Tot’hema

Generic Name: Iron (ferrous gluconate), manganese, copper
Form: Oral solution in ampoules (commonly 10 ml per ampoule)
Drug Class: Oral iron supplement
Prescription Status: Over-the-counter (OTC) in many countries, but may be prescribed for therapeutic use

Uses / Indications

Tot’hema is used to:

• Treat and prevent iron deficiency anemia

• Support iron needs during pregnancy, lactation, growth spurts, or heavy menstruation

• Replace iron, copper, and manganese lost due to chronic illness or poor diet

How It Works

• Iron is essential for the production of hemoglobin, which carries oxygen in red blood cells

• Manganese and copper help with iron metabolism, red blood cell formation, and enzyme function

• Tot’hema improves oxygen transport and helps correct anemia symptoms like fatigue, weakness, and shortness of breath

Dosage & Administration

• Adults: 1 to 2 ampoules per day diluted in water or juice

• Children: Dosage is based on weight or as directed by a healthcare provider

• Best taken before meals, but can be taken with food to reduce stomach upset

• Do not mix with milk or tea, as they reduce iron absorption

• Shake well before use

Side Effects

Common:

• Nausea, dark stools, constipation, or diarrhea

• Stomach discomfort

Less common:

• Allergic reactions (rash, itching, swelling)

• Tooth staining if taken undiluted

Precautions

• Use with caution in patients with iron overload disorders (e.g., hemochromatosis)

• Store ampoules out of reach of children (accidental overdose of iron can be dangerous)

• Should not be taken with antacids, calcium supplements, or certain antibiotics (e.g., tetracyclines)