Maltofer - instructions, price, analogues and reviews on the application. Maltofer - review: remedy for iron deficiency and hemoglobin increase in children Maltofer forte tablets instructions for use

Syrup and drops for children Maltofer and other iron preparations for a reason cause numerous reviews on the forums. The deterioration of the ecological situation, malnutrition, stress, a general decrease in immunity and deterioration in the health of adults and children cause, among other problems, various iron deficiency conditions, especially often in children of the first year of life, in adolescents during the period of active growth of the body, in pregnant and lactating women .

According to WHO, the incidence in the world reaches 200 million people, and the prevalence does not depend on the region.

If your child's blood test shows a decrease in hemoglobin and red blood cells, the doctor may prescribe iron supplements, for example, Maltofer drops or syrup, along with nutrition and regimen correction.

What is good about this drug?

Maltofer consists of trivalent iron polymaltose hydroxide. This compound, which is closest in structure to ferritin, is therefore easily absorbed from the intestine into the blood, delivered to the liver, where it is stored in reserve, and then used as needed in the bone marrow for the synthesis of hemoglobin and other important substances for the body.

• It should be noted that the compound included in Maltofer is stable and does not break down during digestion into ions that cause irritation of the mucous membranes, which could lead to gastritis, enteritis and other inflammations of the gastrointestinal tract.
• Unlike simple salts of ferrous iron, iron(III) polymaltose hydroxide does not cause the formation of free radicals - substances that contribute to aging and pathological degeneration of cells.
• It is absorbed mostly in the small intestine, and the absorption activity depends on the degree of iron deficiency, the excess of the drug is excreted in the feces, causing their staining. Since excess iron does not enter the bloodstream, even with an overdose of the drug, there were no cases of iron poisoning.
• The most convenient form of release for use in children's practice is drops and syrup.

A serious argument in favor of Maltofer is the numerous positive reviews from the parents of young patients.

Principle of action and side effects

Almost everyone notes the high effectiveness of the drug in iron deficiency anemia of mild and moderate severity, with hidden iron deficiency, for prevention.

Thanks to the use of Maltofer, hemoglobin normalizes after 3-4 weeks of taking the drug, and for some time a small maintenance dose is needed. A long-term or permanent effect comes after the drug is discontinued.

The syrup is easy to use, as a measuring cap is attached to the bottle. It has a pleasant taste and smell, which is important for the child.

For very young and / or allergenic children, it is better to use drops. The bottle is equipped with a drip dispenser - it is very convenient to give small doses. For example, premature babies in the first months of life, when the dosage is calculated on the weight of the child. It has a pleasant creamy smell and slightly salty taste, can be diluted with juice, compote, milk.

Very rarely there are side effects:

• constipation, rarely diarrhea;
• allergic reactions that quickly disappear after discontinuation of the drug;
• black coloration of the stool associated with incomplete absorption of iron (not dangerous).

Instructions for use indicate the possibility in rare cases of abdominal pain and nausea, but such complaints are not present in patient reviews.

Many mothers note the bright "iodine" color of the medicine and advise using a bib for the child.

How to use?

Instructions for use advises taking Maltofer syrup or drops in the doses prescribed by the doctor after or during meals. Usually, unless your doctor has prescribed other dosages, the daily doses of the drug are as follows:

• premature babies up to a year - drops 1-2 drops per kilogram of weight for 3-5 months;
• children under one year old with iron deficiency anemia - drops 10-20 drops, syrup - 2.5-5 ml;
• with a hidden lack of iron and for prevention - drops of 6-10 drops;
• children from 1 to 12 years old with iron deficiency anemia - drops 20-40 drops, syrup - 5-10 ml;
• with latent anemia and for prevention - drops 10-20 drops, syrup 2.5-5 ml;
• children over 12 years old with iron deficiency anemia - drops 40-120 drops, syrup - 10-30 ml;
• with latent anemia and for prevention - drops 20-40 drops, syrup 5-10 ml.

The daily dose should be divided into 2-3 doses. Introduce and cancel the drug gradually, adding (reducing) 2 drops every 2 days until the required dose or cancellation. It is especially important to observe the gradual introduction and withdrawal of the drug for premature babies and children under 1 year old.

Special instructions for patients diabetes: it must be taken into account that the syrup in the amount of 1 ml contains 0.04XE; drops 1ml - 0.01XE.

