Tothema 20 x 10ml – Liquid Ampoules of Iron, Copper & Manganese for Anaemia

What is Tot’hema 20 x 10ml?

Tot’hema liquid ampoules are an oral iron supplement used to treat and prevent iron deficiency anaemia. Each drinkable ampoule combines iron with Copper and Manganese, which enhance the absorption and action of iron in the body.

Tot’hema Indications

• Iron deficiency anaemias
• Iron deficiency prophylaxis in pregnancy
• Newborns with an iron-deficient mother
• When adequate amounts of iron cannot be supplied by food intake

Excipients

Glycerol, glucose, sucrose, anhydrous citric acid, sodium nitrate, sodium benzoate, polysorbate 80, caramel colouring (E150A), tutti frutti flavour, demineralised water. Patients at risk should be aware of glycerol, glucose, sucrose, sodium nitrate, and sodium benzoate.

How to Take Tot’hema

Tot’hema is administered orally by drinking the ampoules. They can be diluted in sweetened water or any soft drink, or consumed without dilution. It is recommended to take each ampoule before meals, although timing and dosage may be adjusted based on individual digestive tolerance.

Dosage

The information provided is not a substitute for any medical advice. Always consult your doctor or pharmacist before using Tot’hema.

Adults — Curative treatment: 100 to 200 mg of metal iron per day (2 to 4 ampoules daily).

Adults — Preventive treatment during pregnancy: 50 mg of metal iron per day (1 ampoule) during the last two quarters of pregnancy (from the 4th month).

Duration of treatment: Treatment must be sufficient to correct anaemia and restore iron reserves (600 mg in women; 1,200 mg in men). Duration for anaemia caused by iron deficiency typically ranges from 3 to 6 months. Efficacy should be assessed after at least 3 months of treatment, by determining correction of anaemia (Hb, MCV) and restoration of iron stores (seric iron and transferrin saturation).

Children (infants over 1 month): 5 to 10 mg of metal iron per kg body weight per day.

Precautions and Warnings

• Drinking large quantities of tea inhibits iron absorption.
• Each ampoule contains 3 g of sucrose — take this into account in the daily diet.
• Prevention of deficiency in infants is based upon a diversified food intake.
• Inform your physician or pharmacist about all current treatments.

Pregnancy and Breastfeeding

There is insufficient information about the safety of using Tot’hema during pregnancy and breastfeeding. Always consult your doctor to weigh the potential benefits and risks.

Storage

Store at room temperature, away from direct light and moisture. Do not store in the bathroom or freezer. Keep all medicines away from children and pets. Consult your pharmacist for safe disposal of unused or expired medicine.