Inhouse product
Indications
Adiron capsule is
indicated for the treatment of iron deficiency in adults.
* রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন'
Pharmacology
Ferric Maltol delivers
iron for uptake across the intestinal wall and transfer to transferrin and
ferritin. It has been shown to increase serum iron parameters, including
ferritin and transferrin saturation (TSAT)
Dosage &
Administration
Ferric Maltol capsule
should be taken in oral route, preferably on an empty stomach, at least 1 hour
before or 2 hours after meals. Do not open, break or chew Ferric Maltol
capsule. The recommended dosage of Ferric Maltol is 30 mg twice daily.
Treatment duration will depend on the severity of iron deficiency but generally
at least 12 weeks of treatment is required. The treatment should be continued
as long as necessary until ferritin levels are within the normal range.
Use in children and
adolescents: Safety and
effectiveness of ferric maltol have not been established in pediatric patients.
* রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন'
Interaction
Drug interaction with
medication: Concomitant use of
iron products with dimercaprol may increase the risk of nephrotoxicity. Avoid
concomitant use of Adiron with dimercaprol. Concomitant use of Adiron may
decrease the bioavailability of some drugs, including mycophenolate, ethynyl
estradiol, ciprofloxacin and doxycycline. For oral drugs where reductions in
bioavailability may cause clinically significant effects on its safety or
efficacy, separate the administration of Adiron by at least 4 hours.
Drug interaction with
food and others: Food has been shown
to decrease the bioavailability of iron after administration of Adiron.
Contraindications
Ferric maltol is
contraindicated in patients with known hypersensitivity to ferric maltol or any
other components of this product. It is also contraindicated in patients with a
history of hemochromatosis and other iron overload syndromes and in patients
receiving repeated blood transfusions.
Side Effects
The most common side
effects are flatulence, diarrhea, constipation, feces discolored, abdominal pain,
nausea and vomiting.
Pregnancy &
Lactation
Ferric maltol is not
absorbed systemically as an intact complex following oral administration and
maternal use is not expected to result in fetal exposure to the drug. There are
no data on the presence of ferric maltol in human milk, the effects on the
breastfed child or the effects on milk production. Ferric maltol is not
absorbed systemically as an intact complex by the mother following oral
administration and breastfeeding is not expected to result in exposure of the
child to ferric maltol.
Precautions &
Warnings
Avoid use of Adiron in
patients with an active inflammatory bowel disease (IBD) flare, as there is
potential risk of increased inflammation in the gastrointestinal tract. Do not
administer to patients with evidence of iron overload or patients receiving
intravenous iron. Assess iron parameters prior to initiating Adiron and monitor
iron parameters while on therapy. Accidental overdose of iron-containing
products is a leading cause of fatal poisoning in children under 6 years of
age. In case of accidental overdose, patient should be treated immediately.
Overdose Effects
No data is available
regarding overdose of Adiron in patients. Early signs and symptoms of iron
overdose may include nausea, vomiting, abdominal pain and diarrhea. In more
serious cases there may be evidence of hypoperfusion, metabolic acidosis and
systemic toxicity. Dosages of Adiron in excess of iron needs may lead to
accumulation of iron in storage sites leading to hemosiderosis.
Therapeutic Class
Oral Iron preparations
Storage Conditions
Store in a cool (below
25°C) and dry place protected from light. Keep away from the reach of children.
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