The medical instruction warns that there are contraindications to the use of the drug Maltofer syrup and drops:

• excess iron in the body;
• violations of the absorption of iron;
• anemia that is caused by other causes, such as a lack of vitamin B12;
• individual intolerance to the components of the drug, including auxiliary ones.

The instructions for using Maltofer are quite detailed and understandable, but you still should not self-medicate. If you have reason to believe that your child needs iron supplements, be sure to consult a doctor. Perhaps the doctor will advise taking synonymous drugs or other iron substitutes.

What can be replaced?

Medical analogues:

Polymaltose iron is a complete analogue from the Italian manufacturer ABC, in children's practice it is used in the form of drops and syrup;

• Fenyuls Complex - Indian analogue, available in syrup and drops, used in children from birth;
• Ferry syrup is also an Indian analogue of another manufacturer for children from birth;
• Ferlatum - solution for oral administration, active substance iron protein succinylate, prescribed from birth;
• Ferrum Lek - produced in Slovenia, chewable tablets and syrup for crumbs from birth;
• iron supplements:
• Tardiferon - iron sulfate (II) in a sugar shell, used in children's practice from 6 years old;
• Maltofer Fall - contains folic acid, is available in tablets, children under 12 years of age are not prescribed;
• Biovital elixir - a multivitamin preparation, among other components contains ferric iron, is prescribed for children in the form of a gel;
• Supradin Kids Junior is a complex multivitamin preparation with high content iron, children are used from 5 years in the form of chewable tablets.

Maltofer is a drug used to compensate for iron deficiency. The drug contains a complex of iron (III) polymaltose hydroxide, which is stable, does not release free iron ions in the gastrointestinal tract.

Its structure is similar to the natural iron compound ferritin, due to which iron (III) enters the blood from the intestines by active transport. Iron, which is absorbed from Maltofer, binds to ferritin, and accumulates in the liver, mainly. It is then incorporated into hemoglobin in the bone marrow.

In this article, we will consider why doctors prescribe Maltofer, including instructions for use, analogues and prices for this. medicine in pharmacies. Real REVIEWS of people who have already used Maltofer can be read in the comments.

Composition and form of release

Means in the form of tablets - in the form of flat cylinders. Color - brown, with white inclusions and risk. Blisters of 10 pieces, packs of 3 blisters.

• One tablet contains: iron 100 mg + additional ingredients (vanillin, talc, chocolate flavor, microcellulose, dextrates, sodium cyclamate, macrogol 6000, cocoa powder).

Clinico-pharmacological group: antianemic drug.

What is Maltofer used for?

The drug Maltofer according to the instructions is prescribed for

• treatment and prevention of iron deficiency anemia, which is not clearly manifested by iron deficiency;
• prevention for people on a strict diet, the elderly, pregnant women, children and adolescents during periods of active growth.

Injections of the drug can be used only after confirming the lack of iron by examining the composition of the blood (hemoglobin in the blood, erythrocytes, hematocrine, serum ferritin).

Instructions for use

Maltofer tablets should be taken orally one hour before a meal or 2 hours after a meal. The tablet is recommended to be chewed or swallowed immediately with a small amount of acidified water, tea, fruit juice. Acidic drinks help iron to be more quickly absorbed through the small intestine into the general bloodstream, while milk, coffee and alkaline liquids, on the contrary, slow down this process.

• The daily dose of the drug depends on the degree of iron deficiency.

Due to the need to prescribe very small doses for these indications, it is recommended to use the drug Maltofer drops for oral administration.

Contraindications

You can not use the drug in such cases:

• violation of iron utilization (lead anemia, sideroahrestic anemia, thalassemia);
• an excess of iron (for example, hemosiderosis and hemochromatosis);
• non-iron deficiency anemia hemolytic anemia or megaloblastic anemia caused by vitamin B12 deficiency).

Side effects

When taking oral forms of Maltofer, it is very rarely possible to develop disorders from the side digestive system, manifested as symptoms of irritation of the gastrointestinal tract (feeling of fullness, pressure in the epigastric region, nausea, diarrhea or constipation).

Also, during therapy, dark staining of the stool is possible (this symptom is due to the release of non-absorbed iron and clinical significance does not have).

