Indications
Ferrous Ascorbate is an iron supplement used to treat and prevent iron deficiency anaemia (a low blood count caused by lack of iron). It is commonly used in pregnancy, after heavy periods or blood loss, during growth spurts, and when the diet is low in iron. It is often combined with Folic Acid and other vitamins and minerals.
How It Works
Iron is needed to make haemoglobin, the part of red blood cells that carries oxygen. Ferrous Ascorbate combines iron with vitamin C (ascorbic acid), which helps the gut absorb the iron and is usually gentle on the stomach. The extra iron allows the body to rebuild its red blood cells and iron stores.
Dosage and Administration
Adults: usually one tablet or capsule a day (commonly providing about 100 mg of elemental iron), or as prescribed. Children: syrups and drops are dosed by age and weight, as prescribed. Take it with water, preferably an hour before a meal; if it upsets the stomach, it can be taken with food. Treatment usually continues for about three months after blood levels return to normal, to refill iron stores.
Interactions
- Antacids, Calcium, Zinc and medicines for acidity such as Omeprazole can reduce iron absorption; take them at least two hours apart.
- Iron reduces the absorption of Tetracycline antibiotics, quinolone antibiotics (such as Ciprofloxacin), Levothyroxine, Levodopa and some others; keep at least two hours apart.
- Tea, coffee, milk, eggs and whole grains taken at the same time lower iron absorption.
Contraindications
- Iron overload conditions, such as haemochromatosis and haemosiderosis, or frequent blood transfusions.
- Anaemia that is not caused by iron deficiency, such as thalassaemia without iron deficiency, unless a doctor advises.
- Allergy to any ingredient of the product.
Side Effects
Common: nausea, stomach discomfort, constipation or diarrhoea, and a metallic taste. Stools often turn dark or black; this is expected and harmless. Liquid forms can stain teeth; rinse the mouth after use.
Get urgent medical help if you have: vomiting of blood, severe stomach pain, or black, sticky stools together with dizziness or weakness (these can mean bleeding rather than the usual iron colour); or signs of a serious allergic reaction such as swelling of the face or trouble breathing.
Pregnancy and Lactation
Iron supplements are commonly recommended in pregnancy and while breastfeeding. Take the dose your doctor advises.
Precautions and Warnings
- Have the cause of anaemia checked by a doctor, especially in men, older adults and women after the menopause, as it can be a sign of hidden bleeding.
- Tell the doctor about stomach ulcers, bowel disease or liver disease.
- Do not take extra iron supplements at the same time unless a doctor advises.
- Iron tablets are very dangerous to young children; keep them locked away.
Overdose
Iron overdose is a medical emergency, especially in children. Early signs are vomiting, diarrhoea, stomach pain and drowsiness, and serious problems can appear hours later even if the person seems better. Go to hospital immediately if a child has swallowed iron tablets or if anyone has taken too many.
Therapeutic Class
Iron preparation (haematinic).
Storage
Store below 30°C in a dry place, away from light and out of the reach of children.
Prepared by the Oshud Alo team from standard drug references. For information only; always follow your doctor's advice.