Formulary
Ferrous gluconate: Indications, Dosing, Side Effects and Interactions
Ferrous gluconate clinical drug profile including indications, dosing, side effects, cautions and interactions.
MedNext Academy | 3 min read
Ferrous gluconate: Indications, Dosing, Side Effects and Interactions
Ferrous gluconate clinical drug profile including indications, dosing, side effects, cautions and interactions.
Indications and dose
**Iron-deficiency anaemia [treatment and prophylaxis]**
- **Adult** (By Mouth Using Tablets): 600 mg once daily, reduced if not tolerated to 600 mg once daily on alternate days.
**Iron-deficiency anaemia [treatment and prophylaxis] for ferrous gluconate**
- **Child 6-11 years** (By mouth using tablets): 300 mg once daily, reduced if not tolerated to 300 mg once daily on alternate days.
- **Child 12-17 years** (By mouth using tablets): 600 mg once daily, reduced if not tolerated to 600 mg once daily on alternate days.
Cautions
For all iron (oral) High doses in elderly Cautions, further information Elderly Screening Tool of Older Persons' potentially inappropriate Prescriptions (STOPP) criteria to aid medication reviews (see Prescribing in the elderly for information): potentially inappropriate at oral doses greater than 200 mg elemental iron daily (no evidence of enhanced iron absorption above these doses).
Side effects
For all iron (oral) Common or very common Constipation; diarrhoea; gastrointestinal discomfort; nausea Uncommon Vomiting Frequency not known Appetite decreased; gastrointestinal disorders Side-effects, further information Iron can be constipating and occasionally lead to faecal impaction. Oral iron, particularly modified-release preparations, can exacerbate diarrhoea in patients with inflammatory bowel disease; care is also needed in patients with intestinal strictures and diverticular disease. Overdose For details on the management of poisoning, see Iron salts, under Emergency treatment of poisoning .
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Clinical governance
**Author:** MedNext Clinical Team. **Clinical reviewer:** Dr Shameer Deen, MBBS, MS, MRCS. **Sources:** BNF, Indian Pharmacopoeia, CIMS India. **Correction:** Report errors at support@mednext.academy.
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