During pregnancy

There are no data on the safety of the drug in the first trimester of pregnancy.

The drug can be prescribed in the second and third trimesters of pregnancy by the attending physician, if the expected benefit to the mother is higher than the potential risks to the fetus.

If it is necessary to use the drug during lactation, you should consult with your doctor and decide on the possibility of further breastfeeding.

Analogues

Maltofer has a number of drugs similar in their therapeutic effect:

• Gino-Tardiferon;
• totem;
• Ferroplex;
• Ferlatum;
• Ferrum Lek;
• Ferrodock;
• Hemoferron;
• Maltofer syrup, drops;
• Tardiferon N.

Attention: the use of analogues must be agreed with the attending physician.

Prices

The average price of MALTOFER, tablets in pharmacies (Moscow) is 300 rubles.

Instructions for use:

Maltofer is a remedy for iron deficiency.

pharmachologic effect

The composition of Maltofer includes a complex of iron (III) polymaltose hydroxide, which is stable, does not release free iron ions in the gastrointestinal tract.

Its structure is similar to the natural iron compound ferritin, due to which iron (III) enters the blood from the intestines by active transport. Iron, which is absorbed from Maltofer, binds to ferritin, and accumulates in the liver, mainly. It is then incorporated into hemoglobin in the bone marrow.

There is a relationship between the level of iron absorption and the severity of its deficiency: iron is absorbed the better, the greater its deficiency in the body.

The most active process of iron absorption occurs in the thin and duodenum. The part that is not absorbed into the bloodstream is excreted in the feces.

The drug Maltofer foul, in addition to iron, contains folic acid, which belongs to the B group of vitamins, takes part in the production of nucleic acids, purines, amino acids, pyrimidines, stimulates erythropoiesis (the process of producing red blood cells).

Release form

Maltofer drops and Maltofer tablets are produced.

Maltofer foul is produced in tablets.

Indications for Maltofer's use

Maltofer according to the instructions is prescribed for the treatment of patients suffering from iron deficiency anemia, latent iron deficiency.

Good feedback o Maltofer, taken to prevent iron deficiency in patients at risk, such as elderly patients, pregnant women, those on a strict diet, children, adolescents during active growth.

Maltofer foul is also effective in latent and severe iron deficiency, it is also used to prevent iron deficiency and folic acid (in particular, during lactation, pregnancy).

Contraindications

According to the instructions, Maltofer is not prescribed for: hemochromatosis, hemosiderosis, iron excretion disorders (for example, anemia provoked by lead poisoning, thalassemia, sideroahrestic anemia), hypersensitivity to the agent, megaloblastic and hemolytic anemia.

It is possible to take the drug for patients with diabetes mellitus, but during therapy it should be borne in mind that Maltofer drops (1 ml) contain 0.01 bread units, one chewable tablet - 0.04 bread units, 5 ml of solution for internal use - 0.11 bread units.

There are no negative reviews about Maltofer prescribed during pregnancy, but take it with caution.

There is also no verified data on the safety of using Maltofer by lactating women.

Maltofer foul in combination with chloramphenicol can provoke a mutual deterioration in the therapeutic effects of folic acid and chloramphenicol. You can not combine the drug with other iron-containing drugs.

In those who suffer from folic acid deficiency, the use of Maltofer foul may cause an increase in the serum metabolism of phenytoin.

Instructions for use Maltofer and doses

Maltofer drops are intended for internal use.

Before use, they can be dissolved in vegetable or fruit juice. One ml of drops (20 caps) contains 176.5 mg of iron (III). One drop contains 2.5 mg of elemental iron.

For the treatment of severe iron deficiency, according to the instructions of Maltofer, premature babies are prescribed 1-2 drops of Maltofer / day every day for 3-5 months; children under one year old are given 10-20 drops. per day; children 1-12 years old - 20-40 drops / day; children after 12 years old, adults - 40-120 drops / day. Pregnant women are prescribed 80-120 drops / day. According to the instructions Maltofer therapy lasts at least two months.

For the treatment of latent iron deficiency, children under one year old are given 6-10 drops / day; children 1-12l - 10-20 caps / day; children after 12 liters, adults - 20-40 caps / day. Pregnant women take 40 caps/day.

