Floradix

introduction

Floradix® is a medicine that is available for free sale in most pharmacies.
Its function is to fill up the iron stores and compensate for iron deficiency conditions.

Iron deficiency is one of the most common deficiencies worldwide. Up to 25% of people living in Germany have ever suffered from iron deficiency or currently suffer from the deficiency symptoms.

This can be counteracted by taking Floradix®. Since iron deficiency is a serious condition, the iron supply should be replenished with a special diet or by various means.

Floradix® can, according to the manufacturer, be used for an increased iron requirement or deficiency symptoms. It is a mainly herbal remedy and is recommended by the manufacturer especially to women during pregnancy and lactation.

iron deficiency

An iron deficiency, as the name implies, is a deficiency of the body that affects the trace element iron.
Initially, iron deficiency can be completely symptomless, although it can be dangerous at a certain point.

The ideal values ​​for men are in the range of 80-180 μg / dl and for women in the range of 60-160 μg / dl.
Children (2 to 12 years) must be considered separately from adults, with gender playing a minor role: 22 - 135 μg / dl iron should be contained in the blood of the child, depending on the age.

The main role of iron is its function as part of many enzymes. Iron plays a central role in myoglobin and hemoglobin.
Hemoglobin is contained in the red blood cells, the erythrocytes, and is responsible for the uptake of oxygen from the lungs. Iron is therefore a vital trace element.

Normally, iron deficiency results from malnutrition, which means that the food is not enough iron. But bleeding can also be responsible for iron deficiency.

In bleeding, the red blood cells that contain the iron-containing hemoglobin are lost. It focuses on continuous bleeding such as menstrual bleeding, less injury bleeding.
Even diseases of the gastrointestinal tract can lead to steady blood leakage.

Pregnant women also need more iron than other people because of the increased consumption of the growing baby.

The symptoms of iron deficiency can be complex.
It can lead to defects of the skin and mucous membrane. This is evident in torn corners of the mouth, tongue burning and difficulty swallowing, but also in brittle nails and hair loss.
There may also be neurological problems such as headache, mental symptoms or lack of concentration.

Iron deficiency anemia, which can develop in severe deficiencies, leads to the symptoms of anemia, ie anemia, fatigue, rapid heartbeat, dizziness and possibly shortness of breath.

When an angioma shows up clinically varies from patient to patient and is related to the overall health and body type of the person.

Iron deficiency during pregnancy

In pregnancy, the woman consumes about 800 to 1200 mg more iron than usual. This difference becomes even more serious when one considers that the monthly menstrual bleeding, which causes about 20 to 40 mg of iron to be lost each time, is avoided.

The iron is needed to ensure child and maternal growth and to ensure the supply of both. The biggest changes are the increased production of hemoglobin, the iron-containing oxygen transporter in red blood cells, the formation of the placenta and the growth of the baby itself.

At birth, more or less blood is lost individually, but this is always associated with iron loss. The woman loses up to 250 mg of iron at birth.

The body of a pregnant woman adjusts as well as possible to the changes and tries to mobilize more iron: more iron is taken up in the intestine, existing iron is made transportable by means of transferrin and the ferrous iron, called ferritin, is tapped.
Since the demands on the maternal iron household are enormously high, it can happen that the reserves of the mother are not completely sufficient.

It is important to have a balanced diet with an iron-containing diet. Since a balanced diet often does not effectively counteract iron deficiency, the suffering of iron deficiency anemia is relatively common among expectant mothers.

At the latest then an iron supplement should be used in consultation with the attending physician (family doctor or pregnancy-accompanying gynecologist).
Here, the choice lies with the patient and the recommendation of the doctor.

Floradix® is one of the possible supplements and is often used for iron deficiency during pregnancy due to its good tolerability.

Iron deficiency in children

For children, the same symptoms of iron deficiency apply as in adults. However, anemia may present a greater risk to the child's development than is the case in adults.

There is a lack of oxygen in the blood because not enough hemoglobin can be produced to absorb oxygen in the lungs. As is known, in the infantile stage of growth damage is more frequent due to lack of oxygen, than in adults.
It threatens mental underdevelopment, motor disorders, mental health problems and behavioral disorders.

But not only infants and children can damage iron deficiency. If the mother of a growing baby suffers from iron deficiency, it can have serious consequences for the child.
On the one hand, there is an increased risk that the child dies in the womb before it is born, on the other hand, it can lead to growth disorders or a deficiency of the placenta.

Ingredients of Floradix

For Floradix ® to act as an iron dispenser, iron must be present in the liquid. Here it is present as a so-called iron salt, as iron (II) gluconate.
Through the absorption and digestion of the liquid, the iron ions are released and can be absorbed through the intestine and distributed by the bloodstream.

In addition to the primary active ingredient iron, other substances are contained in Floradix®, such as ascorbic acid, ie vitamin C.
An extract of a mixture of various herbs, fruit varieties and roots adds additional nutrients to the liquid.

