, thalassemia. Patients receiving repeated blood transfusion. Parenteral: Iron overload, Ostler-Rendu-Weber syndrome, chronic polyarthritis, bronchial asthma, inflammation or infection of kidney or liver, uncontrolled hyperparathyroidism, decompensated liver cirrhosis. Pregnancy (1st trimester).
Mode of Action
Iron polymaltose is a water soluble, macro-molecular complex of iron (III) hydroxide and isomaltose. It is used in the treatment of iron-deficiency anaemia.
Precaution
Avoid concomitant parenteral and oral iron admin, oral iron therapy should start at least 1 wk after last iron inj. Parenteral: Pregnancy (2nd and 3rd trimester), allergies, hepatic and liver insufficiency, low iron binding capacity and or folic acid deficiency. Facilities for CPR should be available during admin. Excessive IV infusion rate may cause nausea and epigastric upset. IV infusion route should be used only if IM route is unacceptable and when there is no stored iron in the bone marrow.
Side Effect
GI irritation, epigastric pain, stomach cramping, constipation, nausea, vomiting, diarrhoea, dark stools, heart burn, discoloured urine, teeth staining. IM: pain at inj site, abdominal pain at lower quadrant and local inflammation with inguinal lymphadenopathy. IV: Joint and muscle pain, bronchospasm, hypotension, tachycardia, flushing, sweating, dizziness.
Potentially Fatal: Parenteral: Anaphylactoid reactions, circulatory collapse.
Interaction
Concurrent use with psychotropic drugs may worsen constipation. Increased systemic side effects with concomitant ACE inhibitors and parenteral iron admin.