For prevention, children under one year old are given 2-4 drops of Maltofer per day, older children, adults take 4-6 drops. Pregnant women take 6 caps of Maltofer per day as a preventive measure.

Maltofer tablets are taken after meals.

For the treatment of severe iron deficiency, one tablet of Maltofer is taken one, three r / day for 3-5 months, after which therapy is continued for several more months, to restore the level of iron in the body, one tablet of Maltofer is taken per day. Pregnant women are prescribed to take 1 tablet Maltofer two, three r / day until hemoglobin stabilizes. After that, you should drink 1 tablet / day before childbirth for the prevention of iron deficiency, the treatment of latent iron deficiency.

Maltofer foul is taken after or during a meal. Adults, children after 12 liters, lactating women with iron deficiency should take the 1st table. one, three r / day. After the level of hemoglobin is reached, take 1 table. one r / day. In general, treatment lasts 5-7 months. Pregnant women with anemia caused by iron deficiency take the 1st table. 2-3 r / d. and switch to one tablet per day after the restoration of hemoglobin levels. Good reviews about Maltofer, from pregnant women who continue to take it until childbirth.

Children over 12 years old, adults with a latent iron deficiency and for the prevention of a lack of folic acid and iron take 1 table. one r / day. Prevention usually lasts 1-2 months.

Side effects

About Maltofer reviews are mostly positive. In some cases, there is vomiting, impaired stool, nausea, epigastric pain after taking the drug.

It should be borne in mind that due to the iron content in Maltofer, darkening of the feces is observed, which is not dangerous.

Name:

Maltofer (Maltofer)

Pharmacological
action:

The drug Maltofer contains iron in the form of a polymaltose complex of iron hydroxide (III). This macromolecular complex is stable and does not release iron in the form of free ions in gastrointestinal tract.
The structure of Maltofer is similar to the natural compound of iron with ferritin.
Due to this similarity, iron (III) from the intestine to the blood by active transport.
The absorbed iron binds to ferritin and is stored in the body, mainly in the liver. Then, in the bone marrow, it is included in the composition of hemoglobin.
Iron, which is part of the iron (III) hydroxide polymaltose complex, does not have pro-oxidant properties, unlike simple iron salts.
There is a correlation between the severity of iron deficiency and the level of its absorption ( the greater the severity of iron deficiency, the better absorption).
The most active process of absorption occurs in the duodenum and small intestine.
Maltofer solution for oral administration does not cause staining of teeth.

Indications for
application:

For the treatment of patients suffering from iron deficiency anemia, as well as latent iron deficiency;
- may be prescribed by the attending physician for the prevention of iron deficiency in patients at risk, including in elderly patients, women during pregnancy, patients on a strict diet, as well as in children and adolescents during a period of active growth.

Mode of application:

Drops and solution for oral administration
The drug is intended for oral use. The required dose of the drug can be dissolved in a small amount of juice or other soft drinks. The duration of the course of treatment and the dose of the drug is determined by the attending physician individually for each patient.

Syrup
The drug is intended for oral use. The required dose of the drug is measured using a measuring cap. Before use, the drug can be dissolved in a small amount of juice or other soft drinks. The duration of the course of treatment and the dose of the drug is determined by the attending physician individually for each patient.

Chewable tablets
The drug is intended for oral use. The tablets are swallowed whole or chewed with a small amount of liquid. The duration of the course of treatment and the dose of the drug is determined by the attending physician individually for each patient.

Recommended doses of the drug do not depend on the dosage form, the attending physician independently selects dosage form drug.
Premature babies with iron deficiency anemia are usually prescribed 2.5-5 mg of the drug / kg of body weight 1 time per day.
Children under 1 year of age with iron deficiency anemia, 25-50 mg of the drug is usually prescribed 1 time per day, with latent iron deficiency and for the prevention of iron deficiency, 15-25 mg of the drug 1 time per day.
Due to the need to prescribe smaller doses, in premature babies it is recommended to use the drug Maltofer drops, in children under 12 years old - the drug Maltofer syrup.
Children aged 1 to 12 years with iron deficiency anemia, 50-100 mg of the drug is usually prescribed 1 time per day, with latent iron deficiency and for the prevention of iron deficiency, 25-50 mg of the drug 1 time per day.
Adults and teenagers over the age of 12, as well as women during lactation with iron deficiency anemia are usually prescribed 100-300 mg of the drug 1 time per day, with latent iron deficiency and for the prevention of iron deficiency, 50-100 mg of the drug 1 time per day.
Women during pregnancy with iron deficiency anemia, 200-300 mg of the drug is usually prescribed 1 time per day, with latent iron deficiency and for the prevention of iron deficiency, 100 mg of the drug 1 time per day.
The duration of the course of treatment for iron deficiency anemia is usually 5-7 months.
Pregnant women with iron deficiency anemia are recommended to take the drug before childbirth in order to restore iron stores.
The duration of the course of treatment of latent iron deficiency is usually 1-2 months.

