FERRANATE 300MG TABLETS
Active substance(s): FERROUS GLUCONATE DIHYDRATE / FERROUS GLUCONATE DIHYDRATE / FERROUS GLUCONATE DIHYDRATE
300 mg TABLETS
Read all of this leaflet carefully because it
contains important information for you.
This medicine is available without prescription.
However, you still need to take Ferrous Gluconate
carefully to get the best results from it.
- Keep this leaflet. You may need to read it again.
- Ask your pharmacist if you need more
information or advice.
- You must contact a doctor if your symptoms
worsen or do not improve.
- If any of the side effects become serious, or if
you notice any side effects not listed in this
leaflet, please tell your doctor or pharmacist.
THIS LEAFLET CONTAINS
1. What Ferrous gluconate is for
2. Before you take Ferrous gluconate
3. How to take Ferrous gluconate
4. Possible side effects
5. How to store Ferrous gluconate
6. Further information
1. WHAT FERROUS GLUCONATE IS FOR
Ferrous gluconate is an iron preparation.
It may be given to you directly by a pharmacist to
treat and prevent iron deficiency anaemia.
Anaemia is a condition in which the blood cannot
carry enough oxygen around the body because of
a reduction in red blood cells. This can make the
skin pale and cause weakness or breathlessness.
Iron is necessary for the production of haemoglobin
(protein in the red blood cells), which carries
oxygen around the body.
Ferrous gluconate may also be given to you by a
doctor to prevent iron deficiency anaemia in any
of the following situations:
menorrhagia (abnormally heavy and
after donating blood, particularly if you are
after having had an operation to remove whole
or part of your stomach
after giving birth to a premature baby
2. BEFORE YOU TAKE FERROUS GLUCONATE
Do not take Ferrous gluconate and tell your
doctor or pharmacist if you:
are allergic to Ferrous gluconate or any of the
other ingredients in the tablets, (see section 6
of this leaflet: What Ferrous gluconate tablets
are known to have a build up of too much iron
in the body (haemosiderosis,
have a type of anaemia which is not produced
by iron deficiency, such as haemolytic
anaemia (a breakdown of red blood cells)
have repeated blood transfusions or by iron
have a gastrointestinal disease such as
inflammation of the intestines
Do not take this medicine if any of the above apply
to you. If you are not sure, talk to your doctor or
pharmacist before taking Ferrous gluconate.
Take special care with Ferrous gluconate
Tell your doctor or pharmacist before you take
this medicine if you:
have an iron storage or iron absorption
have an inherited blood disorder
(haemoglobinopathy, such as sickle cell or
have a blocking or swelling of the intestines
which may cause abdominal pain and
are elderly, as there is an increased risk of
If you are not sure if any of the above apply to you,
talk to your doctor or pharmacist before taking
Taking other medicines
Tell your doctor or pharmacist if you are taking or
have recently taken any other medicines, even
medicines bought without a prescription.
In particular, tell your doctor or pharmacist if you
are taking any of the medicines listed below.
The absorption of both Ferrous gluconate and
the medicines below may be reduced, if taken
medicines used to treat bacterial infections
(tetracyclines), such as doxycycline or
minocycline. Ferrous gluconate should be
taken 3 hours before or 2 hours after the
medicines containing zinc
The absorption of iron may be reduced by the
magnesium trisilicate or antacids, used to treat
medicines containing calcium
trientine, used to treat excess copper in the
body (Wilson's disease)
proton-pump inhibitors, such as omeprazole
and lanzoprazole, used to treat stomach
cholestyramine, used to reduce blood
Ferrous gluconate may also interact with the
dimercaprol, used to treat poisoning caused by
antimony, arsenic, bismuth, gold or mercury
penicillamine, used to treat Wilson's disease
or rheumatoid and juvenile arthritis
carbidopa, levodopa or entacapone, used to
treat Parkinson's disease
medicines for bone disorders
(bisphosphonates), such as disodium
etidronate, disodium pamidronate and
neomycin, chloramphenicol, ciprofloxacin,
levofloxacin, moxifloxacin, norfloxacin and
ofloxacin, used to treat bacterial infections
methyldopa, used to treat high blood pressure
mycophenolate, used to stop the rejection of
organs after transplant operations
levothyroxine, used to treat an underactive
Taking Ferrous gluconate with food and drink
The absorption of Ferrous gluconate may be
reduced if taken with tea, coffee, milk, eggs or
whole grains. The absorption of Ferrous
gluconate may be increased if taken with meat or
products containing vitamin C.
Follow the advice of your doctor or dietician when
taking Ferrous gluconate with any of the food or
Pregnancy and breast-feeding
If you are pregnant, think you might be pregnant
or you are breast-feeding, you must tell your
doctor or pharmacist and take advice before
taking this medicine.
Driving and using machines
This medicine is not known to affect your ability to
drive or use machines.
