6 best iron supplements

Review of the best according to the editors. About the selection criteria. The the material is subjective, is not advertising and is not serves as a guide to the purchase. Before purchase is needed consultation with a specialist.

According to WHO, more than 2 billion people in the world suffer from anemia, caused by a lack of iron. Most of them are women and children. In Russia, 12% of women of childbearing age have anemia, and from nearly half of fertile suffers from latent iron deficiency women. The reason for this is the combination of female physiology with insufficient intake of the element with food. Among children, everyone the third has either clinically severe anemia or latent iron deficiency.

It enters the body with food, but is absorbed quite poorly, especially from plant foods. If from meat a person can to absorb up to 20% of the contained iron, then from plants – no more than 5%. That is why WHO considers vegetarians at risk for iron deficiency anemia of pregnant women and recommends them drugs iron as a preventative measure from the earliest possible date. This is probably the only group of people to whom such funds are prescribed for prevention.

Another group that they might need is women with heavy menstruation. Their daily requirement for iron is 3 mg, whereas with food per day no more than 2 mg of this can be absorbed substances. But in practice, if iron deficiency has not yet developed, for its prevention is enough vitamin-mineral complex with iron content – even in the inexpensive domestic Complivit there is 5 mg of this element.

Therefore, usually an indication for the use of iron preparations diagnosed anemia becomes – hemoglobin deficiency in blood.

Signs of a lack of iron in the body

Most of the iron in the body is in the form of hemoglobin – a special substance that binds oxygen from the air and gives it in the fabric, in return removing carbon dioxide from them. Therefore about the quantity iron in the blood is most often judged by the level of hemoglobin. Normal blood hemoglobin content for men 130–170 g / l, women 120–150 g / l (during pregnancy, the norm decreases to 110–140, so how blood liquefies during this period), for children from a year to 14 years – 110-150 g / l.

But in practice, normal hemoglobin is far from guarantee a normal iron content in the body. Full-fledged oxygen metabolism is vital for all organs and systems: the brain dies without oxygen in 5 to 6 minutes. Organism by all forces will maintain a normal level of hemoglobin until all reserves will be exhausted. Therefore, iron deficiency is usually judged according to other indicators.

index

norm for women

norm for men

ferritin

10-120 mcg / l

20–250 mcg / l

transferrin

2-4 g / l

2-4 g / l

% transferrin saturation

15-50

20–55

serum iron

80.9-30.4 μmol / L

11.6-30.4 μmol / L

A decrease in any of these indicators indicates a hidden deficit iron in the body.

As the problem grows, signs appear, which can be detected independently:

  1. dry, split ends, excessive hair loss;
  2. brittle nails
  3. “jamming” in the corners of the lips, cracks, dry skin around the mouth;
  4. sleep disturbance: during the day – drowsiness, insomnia at night;
  5. tongue becomes smooth, papillae disappear;
  6. perversion of taste – the desire to eat chalk, earth, rubber and others inedible things;
  7. fatigue, muscle weakness.

These symptoms are associated with a lack of macronutrient in the tissues: it necessary not only for normal oxygen metabolism, but also for muscle (15% of all body iron is part of the muscle myoglobin protein), many metabolic processes.

Rating of the best iron preparations

Nomination a place Name of product price
The best iron supplements for pregnant women 1 Totem 505 rub
2 Ferro – Folgamma 259 rub
3 Fenyuls 280 rub
4 Gyno Tardiferon 190 rub
The best iron supplements for children 1 Maltofer drops 254 rub
2 Ferrum Lek Syrup 140 rub

The best iron supplements for pregnant women

As already mentioned, up to 50% of women of childbearing age have latent iron deficiency. After pregnancy worsens. 320-500 mg of this substance goes to the growth of hemoglobin and increased cellular metabolism, 100 mg – to build the placenta, 50 mg – for an increase in the size of the uterus, 400-500 mg – for needs fetus. Thus, only pregnancy is spent an additional 1200–1140 mg of iron. It is especially actively spent on 16–20 week of pregnancy, when the fetus starts the process hematopoiesis. By this time, the woman’s daily need for iron increases to 6 mg per day.

For the prevention of iron deficiency, as already mentioned, usually there are enough vitamin and mineral complexes. But if anemia already developed, the necessary dosages of iron become much above: from 100 to 300 mg per day.

Choosing the best iron preparations for inclusion in the ranking we followed WHO recommendations that, for the treatment of anemia, in including in pregnant women, preferably containing ferrous iron. It is in this form that it is best digested in the gastrointestinal tract. For home use oral (for oral administration) drugs are better than injectable. Firstly, to use them you don’t need medical staff or people, having special skills, secondly, is excluded the likelihood of post-injection complications. Therefore we did not add injections to the rating, leaving them for professionals working in medical facilities.

All oral iron preparations are not recommended to be combined with food, as tea, coffee, calcium-rich foods reduce them digestibility. For the same reason, you can not combine them with drugs magnesium and aluminum (most remedies for heartburn).

It is necessary to judge the effectiveness of therapy no sooner than after 3 weeks, the duration of admission is from a month to six months: such a long period is needed in order to renew the body’s depots and red blood cells (average red blood cell life of 120 days).