Side effects:

The drug is usually well tolerated by patients, however, in some patients, when using the drug, the development of nausea, vomiting, stool disorders and pain in the epigastric region was noted.
When taking the drug, patients also experience darkening of the feces, which has no clinical significance.

Contraindications:

Increased individual sensitivity to the components of the drug;
- do not prescribe to patients with hemosiderosis and hemochromatosis, as well as to patients suffering from impaired iron excretion, including sideroahrestic anemia, thalassemia and anemia caused by lead poisoning;
- not used for the treatment of patients with hemolytic and megaloblastic anemia.

When using the drug for the treatment of patients with diabetes, it should be borne in mind that 1 ml of drops for oral use contains 0.01 bread units, 1 ml of syrup and 1 chewable tablet - 0.04 bread units, 5 ml of oral solution - 0.11 bread units units.

Interaction
other medicinal
by other means:

Without features.

Pregnancy:

In controlled studies in pregnant women after the first trimester of pregnancy, there was no undesirable effect of the drug on the mother and fetus.
There are no data on the undesirable effect of the drug on the fetus during the first trimester of pregnancy.

Overdose:

So far, in cases of drug overdose, neither intoxication nor signs of iron overload have been reported.

Release form:

Drops for oral use Maltofer 10 ml or 30 ml in dark glass bottles and in bottles made of polymeric materials, 1 bottle with a dropper cap and a protective cap in a carton.
Syrup MAltofer 75 ml or 150 ml in dark glass bottles, 1 bottle complete with a measuring cap in a carton.
Chewable tablets MAltofer 10 pieces in a blister pack, 3 blister packs in a carton box.
Solution for oral administration Maltofer 5 ml in glass bottles, 10 bottles in a carton.
Chewable tablets MAltofer Fall p about 10 pieces in a blister pack, 3 blister packs in a carton box.

Storage conditions:

At a temperature not higher than plus 25 ° C in a place protected from light and inaccessible to children.
The shelf life of the drug in the form of chewable tablets, drops for oral use and solution for oral use is 5 years.
The shelf life of the drug in the form of syrup is 3 years.

1 ml of the drug Maltofer in the form of drops for oral administration contains:
- active ingredient: iron (III) polymaltose hydroxide (in terms of iron) - 50 mg.
1 ml contains 20 drops, 1 drop contains:
- active ingredient: iron (III) polymaltose hydroxide (in terms of iron) - 2.5 mg; - excipients, including sucrose.

5 ml of the drug Maltofer in the form of syrup contain:
- active substance: iron (III) polymaltose hydroxide (in terms of iron) - 50 mg;
- excipients, including sucrose, sorbitol and ethyl alcohol.

1 chewable tablet drug Maltofer contains:

- excipients, including vanillin and cocoa powder.

5 ml of Maltofer in the form of a solution for oral administration contain:
- active ingredient: iron (III) polymaltose hydroxide (in terms of iron) - 100 mg;
- excipients, including sucrose and sorbitol.

Content

To eliminate the lack of iron in the blood, doctors prescribe Maltofer - instructions for using the drug indicate its effect on the stomach and brain. The medication is available in several convenient formats, is prescribed for adults and children for special indications. You should carefully read the instructions for using the medicine in order to cope with the disease.

Iron preparation Maltofer

The pharmacological classification of drugs classifies the iron preparation Maltofer as antianemic. It means that medication counteracts the lack of hemoglobin in the blood serum, replenishes iron deficiency. The active ingredient of the composition is iron hydroxide polymaltose, the instructions indicate the amount of the component in terms of pure iron.

