Tothema solution 10ml #20

Tothema user manual

Reed more and buy Tothema on this page

Iron is the main component of heme (part of the hemoglobin and myoglobin molecules in the muscles, which is responsible for the binding and transport of oxygen and carbon dioxide).
Copper and manganese are an important component of the enzymatic systems involved in the main redox processes in the body.
The dosage form of the drug is a solution for oral administration: a dark brown liquid, a slight precipitate is allowed, with a characteristic odor.

Composition of Tothema (1 ml of solution):

    iron (elemental, iron gluconate dihydrate) - 5 mg, copper (elemental, copper gluconate) - 0.07 mg, manganese (elemental, manganese gluconate) - 0.133 mg;
    auxiliary components: sucrose, dextrose (glucose), glycerol, polysorbate 80, anhydrous citric acid, sodium benzoate, sodium citrate dihydrate, flavoring, caramel color TPS (E150с), purified water.
Due to the balanced composition of the drug, its administration allows you to cope with iron deficiency anemia, improve the quality and properties of blood. After taking the drug, this drug is rapidly absorbed into the blood stream, evenly distributed in all tissues of the body.

Indications for use

What helps Tothema? According to the instructions, the drug is prescribed in the following cases:
    Iron deficiency anemia (in patients at high risk: pregnant women, premature babies, twins; newborns from a mother suffering from iron deficiency anemia);
    Iron deficiency is nutritional;
    Hypoacid gastritis;
    Condition after resection of the stomach;
    Decreased body resistance of adults and children with infectious diseases, tumors.

Instructions for use Tothema, dosage

The solution is taken orally before meals. For safe opening of the ampoule, it is recommended to tear off a piece of cardboard from the packaging along the dashed line and bend it in half. Shaking the contents of the ampoule, break it on both sides and pour the solution into a glass with plain or sweetened water.
The standard daily dosage of the solution recommended by the instructions for use of Tothema for the treatment of anemia:
    adults - from 2 to 4 ampoules per day,
    children - based on 5-7 mg per 1 kg of child’s weight per day,
The daily dosage should be divided into 2–4 doses.
During pregnancy (starting from the second trimester), a Tothema can be prescribed for preventive purposes at 1 ampoule per day.
The duration of treatment is determined by the doctor individually. The average duration of recovery of iron depot in the body is from 3 to 6 months.

special instructions

It is not recommended to combine taking Tothema with parenteral salts of Fe. People who follow a diet with a limited intake of carbohydrates should remember that 1 g of sucrose is contained in 1 ampoule of the drug.
Excessive tea intake reduces iron absorption.
Positive dynamics of laboratory parameters (Hb, the number of red blood cells, color indicator, the average volume of red blood cells, the concentration of Fe in the blood serum) is observed no earlier than 3 months after the start of course therapy.
To avoid darkening of the tooth enamel, the instruction recommends minimizing the residence time of the Tothema solution in the oral cavity.

Side effects

The instruction warns of the possibility of developing the following side effects when prescribing Tothema solution:
    From the digestive system: staining of feces black, heartburn, nausea, vomiting, diarrhea, constipation, pain in the epigastrium, darkening of the tooth enamel.

Contraindications

Tothema is contraindicated in the following cases:
    Thalassemia is a change in the shape of red blood cells due to the synthesis of altered hemoglobin.
    Peptic ulcer with localization of the defect in the wall of the stomach or duodenum in the acute stage.
    Poisoning (intoxication) with salts of lead, copper, manganese.
    Anemia that is not associated with iron deficiency.
    Wilson-Konovalov disease characterized by impaired copper metabolism.
    Hemochromatosis, hemosiderosis - a violation of the metabolism of hemoglobin in the body.
    Disorders of the digestion or absorption of certain carbohydrates in the intestine (glucose-galactose malabsorption, lactase deficiency, individual lactose intolerance).
    Hypersensitivity to any of the components of the drug.
    Age up to 3 months.
Carefully:
    Diabetes.

Overdose

In case of an overdose, side effects may intensify. With a significant overdose - cyanosis of the skin, nausea with vomiting, dizziness, impaired stool.
It is recommended to drink several raw eggs, 1 cup of milk, enterosorbent - this will help reduce the level of iron in the blood. If no improvement comes, it is important to seek medical help.

Reviews

Alexey
This is my savior. She was in the hospital, hemoglobin fell sharply. No other iron preparation helped, Tothema lifted me to my feet in a couple of days. After 5 ampoules, indicators increased by 20 units! This is an anemic bomb!
Svetlana
A very effective drug, a 10-day course helped to raise hemoglobin. True teeth are slightly darkened, I hope it will pass

Terms of sell

You can buy Tothema without a prescription.