Tothema 20 x 10ml – Liquid Ampules Of Iron And Manganese To Treat Anemia

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Tothema ampoules contain an iron supplement in liquid form. The formulation includes Copper and Manganese which enhance its action. Tot’hema is indicated in iron deficiency anaemias, iron deficiency prophylaxis in pregnancy, newborns with an iron-deficient mother, and when adequate amounts of iron cannot be supplied by food intake. Drinkable solution, ampoules.

Tothema  Introduction

Tothema ampoules contain a liquid iron supplement in the form of a drinkable solution. The formulation includes Copper and Manganese, which enhance its action. Tothema is indicated for iron deficiency anaemias, iron deficiency prophylaxis during pregnancy, newborns with iron-deficient mothers, and situations where adequate amounts of iron cannot be supplied through food intake.

Composition and Excipients

The Tothema ampoules consist of iron, Copper, and Manganese as active ingredients. These ingredients are combined with excipients such as glycerol, glucose, sucrose, anhydrous citric acid, sodium nitrate, sodium benzoate, polysorbate 80, caramel otsetitel (E150A), tutti frutti flavor, and demineralized water. Patients in high-risk categories should be aware of the potential risks associated with these excipients, particularly glycerol, glucose, sucrose, sodium nitrate, and sodium benzoate.

Tothema Administration and Usage

Tothema is administered orally by drinking the ampoules. They can be diluted in sweetened water, any other soft drink, or consumed without dilution. It is generally recommended to take the ampoule before meals. However, adjustments to the timing and dosage may be necessary based on individual digestive tolerance.

Tothema Storage Guidelines

Tothema should be stored at room temperature, away from direct light and moisture. Avoid storing it in the bathroom or freezer to prevent any damage. Different brands of Tothema may have specific storage needs, so refer to the instructions on the product package or consult your pharmacist. Keep all medicines, including Tothema, out of reach of children and pets for safety reasons.

Precautions and Warnings

Before using it, consider certain precautions. Drinking large quantities of tea can inhibit iron absorption. Take into account the supply of 3 g of sucrose per ampoule in daily food intake. For infants, prevention of deficiency is based on diversified food intake. Inform your physician or pharmacist about any ongoing treatments.

Safety during Pregnancy or Breastfeeding

The safety of using medication during pregnancy and breastfeeding has not been extensively studied. Always consult with your doctor to weigh the potential benefits and risks before taking Tothema.

Possible Side Effects

Not everyone experiences side effects from Tothema. If you have any concerns about a side effect, consult your doctor or pharmacist for further guidance.

Tothema Interactions and Dosage

Consult your doctor or pharmacist regarding dosage and potential interactions. The information provided does not substitute professional medical advice. For adults in curative treatment, the recommended dose is 100 to 200 mg of metal iron per day or 2 to 4 ampoules of Tothema. Pregnant women in preventive treatment during the last two quarters of pregnancy should take 50 mg of metal iron per day or 1 ampoule of medication.

Tothema Duration of Treatment

The duration of treatment with this product depends on the specific condition. It should be sufficient to correct anemia and restore iron reserves. Recommended doses are 600 mg for women and 1,200 mg for men to ensure effectiveness. The treatment duration for anemia caused by iron deficiency typically ranges from 3 to 6 months, depending on the extent of reserve depletion. If the underlying cause of anemia is not addressed, the duration of treatment may need to be further prolonged. Regular monitoring of anemia correction and iron stores is recommended.

Proper Disposal

Do not flush it down the toilet or pour it into drains unless instructed to do so. Properly discard the product when it is expired or no longer needed. Consult your pharmacist for specific instructions on how to safely dispose of Tothema.


Tothema ampoules provide a liquid iron supplement for addressing iron deficiency anaemias and prophylaxis during pregnancy. Follow the recommended administration, storage guidelines, and precautions for safe and effective use. Always consult with your healthcare provider or pharmacist for personalized advice and guidance.


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