It is expensive and has greater toxicity than oral preparations of iron and can cause anaphylactic reactions. Parenteral (injectable) iron is reserved for patients who are either unable to absorb oral iron or who have increasing anaemia despite adequate doses of oral iron. Calcium supplementation decreases bio availability of iron absorption is enhanced by ascorbic acid (fruit juices) while food and antacids impair absorption. Avoid enteric coated tablets as they release iron very slowly or those containing only minute amount of iron. Other ferrous salts are used and may cause less intestinal discomfort because they contain a smaller dose of iron. Tablets contain varying amounts of elemental iron and the dose should provide 150-200mg elemental iron daily taken 2 to 3 times a day, an hour before meals. Ferrous sulfate is the most common and cheapest form of iron utilized. The medicine should be continued for about 2-3 months after correction of the anaemia and its cause in order to replenish body stores of iron. Generally, the toxicity is proportional to the amount of iron available for absorption. Claims are made that other iron salts are absorbed better and have less side effects. Among the various iron salts, ferrous sulfate is most commonly is used. The most economical and effective medication in the treatment of iron deficiency anaemia is the oral administration of ferrous iron salts, which is the mainstay. In most patients, the iron deficiency should be treated with oral iron therapy, and the underlying cause should be corrected so the deficiency does not recur. Treatment consists of establishing the diagnosis and reason for the iron deficiency. These iron losses in women double their need to absorb iron in comparison to males. Menstrual losses are highly variable, ranging from 10-250 mL (4-100 mg of iron) per period. A woman loses about 500 mg of iron with each pregnancy. Malabsorption of iron is relatively uncommon in the absence of small intestine disease (sprue, celiac disease, regional enteritis) or previous gastrointestinal surgery. Blood loss (haemorrhage) is the most common cause of excessive loss of body iron. Usually, diet is the major cause of iron deficiency. Diminished absorption usually is due to an insufficient intake of dietary iron in an absorbable form. Either diminished absorbable dietary iron or excessive loss of body iron can cause iron deficiency. What should I do to improve my condition?Ī:Iron balance is achieved largely by regulation of iron absorption in the first part of the small intestine. After a year it came down to 8.5 and later back to 6.8 and now to 5.9. When the external iron intervenous injection was given. After the test were conducted, it was observed that iron absorption is not taking place. Q: I am suffering from iron deficiency (anaemia).
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