Important information about some of the
ingredients of Ferrous gluconate tablets
This medicine contains sucrose (a type of sugar).
If you know you have an intolerance to some
sugars contact your doctor or pharmacist before
taking Ferrous gluconate.
This medicine also contains azorubine
carmoisine (E122), which may cause allergic
3. HOW TO TAKE FERROUS GLUCONATE
If your doctor has prescribed this medicine, always
take Ferrous gluconate exactly as your doctor has
told you to. Otherwise, follow the instructions
provided in this leaflet. If you are not sure how
much you need to take talk to your doctor or
Taking this medicine
Swallow the tablets whole with a glass of water.
Although iron preparations are best taken about
1 hour before food, they may be taken after
food to reduce gastrointestinal side effects,
such as feeling or being sick and an upset
See section 2 of this leaflet: Taking Ferrous
gluconate with food and drink.
Duration of treatment
Treatment should not generally be more than 3
months after your anaemia has been corrected.
Typical starting doses are:
Adults and the elderly
For treatment of anaemia: 4 - 6 tablets (1200 1800 mg) a day in divided doses
For prevention of anaemia: 2 tablets (600 mg)
Children (6-12 years)
For treatment of anaemia: 3 tablets (900 mg) a
day in divided doses
For prevention of anaemia: your child may be
given 1 - 2 tablets (300 - 600 mg) a day. Follow
the advice of your doctor or pharmacist.
Children (under 6 years)
This medicine should not be given to children
under 6 years old.
If you take more Ferrous gluconate than you
If you or your child accidentally takes too many
tablets, tell a doctor or go to a hospital casualty
department immediately. Take this leaflet or the
medicine pack with you. This is so the doctor
knows what you or your child has taken.
Symptoms of an overdose may include;
Within 24 - 48 hours:feeling sick (nausea),
being sick (vomiting), diarrhoea, stomach pains,
blood in your vomit, passing black tarry stools, a
feeling of tiredness, high blood sugar levels
(hyperglycaemia) or metabolic changes such as
too much acid in your body (acidosis)
After 24 - 48 hours:low blood pressure
(hypotension), too much acid in your body
(acidosis), fits, coma, liver damage or kidney
If you forget to take Ferrous gluconate
If you forget to take Ferrous gluconate don't worry,
just take your next scheduled dose at the correct
time. Do not take a double dose to make up for the
one you have missed.
If you have any further questions on the use of this
medicine, ask your doctor or pharmacist.
4. POSSIBLE SIDE EFFECTS
Like all medicines, Ferrous gluconate can cause
side effects, although not everybody gets them.
STOP TAKING this medicine and see a
doctor or go to a hospital straight away if
you notice any of the following side effects:
an allergic reaction. The signs may include an
itchy skin rash, swelling of the face, lips,
tongue or throat, difficulty in breathing or
swallowing, sudden wheezing or collapse.
Tell your doctor or pharmacist if any of the
following side effects become serious:
feeling sick (nausea)
being sick (vomiting)
aches and pains in the stomach area
loss of appetite
constipation occasionally causing faecal
impaction (the bowel becomes overloaded
These side effects may be reduced by taking
Ferrous gluconate after food.
Tell your doctor or pharmacist if you notice
any side effects not listed in this leaflet.
5. HOW TO STORE FERROUS GLUCONATE
Important warning: Contains iron. Keep out
of the reach and sight of children, as
overdose may be fatal.
Store below 25°C and protect from light. Store in
the original package or container and keep the
container tightly closed.
Do not use the tablets after the expiry date, which
is stated on the package or container. The expiry
date refers to the last day of that month.
Medicines should not be disposed of via
wastewater or household waste. Ask your
pharmacist how to dispose of medicines no
longer required. These measures will help to
protect the environment.
6. FURTHER INFORMATION
What Ferrous gluconate tablets contain
The active substance (the ingredient that makes
the tablets work) is Ferrous gluconate dihydrate
300 mg which is equal to 34.8 mg of iron.
The other ingredients in the tablets are
magnesium trisilicate, maize starch, magnesium
stearate, bleached shellac, sucrose, purified talc,
titanium dioxide (E171), povidone, azorubine
carmoisine (E122), beeswax and carnauba wax
(see section 2 of this leaflet: Important
information about some of the ingredients of
Ferrous Gluconate tablets).
What Ferrous gluconate tablets look like
and contents of the pack
Ferrous gluconate tablets are round, red,
sugar-coated tablets which come in containers of
100 and 500 tablets and in blister packs of 28 and
30 tablets. Not all pack sizes may be marketed.
Marketing Authorisation Holder and
DDSA Pharmaceuticals Limited,
310 Old Brompton Road,
London SW5 9JQ
For more information about this product, please
contact the Marketing Authorisation Holder.
This leaflet was last revised in 10/2013
Source: Medicines and Healthcare Products Regulatory Agency
Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.