Ferrous Fumarate/Folic Acid/Iron Polysaccharide Dosage

Applies to the following strengths: 162 mg-1 mg-115.2 mg

Usual Adult Dose for Iron Deficiency Anemia

1 capsule orally once a day between meals

Usual Pediatric Dose for Iron Deficiency Anemia

< 12 years: not recommended
>= 12 years: 1 capsule orally once a day between meals

Renal Dose Adjustments

No adjustment recommended

Liver Dose Adjustments

No adjustment recommended

Precautions

Do not administer to pediatric patients under 12-years-old.

Do not exceed manufacturer recommended dosage.

Dialysis

Folic acid is removed by both hemodialysis and peritoneal dialysis. The amount removed varies with type equipment used.

Because folate may accumulate in patients with end-stage renal disease, side effects may be more likely in this patient who is undergoing dialysis. Once this patient's body stores of folate are replete, three times a week dosing of folate may be just as beneficial as once daily dosing but should portend a lower risk of side effects.

Other Comments

According to the manufacturer, ferrous fumarate-folic acid-iron polysaccharide is best absorbed when administered at bedtime; however, if gastric intolerance occurs, it may be taken with food.

Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6-years-old. Keep this product out of reach of children. In case of accidental overdose, call a physician or poison control center immediately.