Carbonyl Iron

DEA Class; OTC, Rx

Common Brand Names; Feosol (Carbonyl Fe), Icar C, Icar Pediatric, Ircon

  • Iron Products

Replacement of iron stores found in hemoglobin, myoglobin, and enzymes; works to transport oxygen via hemoglobin

Indicated for

  • Dietary Iron Supplement
  • Iron Deficiency Anemia
  • Prophylaxis of Iron Deficiency

Hypersensitivity

Hemochromatosis, hemolytic anemia or anemia not associated with iron deficiency

Peptic ulcer, regional enteritis, ulcerative colitis

  • Constipation
  • Diarrhea
  • Nausea
  • Epigastric pain
  • Dark stools
  • Vomiting
  • Dark stools

Do not take within 2 hr of oral tetracycline antibiotics

Not for use in patients receiving frequent blood transfusions

Avoid in premature infants until their deficient vitamin E stores at birth are replenished

Avoid administering iron for >6 months except in patients with continuous bleeding or menorrhagia

May cause increased red cell hemolysis & hemolytic anemia in infants with low serum vitamin E concentrations

Pregnancy Category: Not available

Lactation: Excreted in breast milk

Adults

150-300 mg PO q8hr

 

Pediatric

Treatment

  • Preterm: 2-4 mg Fe/kg/day PO qDay divided q12hr; not to exceed 15 mg/day  

  • Children: 3-6 mg Fe/kg/day PO qDay divided q12hr

Prophylaxis

  • Preterm: 2 mg Fe/kg/day PO PO qDay divided q8hr; not to exceed 15 mg/day  

  • Children: 1-2 mg Fe/kg/day PO qDay divided q8hr; not to exceed 15 mg/day

  • Aged >10 years

    • Males: 2 mg/day Fe PO

    • Females: 5 mg/day Fe PO

Carbonyl iron

tablet

  • 45mg (Feosol)
  • 66mg (Ircon)

oral suspension

  • 15mg/1.25mL (Icar Pediatric)

tablet, chewable

  • 15mg (Icar Pediatric, Wee Care)

tablet with vitamin C

  • 100mg iron/250mg vitamin C (Icar C)

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