Maltofer (Iron)

Maltofer is an oral iron supplement that addresses disorders of iron metabolism and related anemia.

• Iron deficiency anemia: restores hemoglobin levels and improves symptoms of fatigue and weakness.
• Prevention of iron deficiency: maintains adequate iron stores in individuals with increased requirements or limited dietary intake.
• Pre‑surgical preparation: corrects low iron stores before elective surgery to reduce peri‑operative anemia risk.

• Iron from Maltofer provides elemental iron that is absorbed in the duodenum and proximal jejunum. The absorbed iron is incorporated into the heme portion of hemoglobin and myoglobin, supporting oxygen transport and cellular respiration. Additional iron contributes to the synthesis of iron‑dependent enzymes and supports normal growth and immune function.

Maltofer may cause a range of adverse reactions, most of which are related to gastrointestinal irritation or hypersensitivity.

Common Side Effects

• Nausea: mild to moderate feeling of sickness.
• Abdominal discomfort: cramping or pain in the stomach area.
• Constipation: reduced bowel movements or hard stools.
• Diarrhea: loose, watery stools.
• Darkened stools: black or tarry coloration without blood.
• Metallic taste: lingering metallic sensation in the mouth.

Serious or Rare Side Effects

• Anaphylactic reaction: severe allergic response requiring immediate medical attention.
• Iron overload: excessive accumulation of iron leading to organ damage.
• Persistent vomiting: inability to retain oral intake over an extended period.
• Severe abdominal pain: intense, unrelenting pain possibly indicating ulceration.
• Gastrointestinal bleeding: presence of blood in stool or vomiting.

Before initiating Maltofer therapy, consider the following safety measures.

• Assess iron status: confirm deficiency with laboratory tests before use.
• Monitor hemoglobin: regularly check blood counts to evaluate response.
• Avoid in iron overload: do not use in patients with hemochromatosis or other iron‑storage disorders.
• Take with food: reduces gastrointestinal irritation and improves tolerability.
• Keep out of reach of children: accidental ingestion can be hazardous.
• Store at room temperature: keep in the original pack, protect from moisture and direct sunlight.

Maltofer can interact with several medications, altering absorption or increasing toxicity.

Major Interactions (Avoid)

• Tetracycline antibiotics: chelation reduces absorption of both agents.
• Quinolone antibiotics: concurrent use may diminish efficacy of each drug.
• Levothyroxine: iron can impair thyroid hormone absorption.
• Calcium‑containing antacids: form insoluble complexes, decreasing iron uptake.

Moderate Interactions (Monitor Closely)

• Vitamin C supplements: increase iron absorption, may raise risk of overload.
• Proton pump inhibitors: reduce gastric acidity, potentially lowering iron absorption.
• Oral bisphosphonates: timing separation recommended to avoid chelation.
• Certain diuretics (e.g., thiazides): monitor electrolyte balance if high iron doses are used.