ODOBGYNDECODED

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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.

Oral iron and folic acid: indication-specific regimens
IndicationDoseRouteFrequencyDuration / preparationMaximumMonitoring / 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
  • Daily WHO treatment and prevention doses are different. Alternate-day strategies need an explicit alternative prescription and response review.
120 mg/day elemental iron in this WHO treatment regimen; extra OTC iron can duplicate treatment
Monitor
  • Hb response after 2–4 weeks, adherence, GI effects and evidence of iron deficiency; investigate non-response and consider IV replacement when indicated
Contraindications / cautions
  • Iron overload or non-iron-deficiency anaemia; oral treatment is inadequate as sole treatment of unstable major bleeding
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
  • Start folic acid before conception where possible. High-risk neural-tube-defect prevention is a separate higher-dose folate prescription.
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
  • Hb/anaemia screening, tolerance, adherence and additional risk of folate/B12 deficiency
Contraindications / cautions
  • Known iron overload; assess microcytosis/non-response rather than repeatedly escalating iron blindly
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.
  • The WHO 2025 supportive-care recommendation supplies the postpartum dose/endpoint. Preparation and response monitoring reuse the checked oral-iron reference; breastfeeding is compatible with indicated maternal supplementation.
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
  • Arrange Hb response review after 2–4 weeks, tolerance and adherence; investigate non-response or ongoing bleeding and reassess the replacement route.
  • Review the cause of anaemia and any coexisting B12/folate deficiency or haemoglobinopathy.
Contraindications / cautions
  • Iron overload or anaemia without iron deficiency; oral iron alone is inadequate for unstable bleeding or cardiovascular compromise.
Pregnancy safety
Dose ELEMENTAL iron; distinguish treatment from prevention
Lactation
Compatible with indicated maternal supplementation