Hemofer Prolongatum is a Polish anti-anemic drug. Next, we will consider in detail its instructions for use and find out what composition this tool has. So, let's start with the indications for the use of this medicinal product.
Indications
As the instructions for "Hemofer Prolongatum" indicate, the purpose for its use is as follows:
- The presence of iron deficiency anemia in patients (the remedy in this case is suitable for prevention and treatment).
- Bleeding, polymenorrhea, metrorrhagia, childbirth, hemorrhoids, gastric ulcer.
- Against the background of surgical interventions, frequent nosebleeds, blood loss and other diseases.
- When the body's need for iron is increased (against the background of pregnancy, lactation, donation, burns and hemodialysis).
- In case of insufficient intake of iron from food or against the background of violations of its absorption (with chronic diarrhea, achlorhydria, gastrectomy, celiac disease, Crohn's disease, enteritis, malabsorption syndrome, and so on).
Issue form
This tool is produced in the form of dragees, which have a red color. The dragee has the shape of a convex disc, which has a smooth shell. Also, this tool is produced in the form of drops for oral administration. Drops are transparent, they have a yellow-green color with a characteristic odor. Next, find out what composition this remedy has.
Composition of "Hemofer Prolongatum"
The composition of the medicine includes ferrous sulfate, which is the main ingredient. The excipients are lactose along with eudragit, magnesium stearate, talc, sucrose, gum arabic, pigment red and gelatin. Among other things, auxiliary ingredients also include sodium benzoate along with citric acid, sodium hydroxide, sorbitol, dextrose, flavor and purified water. Now let's find out in which cases people should not turn to taking this drug.
Contraindications
According to the instructions for use, Hemofer Prolongatum has certain contraindications, namely:
- Presence of hypersensitivity.
- The patient has hemochromatosis, hemosiderosis, tardive porphyria of the skin, chronic hemolysis, sideroahrestic anemia (including Pb intoxication) and thalassemia.
- Development of hemolytic (hereditary and acquired) and other anemia not associated with iron deficiency.
With caution, this remedy is used for peptic ulcer, inflammatory bowel disease(against the background of enteritis, diverticulitis, ulcerative colitis, Crohn's disease). Among other things, this drug should be used with caution in alcoholism (active or in remission), allergic diseases, bronchial asthma, hepatitis, kidney failure, rheumatoid arthritis and concomitant blood transfusions.
Method of application and dosage
The remedy in question is used exclusively orally one hour before or two after meals. For adult patients, dosages of Hemofer Prolongatum are provided in the amount of 100 to 200 milligrams per day. In this case, the maximum dosage of the drug is from 300 to 400 milligrams per knock for two months. After normalization of the iron content, the dosage is reduced to 60 milligrams per day. Children are allowed to take 3 milligrams per kilogram of body weight per day. Means "Hemofer Prolongatum" for the prevention of anemia for adults is prescribed 325 milligrams once a day. And for the treatment of anemia, it is necessary to use 325 milligrams twice a day. The course of treatment is from two to six months.
Pharmacological action
This therapeutic drug effectively replenishes iron deficiency in the body, thanks to myoglobin and many other enzymes. Substantively, this means provides the synthesis of iron-containing metabolites.
Side effects
It is worth noting that against the background of the use of this remedy, people sometimes have a headache along withdizziness, flushing of the skin, allergic reactions (in the form of itching and rashes). Among other things, abdominal pain is not ruled out along with toothache, nausea, vomiting, constipation or diarrhea, weakness, a feeling of pressure behind the sternum and irritability. Very rarely, patients may experience anaphylactic shock along with encephalopathy with epileptic syndrome.
Overdose
The symptoms of this include excessive fatigue with weakness, hyperthermia, paresthesia, pallor of the skin, cold sticky sweat, acrocyanosis, abdominal pain, necrosis of the mucous membrane of the digestive system, vomiting and diarrhea mixed with blood, weak pulse, lethargy, decreased blood pressure, palpitations and convulsive seizures. Among other things, signs of circulatory peripheral collapse are not excluded, which appear within thirty minutes after taking the medicine. Metabolic acidosis is also possible along with convulsions, fever, leukocytosis, coma within twelve hours, acute renal and hepatic necrosis two days later.
Treatment in this case is symptomatic. To do this, they wash the stomach and consume a raw egg with milk inside to bind iron ions in the digestive system. Against the background of severe poisoning, Deferoxamine is administered intravenously and slowly. Small patients are required to inject 15 milligrams of the drug per hour.
In case of mild poisoning intramuscularly to childrenadminister 1 gram every six hours, and for adults - up to 4 grams. It should be noted that hemodialysis in this case is ineffective, but can be used to accelerate the withdrawal of Fe-deferoxamine complexes, and can also be prescribed for anuria. It is also possible to use peritoneal dialysis.
Special instructions for use
It is worth bearing in mind that darkening of the feces along with persistent darkening of the teeth is possible in patients using this medicine. Kidney failure increases the risk of iron accumulation. Ulcerative and inflammatory bowel pathologies along with rheumatoid arthritis may worsen. Care must be taken during blood transfusion to avoid the risk of erythremia.
Interaction with other drugs
Pharmaceutical "Hemofer Prolongatum" is incompatible with other medicines. Deferoxamine is a specific antidote. Ascorbic acid increases absorption. The absorption of fluoroquinolones, penicillamines, tetracyclines is reduced (they are recommended to be taken two hours before or two after iron preparations). Large doses of iron preparations reduce the intestinal absorption of zinc drugs. They are recommended to be taken two hours after iron supplements. Ethanol increases absorption and the risk of toxic complications. Next, find out what people write in their reviews about this medicine.
Reviews about "Hemopher Prolongatum"
On the Internet, consumers speak well of this remedy and side effectsfrom its use, as a rule, do not complain. Basically, the effectiveness of this therapeutic agent is noted along with the convenience of its use. Among other things, patients note that "Hemofer Prolongatum" effectively replenishes iron deficiency in the body, thanks to myoglobin and many other enzymes.
