What is Tothema® used for?

Tothema® is an iron supply, it is recommended for treatment of iron deficiency anemia.

How should I take Tothema®?

This drug is taken by oral route. Ampoules are drunk after dilution in sweetened water or not, or in any other soft drink. Take preferably the ampoule before meals but sometimes the time of the intake and the dosage must be adapted in accordance with digestive tolerance.

How do I store Tothema®?

Tothema® is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store Tothema® in the bathroom or the freezer. There may be different brands of Tothema® 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 Tothema® 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 Tothema®?

Drinking large quantities of tea inhibits iron absorption. Take into account the supply of 3 g of sucrose per ampoule in the daily food intake. Prevention of deficiency in infants is based upon diversified food intake. inform your physician or your pharmacist systematically about all current treatment.

Is it safe during pregnancy or breastfeeding?

There isn’t enough information about the safety of using Tothema® during pregnancy and breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking Tothema®.

Side effects

What side effects can occur from Tothema®?

When using this drug, some side effects can occur:

  • Normal coloration of stools in black
  • Digestive symptoms such as gastric burns, nausea, constipation, diarrhea

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.


What drugs may interact with Tothema®?

Tothema® 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.

Does food or alcohol interact with Tothema®?

Tothema® 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 Tothema®?

Tothema® 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.


The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using Tothema®.

What is the dose of Tothema® for an adult?

Curative treatment

The recommended dose is 100 to 200 mg of metal iron per day or 2 to 4 ampoules of Tothema®.

Preventive treatment

Pregnant women: The recommended dose is 50 mg of metal iron per day or 1 ampoule of Tothema® during the last two quarters of pregnancy (or from the 4th month).

Duration of treatment

It must be sufficient to correct anemia and to restore iron reserves, the recommended doses are 600 mg in the woman and 1 200 mg in the man.

Anemia due to iron deficiency: 3 to 6 months depending on the depletion of reserves, but may be prolonged further if the cause of anemia is not controlled.

The control of efficacy is only useful after at least 3 months of treatment. It should consist of determining the correction of anemia (Hb, MCV) and the restoration of iron stores (seric iron and transferrin saturation). Respect strictly the duration of treatment.

What is the dose of Tothema® for a child?

Curative treatment

In infants over 1 month and children: the recommended dose is 5 to 10 mg of metal iron per kg and per day.

How is Tothema® available?

Tothema® is available in the following dosage forms and strengths:

  • Ampoules 10ml

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 Tothema®, 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.

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Review Date: January 20, 2017 | Last Modified: December 19, 2019

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