Ferrum Lek® is an iron (III) hydroxide polymaltose complex used for iron deficiency anemia.

When is Ferrum Lek used?

• Treatment of latent iron deficiency
  • Treatment of iron deficiency anemia (manifest iron deficiency)
  • Prevention of iron deficiency during pregnancy

Forms of Ferrum Lek:

1. Ferrum Lek® 50 mg/5 ml syrup
2. Ferrum Lek® 100 mg chewable tablets

Contraindications:

• Hypersensitivity to the active substance or any component of the drug
  • Iron overload (e.g., hemochromatosis, hemosiderosis) or disorders of iron utilization (e.g., lead anemia, sideroachrestic anemia, thalassemia)
  • Anemia not caused by iron deficiency (e.g., hemolytic anemia, megaloblastic anemia due to vitamin B12 deficiency)

Special warnings and precautions:

Stool may become darker during treatment; this has no clinical significance.
Chewable tablets are not recommended for children under 12 years; syrup should be used instead.

For diabetic patients: one tablet contains 0.04 bread units.
The product contains aspartame (E951), a source of phenylalanine (1.5 mg per tablet), which may be harmful for patients with phenylketonuria.

How to use Ferrum Lek:

Ferrum Lek syrup and tablets are for oral use.
Take during or immediately after meals.
Tablets can be chewed or swallowed whole.
The daily dose can be taken once or divided into several doses.

Dosage and duration depend on the severity of iron deficiency.

Ferrum Lek® Syrup (50 mg/5 ml)

Manifest iron deficiency:
Treatment lasts 3–5 months until hemoglobin normalizes, followed by several weeks to replenish iron stores.

• Children under 1 year: start with 2.5 ml daily, gradually increase to 5 ml
• Children 1–12 years: 5–10 ml daily
• Children over 12, adults, breastfeeding women: 10–30 ml daily

Latent iron deficiency (1–2 months):

• Children 1–12 years: 2.5–5 ml daily
• Children over 12, adults, breastfeeding women: 5–10 ml daily

Pregnant women:

• Manifest deficiency: 20–30 ml daily until hemoglobin normalizes, then 10 ml daily until the end of pregnancy
• Prevention/latent deficiency: 5–10 ml daily

Ferrum Lek® Chewable Tablets (100 mg)

Manifest iron deficiency:
1–3 tablets daily for 3–5 months, then continue for several weeks to restore iron stores

Latent iron deficiency:
1 tablet daily for 1–2 months

Pregnant women:
2–3 tablets daily, then at least 1 tablet daily until the end of pregnancy

Prevention:
1 tablet daily

Overdose:

Due to controlled absorption and low toxicity, overdose is unlikely. No fatal cases from accidental overdose have been reported.

Drug interactions:

Iron in this complex form has minimal interaction with food (oxalates, tannins) or medications (tetracyclines, antacids).
It does not affect stool occult blood test results.
Avoid simultaneous use with other iron preparations, as this reduces absorption.

Side effects:

Common side effects include gastrointestinal disturbances (nausea, constipation, diarrhea, abdominal pain).

• Nervous system: headache (uncommon)
• Gastrointestinal: abdominal discomfort, nausea, vomiting, heartburn, stool discoloration (common); gastritis (uncommon); tooth discoloration (rare)
• Skin: rash, urticaria, erythema (rare/uncommon)
• Rare: muscle spasms, myalgia
• Frequency unknown: allergic (anaphylactic) reactions

Storage:

Store below 25°C, out of reach of children.

Is Ferrum Lek prescription-only?

Ferrum Lek belongs to Group III pharmaceuticals and is available without a prescription.

Where can Ferrum Lek be purchased?

Available without prescription at pharmacies:
• PSP
• Aversi
• GPC
• Pharmadepo
• Impex

Before use, read the instructions. Consult a doctor for detailed information about side effects.

Office #10, 37m Ilia Chavchavadze Ave.
Tbilisi 0179, Georgia