Gentle gastrointestinal profile: Ferric maltol is designed for better tolerability—causes fewer side effects like constipation or nausea compared to ferrous salts.
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Efficient iron absorption: Promotes increase in serum ferritin and transferrin saturation (TSAT) by delivering iron effectively across the gut wall.
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Standard adult regimen: Each capsule provides 30 mg elemental iron; typical dose is 30 mg twice daily on an empty stomach (≥ 1 h before, or 2 h after meals) for ≥12 weeks. Treatment continues until iron parameters normalize.
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Accessible pricing: Priced at approximately ৳ 11 per capsule, with a 10-capsule strip costing around ৳ 110—affordable for long-term iron therapy in Bangladesh.
ℹ️ Safety & Usage Notes
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Contraindications
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Known allergy to ferric maltol or any ingredient.
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Iron overload conditions (e.g. hemochromatosis) or frequent transfusions.
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Active inflammatory bowel disease flare-ups.
Common side effects
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Mild gastrointestinal disturbances such as flatulence, diarrhea, constipation, dark stools, abdominal pain, nausea, and vomiting.
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Interactions
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Avoid concomitant use with dimercaprol (risk of kidney toxicity).
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May reduce absorption of medications including mycophenolate, ethynyl estradiol, ciprofloxacin, and doxycycline—space dosing by at least 4 hours.
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Food decreases iron bioavailability—take on empty stomach.
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Pregnancy & breastfeeding
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Ferric maltol is minimally systemically absorbed as complex; unlikely to reach fetus. No detectable transfer via breastmilk. Safety data limited but risk is expected to be low.
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Overdose caution
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Accidental ingestion may cause iron toxicity in young children. Early overdose symptoms include nausea, vomiting, diarrhea, and abdominal pain; more severe signs include hypotension, metabolic acidosis, and systemic toxicity. Immediate medical attention recommended.
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Storage
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Keep at <25 °C, in a dry, light-protected place. Keep out of children’s reach.
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🧾 Dosing Summary
| Patient Group | Typical Dose |
|---|---|
| Adults (iron deficiency) | 30 mg capsule twice daily |
| Duration | Typically ≥12 weeks, until ferritin normalized |
| Children & adolescents | Safety not established in <18 yrs |
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