Composition and form of release

Maltofer is available in five convenient formats for oral administration: chewable tablets, syrup, drops, solution and injections for intramuscular injection. Detailed composition of each medicine:

Pharmacodynamics and pharmacokinetics

Iron hydroxide contains the metal in the form of polymaltose hydroxide. Its structure is similar to the structure of the core of the ferritin protein, which is the physiological depot of iron in the human body. Once inside, the substance is incorporated into hemoglobin, erythrocytes, binds to transferrin, participates in the synthesis of hemoglobin in the bone marrow and liver to bind with ferritin, and in the metabolism of choline. Maximum absorption activity occurs in the duodenum and small intestine. The rest is excreted in the feces.

With intramuscular injections of a solution, iron polymaltose hydroxide enters the bloodstream through the lymphatic system. Due to the slow release of iron, it is well tolerated. In the liver, the active drug enters the structure of hemoglobin, myoglobin, enzymes, and is used in the process of erythropoiesis. The substance reaches its maximum concentration in a day.

Indications for use

Instructions for use Maltofer highlights the following indications for use by patients:

• treatment of iron deficiency without anemia (latent deficiency), symptomatic iron deficiency anemia;
• increased need for iron (pregnancy, lactation, blood donation, intensive growth, vegetarianism, old age);
• iron solution is used when it is impossible to take oral iron preparations, diseases of the gastrointestinal tract.

Method of application and dosage

Each pack with the drug contains an instruction from Maltofer, which determines the method of using drugs and their dosage. Oral medications are taken with or after meals, daily dose divided into several doses or used once. The dosage is indicated in the table:

The course of taking Maltofer for adults and children depends on the degree of iron deficiency, indicated in the instructions for use:

• iron deficiency anemia - 3-5 months, then therapy lasts 1-2 at a reduced dose to replenish trace element reserves;
• anemia during pregnancy - until hemoglobin stabilizes, then treatment should be continued at a minimum dose;
• prevention of iron deficiency without signs of anemia - 1-2 months.

Drops Maltofer

According to the instructions, drops are allowed to be combined with fruit or vegetable juices, soft drinks, infant formula, dairy products. Products are slightly stained, which does not affect the taste of food and the effectiveness of the drug. To accurately measure the dose, the vial should be held vertically. If the liquid does not flow out immediately, lightly tap the bottom until it emerges. It is forbidden to shake the container.

Injection

According to the instructions, the solution is administered intramuscularly. Before entering, doctors conduct a test - adults are administered from a quarter to half the dose (25-50 mg / 0.5-1 ml), children from four months - half the daily maximum. If no adverse reactions appear within 15 minutes, the remainder is administered. Approximate adult dosage equal to one ampoule daily. Maximum daily doses depend on body weight:

• up to 6 kg - ¼ ampoules;
• 5-10 kg - ½ piece;
• 10-45 kg - 1 ampoule;
• adults - 2 pcs.

The instructions for using the solution indicate the injection technique, because pain and skin staining can occur from incorrect injection:

• for input use the upper outer quadrant of the gluteus maximus muscle;
• the needle should be with a narrow lumen; thin short needles are chosen for children;
• the needles are disinfected, the skin is moved about 2 cm to close the puncture channel;
• the needle is located vertically in relation to the skin;
• after the injection, the needle is slowly removed, for five minutes the area of ​​\u200b\u200bthe skin near the injection site is pressed with a finger;
• after entering the solution, patients are recommended to move.

Solution for oral administration

According to the instructions, the solution is taken orally during or after meals in a dose that depends on the degree of iron deficiency. The duration of treatment for symptomatic iron deficiency is 3-5 months, plus after therapy continues at a reduced dosage. With a latent deficiency, the solution is taken for 1-2 months. Replenishment of iron deficiency is observed after 2-3 months from the start of treatment.

Tablets Maltofer

According to the instructions, from the age of 12 years, it is allowed to take Maltosfer chewable tablets orally. According to the instructions, they are chewed or swallowed whole. In the second option, do it during or after a meal, drinking a glass of clean boiled water. room temperature. The dosage of application depends on the severity of iron deficiency, should not exceed the daily maximum. The course of treatment is set by the doctor.

