Things to know about Ferlin syrup in iron supplements for children

What is Ferlin syrup? In which cases is Ferlin syrup used? What should be noted about possible side effects while taking the drug? Let's take a closer look at SignsSymptomsList about Ferlin syrup in the article analyzed below!

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• 1. What is Ferlin syrup?
• 2. Indications of the drug
• 3. Ferlin syrup should not be used if
• 4. How to use Ferlin syrup effectively?
• 5. Side effects
• 6. Interactions that occur when taking Ferlin . syrup
• 7. Notes when using Ferlin . syrup
• 8. Special Uses
• 9. Treatment of Ferlin syrup overdose
• 10. What to do when you miss a dose of Ferlin syrup
• 11. How to preserve

1. What is Ferlin syrup?

Ferlin syrup box

Ingredients in each 5ml (equivalent to 1 teaspoon) has

Active

• Elemental Iron……………………..30mg
• Thiamine (Vitamin B1)……………………..10mg
• Pyridoxine (Vitamin B6)…………………….10mg
• Cyanocobalamin (Vitamin B12)…………………….50mcg

Excipients

• Glycerin
• Sucrose
• Sodium Benzoate, Sodium Citrate, Edetate Disodium
• Citric Acid
• Caramel
• Pure water

2. Indications of the drug

Ferlin syrup helps prevent and treat iron deficiency anemia in children. In addition, Ferlin syrup also helps to prevent and support the treatment of nutritional anemia.

3. Ferlin syrup should not be used if

• Allergy to any ingredient, whether active or excipient, in the formulation of Ferlin syrup
• Patients with primary hemochromatosis, in the state of hemolytic anemia, regional enteritis and ulcerative colitis should not take the drug.

4. How to use Ferlin syrup effectively?

4.1. How to use

• Ferlin is made in the form of an oral syrup
• To ensure the correct dose, use a measuring cup when taking the medicine
• Note that before using the dosimeter, it must be cleaned thoroughly 

4.2. Dosage

The dose of the drug is calculated according to the amount of elemental iron. Depends on the purpose

Additional dose (prevention)

• Equivalent to the recommended table of daily nutritional needs: 10-15mg per day

Therapeutic dose

• 3mg/kg body weight/day divided into 3-4 times.
• The duration of treatment depends on the cause and status of iron deficiency anemia. In general, treatment with oral iron takes about 4-6 months to reverse uncomplicated iron deficiency anemia.

5. Side effects

Ferlin syrup side effects can cause stomach upset with nausea and vomiting

• Due to its astringent effect on the mucosa, oral iron can cause stomach irritation, abdominal pain with nausea and vomiting.
• Other possible side effects are diarrhea or constipation. Side effects can be reduced by taking the medication with or after a meal or starting at a low dose and increasing the dose gradually. May cause temporary tooth discoloration.
• Dark stools may appear, which will go away once the medication is stopped.

6. Interactions that occur when taking Ferlin . syrup

• Antacids: May reduce iron absorption.
• Tetracyclines are both reduced when used concurrently.
• Chloramphenicol.
• Levodopa with carbidopa, methyldopa
• Penicillamine
• Quinolones: ciprofloxacin, norfloxacin, ofloxacin.

Therefore, iron-containing preparations should not be taken at the same time or within 2 hours of taking these drugs.

7. Notes when using Ferlin . syrup

• Note on patients with stomach ulcers.
• The therapeutic dose should not be used for more than 6 months without medical supervision.
• In addition, it should be noted that injectable iron should not be combined with oral iron to avoid iron overload.
• In case the patient regularly receives blood transfusion, because the hemoglobin of the red blood cell that is transfused contains a significant amount of iron, the drug should not be used.

8. Special Uses

8.1. Driving and using machines

• Ferlin syrup does not cause dizziness, drowsiness, fatigue, visual disturbances that may occur when taking the drug.
• Therefore, Ferlin syrup can be used for subjects that require high concentration when working, such as driving or operating machinery.

8.2. Pregnant women and lactating women

• The safety of Ferlin syrup during pregnancy has not been established. Therefore, the drug should not be used during pregnancy or labor unless the potential benefit to the mother outweighs the potential risk to the fetus.
• In addition, the use of Ferlin syrup should be avoided while breastfeeding, unless otherwise agreed by your doctor

9. Treatment of Ferlin syrup overdose

• The lethal dose of elemental iron in humans can range from 80 to 250 mg/kg.
• Symptoms of acute iron poisoning may include
  + Epigastric pain
  + Nausea, vomiting
  + Diarrhea with blood, dehydration, acidosis and shock with somnolence.
• There may be a temporary recovery period of 6 to 24 hours after ingestion, but then symptoms reappear with coagulation disorders and cardiovascular collapse.
• Treatment
  + Gastric lavage;
  + Deferoxamine can be added to gastric lavage solution to chelate elemental iron in the gastrointestinal tract.
  + Followed by symptomatic treatment and supportive treatment.

10. What to do when you miss a dose of Ferlin syrup

• Use as soon as you remember that you have missed a dose.
• If the missed dose is close to the next dose. Skip the missed dose and follow the dosing schedule.
• Do not take a double dose to make up for the missed dose.

11. How to preserve

• Keep Ferlin syrup out of reach of children and pets.
• Store the medicine in a cool, dry place. Avoid exposure to direct light or keep the medicine in humid places.
• The best storage temperature is <30>

Above is the information on the use of Ferlin syrup. Call your doctor immediately if you have any unusual symptoms so that they can be treated and supported promptly!

>> Manofer is also a medicine used to treat iron deficiency anemia. Let's find out immediately the uses, how to use and the notes when using to achieve the best results . 

Pharmacist Nguyen Ngoc Cam Tien