TOTHEMA 10 ml. 20 ampoules

• Ferrous gluconate, Ferrous gluconate, corresponding to 50 mg of iron
• Manganese Gluconate, Manganese gluconate
• Copper gluconate, Cupric gluconate, corresponding to 0,70 mg copper

Excipients: glycerol, glucose, sucrose, anhydrous citric acid, sodium nitrate, sodium benzoate, polysorbate 80, caramel otsetitel (E150A), tutti frutti flavor, demineralised water. List of excipients, which have to be aware of the risk category patients, glycerol, glucose, sucrose, sodium nitrate, sodium benzoate.


INDICATIONS:
this product is a source of iron for the body. It is used to treat iron deficiency anemia. In poor diet and prevention of iron deficiency in pregnant women and infants and premature twins when the mother is malnourished and if it can not ensure adequate intake of dietary iron in the body.

CONTRAINDICATIONS:
anemia, which is not associated with iron deficiency. Hypersensitivity to any component of the product.


SPECIAL WARNINGS AND PRECAUTIONS:
Drinking large amounts of tea inhibits the absorption of iron in the body. This product contains 3 g of sucrose in an ampule, which should be taken into account for the total intake of dietary sucrose, especially in patients with diabetes mellitus. Protecting children from iron deficiency is achieved through diversification of food intake.
This product contains glucose and sucrose, if your doctor has told you that you have an intolerance to some sugars, contact your doctor before starting treatment with this product.
The glycerol content in the medicinal product can cause headache, stomach upset and diarrhea. DRUG AND OTHER INTERACTIONS should not conduct concurrent treatment with injectable iron salts, due to shock hazard.
You should not take simultaneously with this product tetracycline antibiotics or fluoroquinolones (ciprofloxacin, etc.) Should not take magnesium, calcium or aluminum salts, and bisphosphonate -ostavete two hours between taking these medicines and TOT'HEMA.

Tell your doctor or pharmacist about any other concomitant treatment with THIS PRODUCT

Pregnancy and lactation:
no restrictions on the use of the product during pregnancy and lactation.

EFFECTS ON THE ABILITY TO DRIVE AND USE MACHINES:
None reported


SIDE EFFECTS:
coloration of the feces of black iron is normal; stomach heartburn, nausea, constipation, diarrhea. The occurrence of adverse reactions, including those listed in this leaflet tell your doctor. Overdose: In massive ingestion have been reported cases of overdose with iron salts, especially in children under two years, symptoms include nausea, vomiting, and a state of shock. In these cases need urgent treatment in hospital.


DOSAGE AND METHOD OF USE:
This product is taken orally after a dose of one ampoule is dissolved in sweet drinks, preferably fruit juice. Should not be taking over tea. Usually the product is taken half an hour before a meal, but if not well tolerated by the digestive tract, can be taken during meals.
• Therapeutic kurs- adult 100- 200 mg of iron per day, which is 2 to 4 ampoules TOT'HEMA
- In infants of more than 1 month and children: 5 to 10 mg iron per kg and per day
• Preventive course: pregnant women: 50 mg of iron a day, which is one ampoule TOT'HEMA in the last two quarters of pregnancy (or four months).
• Duration of treatment is determined by the need to rebuild the reserves of iron in the body (in adults is 600 mg for women and 1200 mg for men) and to cure anemia. In anemia due to iron deficiency: 3 to 6 months depending on the exhaustion of reserves of the organism, but can be increased if the anemia can not be adequately controlled. Only after at least 3 months of treatment, monitoring can determine the effectiveness of treatment: it consists in determining the correction of anemia (HB, MCV) and recovery of landfills iron (serum iron and transferrin saturation). Just observe the duration of treatment.

Follow precise advice of a doctor.


PACKAGING
box of 20 ampoules.


STORAGE:
It may be stored at temperatures up to 25 ° C.
To keep out of reach of children.
Do not use after the expiry date stated on the packaging.