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Ferrous gluconate

全部名称：: ferrous gluconate、葡萄糖酸亚铁、Fergon, Ferate, Ferralet, Simron、费贡，费拉泰，费雷莱特，西尔蒙

适应症：: 缺铁性贫血

上市状态：: 已批准上市

生产药企：: 无

规格：: 口服片剂（240毫克；324毫克）

处方药物

关注度 1594

什么是Ferrous gluconate？

葡萄糖酸亚铁是一种铁。你通常从食物中获取铁。在你的身体里，铁会成为血红蛋白（HEEM o glo bin）和肌红蛋白（MY o glo bin）的一部分。血红蛋白通过血液将氧气输送到组织和器官。肌红蛋白帮助你的肌肉细胞储存氧气。

葡萄糖酸亚铁用于治疗或预防缺铁性贫血（由于体内铁含量过低导致的红细胞缺乏）。

葡萄糖酸亚铁也可用于本药品指南未列出的目的。

与Ferrous gluconate类似的药物都有哪些？

警告提示

You should not use ferrous gluconate if you have hemochromatosis, hemosiderosis, or hemolytic anemia.

Ferrous gluconate的副作用有哪些？

如果您出现过敏反应的迹象：荨麻疹、起水疱或皮肤剥落、发热、呼吸困难、面部、嘴唇、舌头或喉咙肿胀，请立即寻求紧急医疗帮助。

硫酸亚铁可能导致严重的副作用。如果您出现以下任何症状，请立即联系您的医生：

大便中出现鲜红色血液；
黑色或柏油样大便；
发热；
胃痛；
咳血或呕吐物呈咖啡渣样；或者
吞咽硫酸亚铁片时胸部或喉咙疼痛。

硫酸亚铁的常见副作用可能包括：

便秘、腹泻；
恶心、呕吐、胃痛；
食欲不振；
绿色大便；或者
牙齿暂时性着色。

这并非副作用的完整列表，其他副作用也可能发生。关于副作用，请咨询您的医生以获得医疗建议。

特别注意事项

You should not use ferrous gluconate if you are allergic to it, or if you have:

iron overload disorder (hemochromatosis, hemosiderosis); or
hemolytic anemia (caused by the breakdown of red blood cells).

To make sure ferrous gluconate is safe for you, tell your doctor if you have ever had:

ulcerative colitis;
stomach ulcers or similar stomach problems;
thalassemia (a genetic disorder of red blood cells); or
if you receive regular blood transfusions.

Ask a doctor before using this medicine if you are pregnant or breast-feeding. Your dose needs may be different during pregnancy or while you are nursing.

Ferrous gluconate is not approved for use by anyone younger than 18 years old.

哪些其他药物会影响Ferrous gluconate？

Other drugs may interact with ferrous gluconate, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.

Ferrous gluconate的用法用量

Use this medication exactly as directed on the label, or as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended.

Take ferrous gluconate on an empty stomach, at least 1 hour before or 2 hours after a meal.

Ferrous gluconate may be taken with food if it upsets your stomach.

Take ferrous gluconate with a full glass of water or juice.

Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.

Do not crush, chew, or break an extended-release tablet. Swallow the pill whole.

Ferrous gluconate can stain your teeth, but this effect is temporary. To prevent tooth staining, mix the liquid form of ferrous gluconate with water or fruit juice (not with milk) and drink the mixture through a straw. You may also clean your teeth with baking soda once per week to treat any tooth staining.

Ferrous gluconate may be only part of a complete program of treatment that also includes a special diet. Follow the diet plan created for you by your doctor or nutrition counselor. Get familiar with the list of foods you should eat to make sure you get enough iron in your diet.

Store at room temperature, away from moisture and heat.

Usual Adult Dose for Iron Deficiency Anemia:

Initial dose: 960 mg/day ferrous gluconate (120 mg/day elemental iron) for 3 months
-Give in divided doses (1 to 3 times daily)

Usual Adult Dose for Vitamin/Mineral Supplementation:

Initial dose: 1 tablet orally three to four times a day

or

Initial dose: 48 to 144 mg/day ferrous gluconate (6 to 18 mg/day elemental iron) orally, in divided doses (1 to 3 times daily)

51 and over: 40 to 64 mg/day ferrous gluconate (5 to 8 mg/day elemental) orally, in divided doses (1 to 3 times daily)

Usual Adult Dose for Anemia Associated with Chronic Renal Failure:

Initial dose: 1600 mg/day ferrous gluconate (200 mg/day elemental iron) orally in divided doses (1 to 3 times daily)

Comments:
-If goals are not met with oral iron after 1 to 3 months, consider IV iron supplementation.
-Smaller daily doses may be better tolerated

Usual Pediatric Dose for Iron Deficiency Anemia:

0 to 5 years: 24 to 48 mg/kg/day ferrous gluconate (3 to 6 mg/kg/day elemental iron)
5 to 12 years: 480 mg ferrous gluconate (60 mg/day elemental)
12 to 18 years male: 480 mg ferrous gluconate (60 mg elemental) orally daily
12 to 18 years female: 480 to 960 mg/day ferrous gluconate (60 to 120 mg/day elemental)
-Give in divided doses (1 to 3 times daily)

Usual Pediatric Dose for Vitamin/Mineral Supplementation:

Preterm infant (less than 37 weeks gestation), 0 to 12 months: 16 mg/kg/day ferrous gluconate (2 mg/kg/day elemental iron)
0 to 6 months: 1.6 to 2.16 mg/day ferrous gluconate (0.2 to 0.27 mg/day elemental)
7 to 12 months: 56 to 88 mg/day ferrous gluconate (7 to 11 mg/day elemental)
1 to 3 years: 32 to 72 mg/day ferrous gluconate (4 to 9 mg/day elemental)
4 to 8 years: 32 to 80 mg/day ferrous gluconate (4 to 10 mg/day elemental)
9 to 13 years: 48 to 64 mg/day ferrous gluconate (6 to 8 mg/day elemental)
14 to 18 years: 64 to 120 mg/day ferrous gluconate (8 to 15 mg/day elemental)
-Give in divided doses (1 to 3 times daily)

如果我错过了一次应该怎么办？

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

如果我使用过量了应该怎么办？

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if you think you have used too much of ferrous gluconate, or if a child has accidentally swallowed it. An overdose of ferrous gluconate can be fatal to a child.

Overdose symptoms may include drowsiness, severe nausea or stomach pain, vomiting, bloody diarrhea, coughing up blood or vomit that looks like coffee grounds, shallow breathing, weak and rapid pulse, cold or clammy skin, blue lips, and seizure (convulsions).