Tot’hema Iron Shots

Tot’hema Iron Shots

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• Ferrous gluconate, Ferrous gluconate, corresponding to 50 mg of iron
• Manganese Gluconate, Manganese gluconate
• Copper gluconate, Cupric gluconate, corresponding to 0,70 mg copper



glycerol, glucose, sucrose, anhydrous citric acid, sodium nitrate,
sodium benzoate, polysorbate 80, caramel otsetitel (E150A), tutti frutti
flavor, demineralised water. List of excipients, which have to be aware
of the risk category patients, glycerol, glucose, sucrose, sodium
nitrate, sodium benzoate.

Tot’hema ampoules contain an iron supplement in liquid form. 

How should I take Tothema?

Tothema  is taken by oral route. Ampoules are drunk after dilution in sweetened water or not, or in any other soft drink. Take preferably the ampoule before meals but sometimes the time of the intake and the dosage must be adapted in accordance with digestive tolerance.

How do I store Tothema?

Tothema is best stored at room temperature away from direct light and moisture. To prevent Tothema damage, you should not store Tothema® in the bathroom or the freezer. There may be different brands of Tothema® that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush Tothema down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using Tothema?

Drinking large quantities of tea inhibits iron absorption. Take into account the supply of 3 g of sucrose per ampoule in the daily food intake. Prevention of deficiency in infants is based upon diversified food intake. inform your physician or your pharmacist systematically about all current treatment.

Is it safe during pregnancy or breastfeeding?

There isn’t enough information about the safety of using Tothema during pregnancy and breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking Tothema.

Side effects

What side effects can occur from Tothema?

Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.



The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using Tothema.

What is the dose of Tothema for an adult?

Curative treatment

The recommended dose is 100 to 200 mg of metal iron per day or 2 to 4 ampoules of Tothema.

Preventive treatment

Pregnant women: The recommended dose is 50 mg of metal iron per day or 1 ampoule of Tothema® during the last two quarters of pregnancy (or from the 4th month).

Duration of treatment

It must be sufficient to correct anemia and to restore iron reserves, the recommended doses are 600 mg in the woman and 1 200 mg in the man.

Anemia due to iron deficiency: 3 to 6 months depending on the depletion of reserves, but may be prolonged further if the cause of anemia is not controlled.

The control of efficacy is only useful after at least 3 months of treatment. It should consist of determining the correction of anemia (Hb, MCV) and the restoration of iron stores (seric iron and transferrin saturation). Respect strictly the duration of treatment.

What is the dose of Tothema for a child?

Curative treatment

In infants over 1 month and children: the recommended dose is 5 to 10 mg of metal iron per kg and per day.


Vitamin C, an excellent reducing agent, aids in increasing absorbable ferrous iron in iron deficiency anemia.