This fact sheet will explain all you need to know regarding the safe administration of Ferrous Sulphate including dosage, pharmacodynamics, side effects, interactions, contraindications and administration. Perfect for student midwives!
• POM, GSL • Each tablet contains 65mg elemental iron
• Treatment of iron deficiency anaemia, • IV iron maybe used at higher doses if Hb
poor iron absorption, PPH causing low lower than 80g/l - monofer
iron, dietary lack of iron
• Taken orally
• Usually white coated tablet - recommend-
ed to take with vitamin C
SIDE EFFECTS: CONTRAINDICATIONS:
• Nausea • Diverticulitis
• IBS
• Gastric irritation
• Other anaemias (not iron deficiency)
• Epigastric pain
• Concurrent administration
• Diarrhoea or constipation
INTERACTIONS:
• Iron overload • Antacids
• Darkening of stool • Antibiotics - reduce absorption
• Methyldopa - reduces bioavailability
PHARMACODYNAMICS: FETAL RISK/BREASTFEEDING:
• Aids haemoglobin generation and oxidative process
• Usually safe to take in pregnancy—very
in tissues
frequently prescribed
• Can take up to 6 weeks to work
• Safe in breastfeeding - very small
• Hb usually taken 2 weeks after start to check that
amounts transferred but no known to
it is coming up
cause harm
GUIDELINES:
• Should be prescribed to women whose Hb is below
110g/l in 1st trimester, 105g/l in 2nd and 3rd
trimester, and 100g/l postnatally (NICE CG62)
• Midwives exemptions list
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