Ferromax

Indications

Ferromax is used to treat iron deficiency in adults. It helps restore healthy iron levels in the body.
Always use this medication as directed by a registered healthcare professional.

Pharmacology

Ferric Maltol, the active ingredient in Ferromax, facilitates the absorption of iron through the intestinal wall. It is then transferred to transferrin and ferritin, essential proteins that store and transport iron. Studies have shown that Ferric Maltol effectively increases key iron markers, including ferritin and transferrin saturation (TSAT).

Dosage & Administration

• Dosage: Ferromax capsules should be taken orally, preferably on an empty stomach—at least 1 hour before or 2 hours after meals.
• Recommended Dosage: 30 mg twice daily.
• Treatment Duration: The length of treatment depends on the severity of the iron deficiency, but typically at least 12 weeks of treatment is recommended. Continue treatment until iron levels are normalized.
• Important: Do not open, chew, or break the capsules.

Use in Children and Adolescents

The safety and effectiveness of Ferric Maltol in children and adolescents have not been established.

Always consult a healthcare provider before starting treatment.

Drug Interactions

• Iron Products and Dimercaprol: Combining Ferromax with dimercaprol may increase the risk of kidney damage (nephrotoxicity). Avoid using Ferromax with dimercaprol.
• Reduced Bioavailability: Ferromax may decrease the absorption of certain medications, such as mycophenolate, ethynyl estradiol, ciprofloxacin, and doxycycline. To avoid significant interactions, take Ferromax at least 4 hours apart from these medications.
• Food Interactions: The presence of food can reduce the absorption of iron from Ferromax, so it’s best to take it on an empty stomach.

Contraindications

Ferromax should not be used in individuals who:

• Are hypersensitive to any ingredient in the product.
• Have a history of hemochromatosis or other iron overload disorders.
• Are undergoing repeated blood transfusions.

Side Effects

Common side effects include:

• Flatulence
• Diarrhea or Constipation
• Fecal discoloration
• Abdominal discomfort
• Nausea and vomiting

Pregnancy & Lactation

• Pregnancy: Ferromax is not absorbed into the bloodstream in significant amounts, so it is unlikely to pose a risk to the fetus. However, consult your healthcare provider before use during pregnancy.
• Breastfeeding: As Ferromax is not systemically absorbed, it is not expected to affect breastfeeding or the infant. Still, consult a healthcare provider before using it while nursing.

Warnings & Precautions

• Inflammatory Bowel Disease (IBD): Avoid using Ferromax during an active IBD flare, as it may worsen gastrointestinal inflammation.
• Iron Overload: Do not use Ferromax in patients with signs of iron overload or those receiving intravenous iron treatments.
• Iron Monitoring: Monitor iron levels before and during therapy to ensure appropriate iron intake.
• Child Safety: Accidental overdose of iron-containing products is a leading cause of poisoning in young children. Keep Ferromax out of reach of children. In case of overdose, seek immediate medical attention.

Overdose Effects

While there is limited data on Ferromax overdose, typical signs of iron overdose include:

• Nausea, vomiting, abdominal pain, and diarrhea.
• Severe cases may lead to hypoperfusion, metabolic acidosis, and systemic toxicity. Iron overdose may result in iron accumulation in storage sites, causing hemosiderosis.

Therapeutic Class

Oral Iron Preparations.

Storage Conditions

Store Ferromax in a cool, dry place below 25°C. Keep it away from light and out of the reach of children.