Oral iron and folic acid
Pregnancy & gynaecology-specific. Every dose row is source-referenced; verify against institutional protocols.
Oral iron and folic acidHaematinic
Regimens checked: 2026-10-18. Each indication has its own preparation, limits and safety checks.
| Indication | Dose | Route | Frequency | Duration / preparation | Maximum | Monitoring / cautions |
|---|---|---|---|---|---|---|
Confirmed iron deficiency with anaemia; exclude haemoglobinopathy/other causes and assess urgency | 120 mg ELEMENTAL iron per day (WHO treatment dose), with 400 micrograms folic acid daily | Oral | Daily; divide the elemental-iron dose if needed for tolerability | Until Hb normalises, then return to the preventive antenatal dose; continue the documented postnatal/repletion plan rather than stopping after an arbitrary pack · Count ELEMENTAL iron, not total salt mass. A tablet containing 60 mg elemental iron gives 120 mg with two tablets; check combined-tablet folate content separately. Separate from calcium by several hours and from levothyroxine by 4–5 hours
| 120 mg/day elemental iron in this WHO treatment regimen; extra OTC iron can duplicate treatment | Monitor
|
Routine pregnancy supplementation, particularly high-anaemia-burden settings | 60 mg ELEMENTAL iron +400 micrograms (0.4 mg) folic acid | Oral | Once daily | Throughout pregnancy, beginning as early as possible; document any national postpartum continuation separately · Choose a product labelled with these elemental-iron/folate amounts; no dilution. Check other prenatal supplements to avoid duplication; separate calcium and levothyroxine
| WHO preventive range is 30–60 mg elemental iron/day; this card selects 60 mg. Do not treat established IDA with the preventive dose alone | Monitor
|
Diagnosed postpartum iron-deficiency anaemia after haemorrhage is controlled and outpatient oral treatment is suitable | 120 mg ELEMENTAL iron plus 400 micrograms folic acid per day | Oral | Daily; tailor administration for tolerance without accidentally changing the prescribed total | WHO postpartum anaemia treatment: until Hb normalises. Then document any continuing preventive/repletion course and review; the preventive 6–12-week recommendation is a different indication. · Use the product’s ELEMENTAL iron content, not salt weight: two tablets each containing 60 mg elemental iron provide 120 mg. Check the combined-tablet folate separately. Separate iron from calcium by several hours and levothyroxine by 4–5 hours.
| 120 mg/day elemental iron in this WHO treatment schedule; do not add duplicate antenatal/OTC iron or overlap oral and IV courses without an explicit plan. | Monitor
|
Pregnancy safety
Dose ELEMENTAL iron; distinguish treatment from prevention
Lactation
Compatible with indicated maternal supplementation
WHOsummary checkedIN REVIEW