If your child isn't getting enough iron, your baby's doctor may recommend Enfamil Fer-In-Sol Iron drops:

  • Scientifically formulated to meet your newborn, infant or toddler's supplementary iron needs
  • One daily dropper of Fer-In-Sol provides 15 mg of elemental iron
  • Use only as directed by your child's doctor

Uses

  • This medication is an iron supplement used to treat or prevent low blood levels of iron (e.g., for anemia or during pregnancy). Iron is an important mineral that the body needs to produce red blood cells and keep you in good health.

How to use Fer-In-Sol

  • Follow all directions on the product package, or take as directed by your doctor. Do not take more than the recommended dosage. If you have any questions, ask your doctor or pharmacist.
  • Iron is best absorbed on an empty stomach (usually if taken 1 hour before or 2 hours after meals). If stomach upset occurs, you may take this medication with food. See the instructions below for the liquid drops for infants/children.
Avoid taking antacids, dairy products, tea, or coffee within 2 hours before or after this medication because they will decrease its effectiveness.
  • Take tablets or capsules with a full glass of water (8 ounces or 240 milliliters) unless otherwise directed by your doctor. Do not lie down for at least 10 minutes after taking your tablet or capsule dose.
  • Swallow extended-release capsules whole. Do not crush or chew extended-release capsules or tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split extended-release tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing.
  • If you are taking chewable tablets, chew the medication thoroughly, then swallow.
  • If you are taking a liquid suspension form of this medication, shake the bottle well before each dose.
  • If you are taking the liquid form for adults, carefully measure the dose using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose. Mix the dose in a glass of water or juice, and drink the mixture through a straw to prevent staining the teeth.
  • If you are giving the liquid drops to an infant or child, use the dropper provided to carefully measure the dose. The dose may be placed directly into the mouth (towards the back of the tongue) or it may be mixed in formula (not milk), fruit juice, cereal, or other food as directed to increase your child's acceptance. It is best to give this medication right after a meal. Follow the directions on the product package for the brand that you use.
  • Take this medication regularly in order to get the most benefit from it. To help you remember, take it at the same time(s) each day.
  • Side Effects

    • Constipation, diarrhea, stomach cramps, or upset stomach may occur. These effects are usually temporary and may disappear as your body adjusts to this medication. If any of these effects persist or worsen, contact your doctor or pharmacist promptly.
    • Iron may cause your stools to turn black, an effect that is not harmful.
    • If your doctor has prescribed this drug, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
    • A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any of the following symptoms of a serious allergic reaction: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

    This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

    Precautions

    • Before taking this medication, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
    • This medication should not be used if you have certain medical conditions. Before taking this medication, consult your doctor or pharmacist if you have: iron overload disorder (e.g., hemochromatosis, hemosiderosis).
    • Before taking this medication, tell your doctor or pharmacist your medical history, especially of: use/abuse of alcohol, liver problems, stomach/intestinal problems (e.g., ulcer, colitis).
    • If your brand of iron supplement also contains folic acid, be sure to tell your doctor or pharmacist if you have vitamin B12 deficiency (pernicious anemia) before taking it. Folic acid may falsely improve certain laboratory tests for vitamin B12 deficiency without actually treating this anemia. Untreated vitamin B12 deficiency may result in serious nerve problems (e.g., peripheral neuropathy symptoms such as numbness/pain/tingling sensations). Consult your doctor or pharmacist for details.
    • Chewable tablets of this medicine may contain aspartame. If you have phenylketonuria (PKU) or any other condition that requires you to restrict your intake of aspartame (or phenylalanine), consult your doctor or pharmacist about using this drug safely.
    • Liquid preparations of this product may contain sugar and/or alcohol. Caution is advised if you have diabetes, alcohol dependence, or liver disease. Ask your doctor or pharmacist about using this product safely.
    • During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.
    • This medication passes into breast milk. Consult your doctor before breast-feeding.

    Does Fer-In-Sol Interact with other Medications?

    Severe InteractionsThese medications are not usually taken together. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation.

    • IRON/DIMERCAPROL

    Serious Interactions: These medications may interact and cause very harmful effects. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation.

    • IRON SALTS, ORAL/LEVODOPA
    • DIVALENT & TRIVALENT CATIONS/TETRACYCLINES

    Moderate Interactions: These medications may cause some risk when taken together. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation.

    • ORAL IRON SUPPLEMENTS/ANTACIDS
    • ORAL IRON SUPPLEMENTS/SELECTED MINERALS
    • POLYVALENT CATIONS/BALOXAVIR
    • CALCIUM & IRON CONTAINING SUPPLEMENTS/BICTEGRAVIR
    • SEL ORAL CATIONS; ANTACIDS; H2 ANTAG/DOLUTEGRAVIR-RILPIVIRIN
    • ORAL IRON/ORAL METHYLDOPA
    • SELECTED ORAL CATIONS/DOLUTEGRAVIR
    • SELECTED ORAL CATIONS/SELECTED ORAL QUINOLONES
    • ALUMINUM, IRON, ZINC/DEFERIPRONE
    • SELECTED ORAL CATIONS/SELECTED ORAL QUINOLONES
    • POLYVALENT CATIONS/ELTROMBOPAG
    • ORAL MULTIVALENT CATIONS/ORAL BISPHOSPHONATES
    • ORAL IRON/CEFDINIR
    • IRON SALTS, ORAL/THYROID
    • IRON SALTS, ORAL/PENICILLAMINE, ORAL

    Missed Dose

    • If you are taking this product on a prescribed schedule and miss a dose, take it as soon as you remember. If it is near the time for the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.

    Storage

    • Store at room temperature between 59-86 degrees F (15-30 degrees C) away from light and moisture. Do not freeze liquid forms of this medication. Do not store in the bathroom. Keep all medicines away from children and pets.
    • Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. 

    References:

    https://www.empr.com/drug/fer-in-sol-drops/

    https://www.webmd.com/drugs/2/drug-6621/fer-in-sol-oral/details

    https://www.enfamil.com/products/enfamil-fer-in-sol

    https://www.drugs.com/cdi/fer-in-sol.html

    https://www.clinicaladvisor.com/drug/fer-in-sol-drops/

    https://www.medicines.ie/printfriendlydocument.aspx?documentid=1381&companyid=60

    Health Reference: Anaemia