Totem

Rating: 4.8

Totem

Contains iron, copper and manganese. The last two substances are needed, to improve the absorption of iron: they are part of the transport proteins. In addition, they enhance the antioxidant protection: ferrous ions can activate the process lipid peroxidation on the surface of the mucous membrane stomach and thus provoke undesirable effects (heartburn, nausea, diarrhea).

Available as an oral solution that you need dissolve in a glass of water or apple juice. Per day is required from 2 to 4 ampoules. To reduce the chance of adverse events, it is recommended to start with a minimum dosage and gradually increase.

Since the solution can stain tooth enamel, it is better to drink it. through a tube, and immediately after use – brush your teeth.

Advantages

  • well-digestible form
  • complex composition
  • affordable price.

disadvantages

  • bad taste
  • it is inconvenient to open the ampoules.

Ferro – Folgamma

Rating: 4.7

FERRO

In addition to the divalent iron salt, cyanocobalamin (Vitamin B12), folic and ascorbic acid. Vitamin B12 and folic acid improves hematopoiesis, and vitamin C promotes better absorption of iron, and in addition it is a strong antioxidant. According to doctors, this tool increases hemoglobin by an average of 2.5 mg per day, so the well-being of the patients improves quite fast. However, the course of treatment must be completed completely, otherwise the results will be temporary.

Available in capsules that need to be taken 1 – 2 x 3 once a day.

Advantages

  • quickly normalizes hemoglobin levels,
  • convenient form of release.

disadvantages

  • possible side effects.

Fenyuls

Rating: 4.5

Fenyuls

Another complex that combines ferrous iron with vitamins: contains vitamins of group B (B1, B2, B3, B5, B6), normalizing metabolism, which is often impaired with iron deficiency; and C. Capsules of the drug contain microgranules, of which iron and vitamins are released gradually, which reduces irritation gastric mucosa and, therefore, the likelihood of occurrence side effects.Take 1 to 2 capsules per day, depending from the severity of anemia.

Advantages

  • usually 1 tablet per day is enough,
  • delayed absorption reduces the severity of side effects phenomena
  • low price.

disadvantages

  • not.

Gyno Tardiferon

Rating: 4.4

Gino-Tardiferon

Contains iron salt and folic acid that normalizes hematopoiesis and the formation of the fetal nervous system. Recommended 1 to 3 tablets per day, depending on the severity of anemia. After restoration of hemoglobin to normal dosage should be reduced to 1 tablets per day, further standard for most drugs iron course from 1 to 3 months.

When taking iron preparations, you need to remember that they all stain the stool is black, and the occult blood test done at that time gives a false positive result, since it measures exactly iron in feces (which should not be normal). Very careful to such remedies should be treated for people with gastritis, gastroenterocolitis and other inflammatory diseases of the gastrointestinal tract, since they irritate the mucous membrane.

The best iron supplements for children

If when choosing a medication for adults, first of all, efficiency and safety, when it comes to a tool for children, the child’s commitment to treatment comes to the fore. Neither one mother will not last long if the medicine in the baby every time will literally have to cram with battle.

There is another nuance: the form of release. Tablets cannot be prescribed children under 3 years old, and capsule medications are prohibited for children under 7 for fear that the child will choke on a tablet or capsule. Then there are drugs for children – these are drops or syrups. But divalent iron has a pronounced metallic aftertaste that does not no additives can hide – and children often refuse them take. Moreover, divalent ionic iron for all its dignity, irritates the gastrointestinal mucosa, and a gentle childish body reacts to this with nausea and vomiting where more often than adults.

Therefore, we included in the ranking of the best iron preparations for children agents containing ferric iron – but in a special, modern form: iron hydroxide with a polymaltose complex. This is a large molecule composed of an iron “core” surrounded by polymaltose (polysaccharide) membrane. Thus macrocell does not directly interact with cells gastrointestinal tract and does not irritate them; not showing his characteristic taste in drops, liquids and syrups; not interacting with other substances. Absorption of such iron is slower than divalent, but overall digestibility is sufficient for effective therapy.

Another advantage of such drugs is that they are impossible poison due to slow absorption, and this is very important when it’s about the child.

Dosage of drugs containing iron hydroxide with polymaltose complex: 3 – 5 mg of active iron per kg of mass body. More precise instructions will be given by the attending physician: self-medication when it comes to children is not too reasonable.

Maltofer drops

Rating: 4.9

Maltofer

1 ml of solution (20 drops) contains 50 mg of iron, that is, 1 drop – 2.5 mg. Thus, they are very easy to dose: 1-2 drops per kilogram of baby’s weight per day, depending on the severity anemia. The daily dose can be taken 1 time by mixing drops with juice or any non-alcoholic drink. The tool has no age restrictions.

Advantages

  • safety,
  • convenient dosage method.

disadvantages

  • contains sugar

Ferrum Lek Syrup

Rating: 4.6

Ferrum-Lek

In 1 scoop of syrup – 50 mg of active iron. Similar, like the previous remedy, the medicine can be mixed with any soft drink or add to baby food. because of that the minimum amount of syrup that can be measured is half a scoop, for children up to a year, the drug is not recommended.

Advantages

  • safety,
  • low price.

disadvantages

  • Only for children over one year old.


Attention! This rating is subjective, not advertising and does not serve as a guide to the purchase. Before the purchase consultation with a specialist is necessary.

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