Dactus 300mg Remedica prophylaxis and treatment of anemia, iron deficiency (50 tablets)

Dosage form Box of 5 blisters x 10 tablets
Specifications Ferrous Gluconate
Ingredient Remedica., Ltd

Ingredient

Composition information	Content
Ferrous Gluconate	300mg

Uses

indications

Dactus 300mg drugs are indicated for preventive and treatment, iron deficiency.

Pharmacokology

iron cans are a component of many enzymes needed for energy transfer (such as cytocrom oxydase, xanthin oxydase, success dehudrogenase) and are also present in the necessary compounds for the transport and use of Oxygen (for example, hemoglobin and myoglobin).

Use iron preparations to repair abnormalities in red blood cells due to iron decline.

iron does not stimulate the creation of red blood cells as well as no repair of hemoglobin disorders caused by iron decline.

Use iron also reduces other symptoms of iron decline such as swelling of the tongue, difficulty swallowing, nails and skin atrophy, and angle leak between the lips.

Dynamic pharmacokinetics

Absorb

The absorption of iron mainly occurs in the duodenum and near the head of the rosary. Absorption is supported by acid secretion of the stomach and is absorbed faster if iron is in the state of Fe+3.

The absorption of iron is different, in people without iron is 3-10%, this absorption is equivalent to iron deficiency.

The more effective absorption when iron is absorbed as Fe+3 is Fe+2 on the empty stomach.

When used with food, the amount of iron absorbed can be reduced to 1/2 - 1/3 compared to when used at empty stomach.

The absorption is increased when ascorbic acid or sucinic acid. Some diet products such as eggs, high iron content also contain phosphate and phytates inhibiting iron absorption by the formation of complexes that cannot be absorbed. The absorption is also reduced by the presence of antacids, tetracyclin and tea.

distribution

High -linked drugs with plasma proteins.

metabolism and elimination

There is no existence of a physiological system of iron excretion; However, the small number is lost daily when skin loss, hair, nails, and through stool, sweat, breast milk (0.5-1.0 mg/day), menstruation and urine.

daily dose of iron for healthy adults and postmenopausal women is 1 mg/day; In premenopausal women, 1.5 mg/day.

Before taking Dactus 300mg Remedica prophylaxis and treatment of anemia, iron deficiency (50 tablets)

How to use

The tablets are used with liquid (240 ml of water or fruit juice).

Iron -containing drugs can interact with specific foods such as milk, cheese, eggs, yogurt.

If you are taking iron, avoid these foods or take at least one to two hours after using iron.

Avoid using iron -containing drugs for more than 6 months unless the doctor allows.

Dosage

According to the instructions of the treating doctor.

Should be used about 1 hour before meals.

Adults (including the elderly and pregnant women from the second month): Preventive: 2 tablets (600 mg) per day.

Treatment: 4-6 tablets (1.2-1.8 g) daily divided into small doses.

Children: Children from 6-12 years old can use 1-6 tablets daily for treatment purposes. The smaller dose is enough for backup.

Note: The above dose is for reference only. Specific dosage depends on the condition and level of progression of the disease. For a suitable dose, you need to consult a doctor or medical specialist.

What to do when overdose?

Symptoms:

Vomiting, diarrhea, abdominal pain, vomiting, rectal bleeding and hypotension. There may be hyperglycemia of blood glucose and acidic blood.

The prolonged release of the drug can slow down the excess absorption of iron and this allows enough time to take recovery measures.

At first, overdose symptoms may not appear and release prolonged. Therefore, if there is suspicion of overdose, it is necessary to treat immediately.

In severe cases, it may recur after 24-48 hours, manifested by hypotension, coma, liver and kidney failure.

Treatment:

Overdose treatment is conducted under the clinical, X-ray and hematological test.

If you just drink, you need to cause it. The following measures must be used to avoid absorbing more drugs:

Children:

First use vomiting drugs:

gastrointestinal scouring and vomiting with desferrioxamin solution (2 g/l). Monitoring patients continuously to prevent vomiting-maintain wash tools, and oxygen.

In cases of severe poisoning with shock and coma, supportive treatment + Desferrioxin infusion.

Use Desferrioxin 15 mg/kg body weight per hour until a maximum concentration of 80 mg/kg/24 hours. The speed of using desferrioxamin is slow; On the other hand, there is a risk of hypotension.

In case of lighter poisoning, use 1 g for every 4-6 hours of intramuscularly.

iron content in serum must be air -conditioned.

Adults:

First use vomiting drugs:

gastrointestinal scouring and vomiting with Desferrioxamin solution (2 g/l).

Use Manitol or Sorbitol to clean the intestine.

In cases of severe poisoning with shock and coma, supportive treatment + Desferrioxamin infusion. Use desferrioxin 15 mg/kg body weight per hour until a maximum concentration of 80 mg/kg/24 hours. The speed of using desferrioxamin is slow; On the other hand, there is a risk of hypotension.

In case of lighter poisoning, use 1 g for every 4-6 hours of intramuscularly.

iron content in serum must be air -conditioned.

In an emergency, call the 115 emergency center immediately or go to the nearest local health station.

What to do when you forget 1 dose? However, if the time to relax with the next dose is too short, skip the dose and continue the calendar of the drug. Do not use double dose to compensate for missed dose.

Side Effects

Like all other drugs, Ferrous Gluconate can cause unwanted effects.

The most common: digestive disorders such as loss of appetite, nausea, vomiting, heartburn, abdominal pain, diarrhea, constipation, dark stools or black stools. Drugs.

Warnings

Before using the drug you need to read the instructions carefully and refer to the information below.

Contraindicated

Dactus 300mg drug contraindicated in the following cases:

Ferrous Gluconate is contraindicated in repeated blood transfusion patients or hemolytic anemia, iron pigmentation, hemosiderin infection, active gastrointestinal ulcer, bowelitis, bowel ulcer, or knowledgeable with iron salt.

Be cautious when using

should not use ferrous gluconate for patients who are taking tetracyclin or drugs that cover the stomach.

Be cautious in the elderly, who may be at risk of serious adverse reactions.

Before starting treatment, it is necessary to exclude any causes of anemia, for example, gastritis or colon cancer.

Do not use for more than 3 months after control of anemia.

This drug contains iron. For this reason, it is advisable to be out of reach of children to avoid the risk of acute poisoning.

Women during pregnancy and lactation

Pregnant women

Ferrous gluconate tablets should be used during pregnancy, especially in the 2nd and 3rd period of pregnancy.

However, avoid using a large amount of iron during pregnancy because it can harm the mother and tell the pregnancy.

breastfeeding women

Ferrous gluconate through breast milk in small amounts. You should avoid high doses of iron during breastfeeding, as it can harm mothers and children.

The ability to drive and operate machinery

Ferrous gluconate does not affect the ability of the patient to drive or operate machinery.

drug interaction

because many drugs interact with Ferrous Gluconate and should not be used simultaneously. However, some drugs can be used simultaneously under special caution.

In this case, the dose can be changed and apply other steps if needed. Especially with drugs such as penicillamin, antacids, cholestyramin, thyroxin, chloramphenicol.

Storage

Leave a cool place, avoid light, temperature below 30⁰C.

Other drugs

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