As many juice concentrates and fructose syrup are included, people with fructose intolerance should refrain from taking it.

In any case, the use of Floradix ® with the attending physician (usually family doctor) should be discussed!
Even diabetics should note the sugar content of the drug: 15 ml correspond to 0.3 BE.

Contraindications

The use of Floradix® should be discontinued if enough iron is already present in the body or if an accumulation of iron, an accumulation of the substance, has formed.

If there is an iron-utilization disorder, taking Floradix® is not a means of treating existing iron deficiency conditions.
Also, the list of all ingredients should be searched for any intolerances and allergies.

Although Floradix® is over-the-counter, a doctor must be consulted especially during pregnancy and breast-feeding.
Even if these circumstances do not apply, the consultation with the family doctor is still recommended.

If the side effects or interactions with other medicines are too severe, stop using Floradix®, or if you are overdosed with symptoms of intoxication.

side effects

There may be side effects when taking Floradix®. How severe the side effects are and how the effect ultimately works out can vary individually.
In most cases, gastrointestinal complaints dominate, in the form of bloating, constipation and stomach pressure.

In addition, it may possibly come to a dark to black color of the stool. Here, as in medicine, this is not an alarming sign, but due to the absorption of large amounts of iron.
If the dark bowel movement (in the case of Blutbeimengungen in chair also "tarry chair" called) other atypical symptoms come, nevertheless a doctor should be consulted.
Any existing bleeding in the gastrointestinal tract can be ruled out with the help of a stool test.

By drinking the liquid may cause slight discoloration of the teeth, which are to be avoided by regular dental care.

In addition to the common side effects may also come to interactions with other drugs.

Due to the absorption of the iron salts, which are contained in Floradix®, there is often a reduced absorption (absorption in the intestine) of other drugs.
These include various antibiotics (tetracyclines, penicillamines, quinolone antibiotics), Parkinson's drugs (levodopa and methyldopa) and thyroid medicines in existing hypofunction (thyroxine).

By supplementing with supplements containing calcium or magnesium, iron absorption in the intestine can be reduced.
Dairy products, black and green tea and coffee can cause a similar reduction.

The patient should therefore take the substances separately from other foods.

In addition to taking Floradix® with certain painkillers (non-steroidal anti-inflammatory drugs) treated, the negative effect on the gastrointestinal mucosa may increase.

The increased irritation can be triggered by common drugs such as aspirin (Aspirin®), ibuprofen or diclofenac.

Dosage and poisoning

The dosage is the same for adolescents from 10 years and adults.
Three times a day, at best half an hour before each main meal, 15 ml of Floradix® is taken. This corresponds to an amount of 36.8 mg of usable iron.
Children between the ages of 6 and 10 have a slightly lower dose - taking 15 ml only twice a day, equivalent to 24.5 mg of iron.

For adults, the amounts of Floradix® you would need to take for overdose are unreal. Several liters of fluid would have to be delivered, depending on body weight.

In general, intoxication (intoxication) in the context of overdoses is more of a problem in paediatrics, as toxic amounts are reached faster.

A poisoning occurs in children already at 20 mg of iron per kilogram of body weight. For example, if the child weighs 10 kilograms, 250 ml of Floradix® is enough to cause poisoning.
A bottle of 700 ml, such as Floradix®, which is available among other things, contains a potentially lethal amount of iron for small children.

poisoning

The first symptoms of poisoning caused by overdose are mainly gastrointestinal problems.
It comes on abdominal pain, bloody diarrhea (colloquial tarry stool), nausea and vomiting.
Also in the vomit blood may be contained, which is reflected in Kaffeesatz-like appearance.

The consciousness can be cloudy and fever can occur. As part of a shock, the blood pressure drops and the heart begins to race - the life of the child is severely threatened.

A serious poisoning is a life-threatening condition that can lead to death within a very short time (12-24 hours).
Emergency therapy must relieve the acute symptoms and flush out the stomach. The gift of an iron-binding drug ( deferoxamine ) may also be necessary.

costs

Floradix® can be purchased in different quantities. The price-performance ratio is better with increasing bottle size. There are three different quantities commonly used: 250 ml depending on the provider for about 9 euros, 500 ml for about 13 euros and 700 ml for an average of 17 euros available.

alternatives

If you do not want to take Floradix ®, you can either use other iron-containing products or watch out for a special diet that emphasizes increased iron content.
Meat and sausage are good iron donors. Especially liver contains a lot of iron.
In addition to these animal products, the following vegetable foods also contain more iron:

  • cabbage
  • Whole grains
  • nuts
  • raspberries
    and
  • beans,
    but also
  • Spices and herbs like
    • parsley
    • thyme
    • black pepper
    • coriander
    • mint
      and
    • Cinnamon.


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