Wednesday, July 20, 2016

Oral Iron Supplementation




Iron
(mg)
Vitamin C
(mg)
Folic Acid
(mcg)
Women (19-29)
29
70
400
Women(30-50)
29
70
400
1st Trimester
29
80
400
2nd Trimester
a
80
400
3rd Trimester
a
80
300
Table 2: Recommended Daily Intake of Nutrients for Pregnant women (RNI Malaysia, 2005)

Women with IDA and unable to tolerate or non-­compliance to Ferrous Fumarate
  • Change to different preparation ( i.e Tab Iberet 1 tablet BD)
  • Parenteral Iron therapy
    • No advantage over the oral iron if the latter is well absorbed
  • Blood transfusion
Content
Haematinics
New Obimin
Iberet Folic*
Vitamin A
Vitamin B1
Vitamin B2
Vitamin B3
Vitamin B5
Vitamin B6
Vitamin B12
Vitamin C
Vitamin D
Folic Acid
Elemental Iron
Calcium

Copper
(Cupric Sulphate)
Iodine
(Potassium Iodide)
-
1mg
1.5mg
10mg
-
-
-
100mg
-
5mg
66mg
-

-

-
3000IU
10mg
2.5mg
20mg
7.5mg
15mg
4mcg
100mg
400IU
1mg
30mg
 32.5mg
(lactate)
100mcg

 100mcg

6mg
6mg
-
-
5mg
25mcg
500mg
-
800mcg
105mg
 10mg (pantothenate)
-

-
















Table 3: Content comparison between each tablet of haematinics and New Obimin(*Not Available at Hospital Keningau)
Compliance Issues
  • unpleasant side effects with haematinics, such as nausea, vomiting, constipation, abdominal cramping and diarrhoea, which are all dose related.
  • Inconveniences involve taking four different tablets of vitamins together
Cost Comparison
  • The cost of haematinics, consisting of vitamin B complex, ascorbic acid, folic acid and ferrous fumarate is approximately RM0.50, assuming the patient is taking 200mg OD of ferrous fumarate and 1/1 OD for the rest.
  • On the other hand, New Obimin only requires taking one tablet daily, and each film tablet only costs for RM0.20.
References:
  1. MIMS Getway 
  2. https://ods.od.nih.gov/factsheets/Iron-HealthProfessional/

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