• 296.6 mg ferrous D-gluconate x water

• cornstarch
• cellulose powder
• Silica, colloidal
• calcium carbonate
• cocoa butter
• Povidone K90
• 21 mg sucrose
• Macrogol 4000
• Magnesium stearate (vegetable)
• Carboxymethyl Starch, Sodium Type A
• stearic acid (vegetable)
• talc
• shellac
• titanium dioxide
• ferric oxide

IRON VERLA 35 mg, iron(ii) gluconate, iron deficiency treatment indication

• The medicine is an antianemic.
• It is used to treat iron deficiency conditions.

IRON VERLA 35 mg, iron(ii) gluconate, iron deficiency treatment dosage

• Always take the medicine exactly as directed. Please ask your doctor or pharmacist if you are not sure.
• dosage
  • Adults and adolescents over 50 kg take 1-2 coated tablets 2-3 times a day.
  • Children from 12 kg body weight: 1 - 2 times daily 1 coated tablet;
  • Children from 18 kg body weight: 2 - 3 times daily 1 coated tablet.
  • It should be noted that the maximum daily dose of 6 mg iron/kg body weight in children must not be exceeded.
• The amount of iron to be supplied to the body depends on the stage of iron deficiency. Please ask your doctor about this.
• Please talk to your doctor or pharmacist if you have the impression that the effect of the medicine is too strong or too weak.

• If you take more than you should:
  • Please inform your doctor.

• If you forget to take a dose:
  • Do not take a double dose to make up for a forgotten dose. Next time, continue as directed in the dosing instructions.

• If you stop taking:
  • Please contact your doctor or pharmacist beforehand, they can best assess any effects on your condition.

• If you have any further questions on the use of the medicine, ask your doctor or pharmacist.

way

• Please swallow the coated tablets whole with plenty of water or mineral water. It is recommended to take it 1/2 hour before meals.

side effects

• Like all medicines, this can cause side effects, although not everyone gets them.
• The frequency of side effects is based on the following categories:
  • Very common: affects more than 1 in 10 people
  • Common: affects 1 to 10 users in 100
  • Uncommon: affects 1 to 10 users in 1,000
  • Rare: affects 1 to 10 users in 10,000
  • Very rare: affects less than 1 in 10,000 people
  • Not known: frequency cannot be estimated from the available data
• Gastrointestinal disorders and blockages (constipation) occasionally occur. A darkening of the stool as a result of the black iron sulphide produced is a frequently observed but completely harmless phenomenon after taking oral iron preparations. Constipation can be relieved with a balanced diet.
• In the event of side effects, talk to your doctor about appropriate countermeasures.
• Please tell your doctor or pharmacist if any of the side effects gets serious, or if you notice any side effects that are not listed.

interactions

• Taking other medicines:
  • Please inform your doctor or pharmacist if you are taking/using or have recently taken/used other medicines, even if they are non-prescription medicines.
  • The following medicines are affected by this:
    • the uptake (absorption) of tetracyclines, penicillamine, levodopa and methyldopa taken at the same time is reduced,
    • the absorption of quinolone antibiotics (e.g. ciprofloxacin, levofloxacin, norfloxacin, ofloxacin) is affected,
    • the uptake of thyroxine in patients receiving thyroxine replacement therapy is reduced.
  • This medicine is affected as follows:
    • the absorption of iron is reduced by the simultaneous use of cholestyramine, antacids (calcium, magnesium, aluminum salts) and calcium and magnesium supplements.
  • The simultaneous intake of iron salts with non-steroidal anti-inflammatory drugs can increase the irritating effect of iron on the mucous membrane of the gastrointestinal tract.
  • The medicine should not be taken within 2 - 3 hours after administration of any of the above medicines.
• When taken with food and drink:
  • There should be a gap of 2-3 hours between taking iron supplements and consuming iron-binding substances such as phosphates, phytates or oxalates as well as milk, coffee and tea, as these substances inhibit iron absorption.

Contraindications

• The medicine must not be taken:
  • if you are allergic (hypersensitive) to ferrous gluconate or any of the other ingredients
  • in anemia caused by infections or tumors, unless there is an iron deficiency at the same time,
  • if the body is overloaded with iron (e.g. haemochromatosis, chronic haemolysis),
  • in iron utilization disorders (sideroachrestic anemia, lead anemia, thalassemia).

pregnancy and breast feeding period

• The drug can be used during pregnancy and lactation.

patient notes

• Special care is required when taking:
  • To avoid the risk of possible iron overdose, special care should be taken if dietary or other iron salt supplements are used. In the case of pre-existing inflammation or ulceration of the gastrointestinal mucosa, the benefit of the treatment should be carefully weighed against the risk of aggravation of the gastrointestinal disease.

• Driving and using machines:
  • There are no special precautions required.