Generic Name: Ameferro Brand Name(s): Generics only. No brands available.

Uses

What is ameferro (ferrous gluconate) used for?

Ameferro is an essential body mineral. It is commonly used for providing iron in the diet and preventing or treating low levels of iron in the blood.

It also may be used for other conditions; ask your doctor for more information.

How should I take ameferro (ferrous gluconate)?

Use ferrous gluconate as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Ferrous gluconate is absorbed better on an empty stomach but may be taken with food if it upsets your stomach. Some foods (e.g., eggs, whole grain breads, cereal, dairy products, coffee, tea) may decrease the amount of iron absorbed by your body. Talk with your doctor about the best way to take ferrous gluconate with food if it upsets your stomach.

If you take an antacid, a bisphosphonate (e.g., alendronate), cefdinir, eltrombopag, methyldopa, penicillamine, a quinolone antibiotic (e.g., ciprofloxacin), or a tetracycline antibiotic (e.g., minocycline), ask your doctor or pharmacist how to take it with ferrous gluconate.

Take ferrous gluconate with a full glass of water (240 ml). Do not lie down for 30 minutes after taking ferrous gluconate.

Ferrous gluconate must be swallowed whole. Do not break, crush, or chew before swallowing.

How do I store ameferro (ferrous gluconate)?

Ameferro is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store ameferro in the bathroom or the freezer. There may be different brands of ameferro that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush ameferro down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using ameferro (ferrous gluconate)?

Before using this drug, tell your doctor if you have:

  • Allergic to any ingredient in ferrous gluconate
  • Certain iron metabolism problems (e.g., hemosiderosis, hemochromatosis) or high levels of iron in your blood

Also, there are some important information that you may notice, such as:

  • Do not take large doses of vitamins (megadoses or megavitamin therapy) while you use ferrous gluconate unless your doctor tells you to.
  • Ferrous gluconate has iron in it. Before you start any new medicine, check the label to see if it has iron in it too. If it does or if you are not sure, check with your doctor or pharmacist.
  • Ferrous gluconate may cause darkened or green stools. This is normal and not a cause for concern.
  • Some of these products contain tartrazine dye. This may cause an allergic reaction in some patients. If you have ever had an allergic reaction to tartrazine, ask your pharmacist if your product has tartrazine in it.
  • Ferrous gluconate may interfere with certain lab tests, including tests used to check for blood in the stool. Be sure your doctor and lab personnel know you are taking ferrous gluconate.
  • Lab tests, including hematocrit, hemoglobin levels, and blood iron levels, may be performed while you use ferrous gluconate. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

Is it safe during pregnancy or breastfeeding?

Pregnancy

If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using ferrous gluconate while you are pregnant.

Breastfeeding

Ferrous gluconate is found in breast milk. If you are or will be breastfeeding while you use ferrous gluconate, check with your doctor. Discuss any possible risks to your baby.

Side effects

What side effects can occur from ameferro (ferrous gluconate)?

Some side effects may happen when using this drug, check with your doctor if any of these most common side effects persist or become bothersome:

  • Constipation
  • Darkened or green stools
  • Diarrhea
  • Loss of appetite
  • Nausea
  • Stomach cramps, pain, or upset
  • Vomiting

Seek medical attention right away if any of these severe side effects occur:

  • Rash
  • Hives
  • Itching
  • Difficulty breathing
  • Tightness in the chest
  • Swelling of the mouth, face, lips, or tongue
  • Black, tarry stools
  • Blood or streaks of blood in the stool
  • Fever
  • Severe or persistent nausea, stomach pain, or vomiting
  • Vomit (that looks like blood or coffee grounds)

Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.

Interactions

What drugs may interact with ameferro (ferrous gluconate)?

Ameferro may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Products may interact with this drug, including:

  • Doxycycline, mycophenolate, penicillamine, or thyroid hormones (e.g., levothyroxine) because their effectiveness may be decreased by ferrous gluconate.
  • An antacid, a bisphosphonate (e.g., alendronate), cefdinir, eltrombopag, methyldopa, penicillamine, a quinolone antibiotic (e.g., ciprofloxacin), or a tetracycline antibiotic (e.g., minocycline), ask your doctor or pharmacist how to take it with ferrous gluconate.

Does food or alcohol interact with ameferro (ferrous gluconate)?

Ameferro may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with ameferro (ferrous gluconate)?

Ameferro may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.

Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • Stomach or bowel problems (e.g., colitis, Crohn disease, diverticulitis, ulcers)
  • Hemolytic anemia, pernicious anemia, or other types of anemia
  • A condition causing anemia (e.g., sickle cell disease, glucose-6-phosphate dehydrogenase [G6PD] deficiency)
  • Blood problems (e.g., porphyria, thalassemia)
  • Multiple blood transfusions

Dosage

The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using ameferro (ferrous gluconate).

What is the dose of ameferro (ferrous gluconate) for an adult?

Iron deficiency anemia

Treatment: the recommended dose is 60 mg elemental Fe orally q6-12hr.

Prophylaxis: the recommended dose is 60 mg elemental Fe orally a day.

Recommended daily intake

Men: the recommended dose is 8 mg elemental Fe orally a day.

Women: the recommended dose is 18 mg elemental Fe orally a day.

Pregnant women: the recommended dose is 27 mg elemental Fe orally a day.

Lactating women: the recommended dose is 9 mg elemental Fe orally a day.

What is the dose of ameferro (ferrous gluconate) for a child?

Iron deficiency anemia

Treatment: the recommended dose is 3-6 mg elemental Fe/kg/day orally.

Prophylaxis: the recommended dose is 1-2 mg elemental Fe/kg/day orally; not to exceed 15 mg/day.

Recommended daily intake

0-6 months: the recommended dose is 0.27 mg elemental Fe orally a day.

7-12 months: the recommended dose is 11 mg elemental Fe orally a day.

1-3 years: the recommended dose is 7 mg elemental Fe orally a day.

4-8 years: the recommended dose is 10 mg elemental Fe orally a day.

9-13 years: the recommended dose is 8 mg elemental Fe orally a day.

14-18 years

Males: the recommended dose is 11 mg elemental Fe orally a day.

Females: the recommended dose is 15 mg elemental Fe orally a day.

Pregnant females: the recommended dose is 27 mg elemental Fe orally a day.

Lactating females: the recommended dose is 10 mg elemental Fe orally a day.

How is ameferro (ferrous gluconate) available?

Ameferro is available in the following dosage forms and strengths:

  • Tablets; Oral; Iron 27 mg

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.

What should I do if I miss a dose?

If you miss a dose of ameferro, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

 

Sources

Review Date: March 11, 2017 | Last Modified: March 11, 2017