Maltofer Syrup Composition
1 ml of syrup contains 10 mg of iron as iron (iii) – hydroxide polymaltose complex (IPC), aromatic agent, sucrose, preservatives (E216, E218), excipient to dissolve.
Maltofer Syrup Properties
Maltofer syrup is an iron preparation for the treatment of latent iron deficiency and iron deficiency anemia. Iron is an important constituent of hemoglobin, myoglobin and the enzymes which contain iron. The treatment of iron deficiency in infants up to one year of age is of extreme importance. Iron deficiency at this age can impair the development of the brain. In general, iron deficiency can cause chronic fatigue, lack of concentration, irritability, nervousness, and headache, loss of apetite, susceptibility to stress and infection, paleness, cracks at the corners of mouth (rhagades), dry skin, brittle hair and nails as well as loss of interest in play in children.
The iron in Maltofer Syrup exists as iron (iii) – hydroxide complex, where individual particles are embedded into a carbohydrate polymer (polymaltose). This prevents the iron from causing any harm in the gastro-intestinal system. This protection inhibits interactions of the iron with food. Moreover, it ensures the bio-availability of the iron.
The structure of Iron Poly Maltose is similar to ferritin, the naturally occurring iron storage protein. Due to this similarity, iron is absorbed through natural mechanism.
Iron poly maltose has no pro-oxidative properties such as there are with bivalent iron salts.
Maltofer Syrup Indications
Maltofer syrup is a treatment of latent iron deficiency and iron deficiency anemia (manifest iron deficiency), polyphylactic therapy of iron deficiency during pregnancy.
Maltofer Syrup Dosage
Dosage and duration of therapy are dependent upon the extent of iron deficiency.
- Manifest Iron Deficiency: the therapy takes about three to five months until normalization of hemoglobin. Afterwards the therapy should be continued for several weeks or for pregnant woman, at least until the end of the pregnancy with a dosage such as described for latent iron deficiency to replenish the iron stores.
- Latent Iron Deficiency: The therapy takes about one to two months. Due to the low dosages, these indications can only be treated with iron in drop form, Maltofer Drops.
Maltofer Syrup Administration
The daily dose can be divided into separate doses or can be taken at one time. Maltofer Syrup should be taken during or immediately after a meal. The supplied measuring cup is used for an exact administration of the dosage.
Maltofer syrup can be mixed with fruit and vegetable juices or with bottle-feed. The slight coloration does not affect either the taste or the efficacy.
In case of immediate iron need (low Hb, concomitant EPO treatment etc.) parenteral iron (e.g. Venofer Injection) preparations should be used for iron substitution so that the iron is more rapidly available.