Syrup Maltofer

According to the instructions, Maltofer syrup can be mixed with vegetable, fruit juices, soft drinks, infant formula or other food. As a result of mixing, the food is colored, but does not change in taste. The effectiveness of the drug also does not suffer. To accurately measure the dose of syrup, use the measuring cap that comes with the bottle.

special instructions

When studying the instructions for the use of Maltofer, you should pay attention to the section of special instructions:

• in case of anemia on the background infectious diseases or malignant neoplasms iron should be taken after the cause has been eliminated;
• the daily dose of syrup contains 0.008-0.1 g of ethanol;
• 1 ml drops of Maltofer contains 0.01 bread units (XE), a chewable tablet - 0.04 XE, 1 ml of syrup - 0.04 XE, this should be known to patients with diabetes;
• syrup and drops include sucrose, which can harm teeth;
• during therapy with Maltofer, stool stains in a dark color;
• it is unlikely that Maltofer can cause a slowdown in psychomotor reactions;
• with the manifestation of an allergy to a parenteral solution, antihistamines are prescribed, with the development of an anaphylactic reaction - the introduction of epinephrine;
• iron supplements should be used with caution in patients with kidney failure, liver disease.

During pregnancy

The instructions for use of Maltofer say that to date there are no reports of adverse reactions when taking the drug during pregnancy. According to animal studies, the drug does not cause danger to the fetus and mother after the end of the first trimester. There is no information on the effect of the drug in the first trimester of pregnancy.

According to reviews, during the period of breastfeeding, the medicine is prescribed only after consulting a doctor and assessing the potential risk and expected benefits for the child and mother. Active ingredient composition penetrates into breast milk, its amount has not been studied. Theoretically, the use of the drug by breastfeeding women will not cause negative reactions for the baby.

Maltofer for children

According to the instructions for use, Maltofer in the form of drops can be prescribed for the treatment of anemia in premature babies. Syrup and solution for oral use are prescribed from the age of one, chewable tablets - from the age of 12. Solution for parenteral use is indicated only for adults. It is optimal to choose syrup and drops for the treatment of iron deficiency anemia and normalization of the child's hemoglobin.

drug interaction

The instructions for use indicate that Maltofer in drops, syrup, tablets and solution can interact with other medicines:

• does not reduce the absorption of tetracycline, aluminum hydroxide, compatible with phenolic compounds;
• does not interact with acetylsalicylic acid, vitamin D3, Bromazepam, magnesium aspartate;
• the effectiveness of the drug is not affected by food components;
• It is not recommended to combine treatment with parenteral and oral preparations.

Side effects

The instructions for use of Maltofer indicate the presence of possible side effects while taking the drug:

• headaches, diarrhea, nausea, dyspepsia;
• constipation, vomiting, abdominal pain, darkening of the enamel;
• rash, itching on the skin, exanthema, allergic reactions;
• darkening of the skin at the injection site;
• no deviations of laboratory parameters were found.

Overdose

According to the instructions for use, it is unlikely that an overdose of Maltofer or iron intoxication will occur. This is due to the low toxicity of the trace element and the controllability of the capture of iron by polymaltose hydroxide. There are no reported cases of overdose and unintentional poisoning of patients with a fatal outcome.

Contraindications

The instructions indicate contraindications in which the use of tablets, drops, solution and syrup Maltofer is prohibited:

• hypersensitivity to the components of the drug;
• iron overload, hemosiderosis, hemochromatosis;
• violation of iron utilization, lead or sideroahrestic anemia, thalassemia;
• hemolytic, megaloblastic anemia (not associated with iron deficiency);
• deficiency of sucrase, isomaltase, fructose intolerance.

Terms of sale and storage

All forms of release of the drug can be bought by prescription. Preparations are stored away from sunlight, children at temperatures up to 25 degrees. Shelf life for drops and syrup is three years, for tablets and solution - five years.

Analogues

On the shelves of Russian pharmacies you can find direct or indirect analogues of Maltfer. Direct coincide in composition completely, have the same active ingredient. Indirect ones coincide in therapeutic effect. You can choose from the following preparations in syrup or drops format:

• Ferumbo;
• Ferrum Lek;
• Hemojet;
• Globigen;
• Profer;
• Hematocrine.

Price Maltofer

You can buy Maltofer through the Internet or a pharmacy, having received a prescription from your doctor in advance. The cost of drugs depends on the chosen form of release, volume, trade margin. Approximate prices for Moscow and St. Petersburg are listed below.