Dosage of Tothema Dosage is usually based on the severity of the deficiency.

• For Treatment (Adults): 2 to 4 ampoules (100–200mg of iron) daily, in divided doses.
• For Prevention (Pregnant Women): 1 ampoule (50mg of iron) daily during the last two trimesters.
• For Children: Dosage is based on weight (usually 3–6mg of iron per kg per day).

Proper Administration

• Preparation: Shake the ampoule well. Break both tips of the ampoule (using a paper tissue) and pour the contents into a glass.
• Dilution: Dilute the liquid in a glass of water or a non-alcoholic beverage (like fruit juice).
• Timing: For maximum absorption, take Tothema on an empty stomach (usually 1 hour before meals). If stomach irritation occurs, it can be taken with or after food.
• Avoid Tea/Coffee: Do not take Tothema within 2 hours of drinking tea, coffee, or eating dairy, as these significantly block iron absorption.

How to Store and Dispose of Tothema

• Storage: Store in a cool, dry place below 25°C. Keep the ampoules in the original carton to protect them from light.
• Disposal: Keep out of reach of children. Dispose of empty glass ampoules carefully in a sharps container or wrapped safely to prevent injury.

Quick Tips for Tothema

• Vitamin C Boost: Drink your Tothema with a glass of orange juice. Vitamin C significantly enhances the absorption of iron.
• Stool Color: Do not be alarmed if your stools turn black or dark green. This is a normal and harmless side effect of iron supplements.
• Teeth Protection: To avoid temporary staining of the teeth, dilute the solution well and sip it through a straw, then rinse your mouth with water afterward.

Safety and Precautions

Contraindications of Tothema

• Iron Overload: Do NOT use if you have conditions like hemochromatosis or hemosiderosis.
• Non-Iron Anemias: Not for use in anemias not caused by iron deficiency (e.g., hemolytic anemia).
• Active Ulcers: Use with caution if you have active peptic ulcers or inflammatory bowel disease.

Side Effects of Tothema

• Common: Nausea, heartburn, constipation, or diarrhea.
• Less Common: Temporary staining of tooth enamel (if not diluted).
• Action: If you experience severe abdominal pain or persistent vomiting, consult your doctor.

Precautions and Warnings

• Diabetes: Each ampoule contains 3g of sucrose. Diabetic patients should account for this in their daily sugar management.
• Regular Monitoring: Your doctor should perform periodic blood tests (PCV/Hemoglobin/Ferritin) to ensure the iron levels are returning to normal.
• Drug Interactions: Iron can reduce the absorption of antibiotics (Tetracyclines/Quinolones). Take them at least 2 hours apart.

• Pack Size: 20 Ampoules of 10ml each.
• Form: Oral Solution (Drinkable Ampoule).
• Key Ingredients: Iron, Copper, Manganese Gluconates.