Dosage of drop iron ascorbate and folic acids for 18 month , 8 kg patient
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Searching for pediatric dosing of iron, ascorbic acid, and folic acid for infants/toddlers.
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Care of the Preterm or Low-Birth-Weight Infant
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Haemoglobin Cutoffs to Define Anaemia in Individuals and Populations
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Based on retrieved sources and standard pediatric pharmacology references, here is the dosing guidance for a 18-month-old child weighing 8 kg:
Iron Ascorbate + Folic Acid Drops — Pediatric Dosing (8 kg, 18 months)
1. Elemental Iron (as Iron Ascorbate Drops)
| Indication | Dose | For 8 kg child |
|---|---|---|
| Prevention / Prophylaxis | 2–3 mg/kg/day elemental iron | 16–24 mg/day |
| Treatment of Iron Deficiency Anemia (IDA) | 3–6 mg/kg/day elemental iron | 24–48 mg/day |
Typical commercial iron drop concentration: 15 mg elemental iron per 1 mL (varies by brand — always verify the label).
Example (15 mg/mL drops):
- Prophylaxis: ~1–1.5 mL/day
- Treatment: ~1.5–3 mL/day
- Given once or twice daily, preferably on an empty stomach or with citrus juice/water to enhance absorption.
- Ascorbic acid (vitamin C) in the formulation already enhances iron absorption — no separate vitamin C supplement typically needed.
2. Folic Acid
| Indication | Dose |
|---|---|
| Supplementation / Prevention | 50–100 mcg/day (infants & toddlers under 3 years) |
| Treatment of folate deficiency | 500 mcg/day for 4 weeks, then maintenance |
At 18 months, the standard supplementation dose is 50–100 mcg/day (0.05–0.1 mg/day). Most combination iron + folic acid drops contain 100–500 mcg folic acid per mL — check the specific product insert.
Key Administration Points
- Timing: Give drops 30–60 minutes before meals for best absorption.
- Avoid: Co-administration with cow's milk or calcium-rich foods (inhibit iron absorption).
- Staining: Iron drops may stain teeth — administer via dropper toward the back of the mouth; rinse/wipe gums after.
- Duration: For IDA treatment, continue for 3 months after Hb normalizes to replenish stores.
- Monitor: Recheck Hb/CBC after 4 weeks to confirm response.
Note: Always verify the elemental iron content per mL on the specific product being dispensed (e.g., Ferrous ascorbate 30 mg = ~9.8 mg elemental iron). Dose is calculated on elemental iron, not the total salt weight. Consult national formulary or product insert for exact volume to prescribe.
32 mg/ day how much ML or drops ??
I need the specific product/brand to calculate accurately, but here is the standard calculation:
Most Common Iron Ascorbate Drop Formulations
| Brand (common) | Concentration | 32 mg elemental iron = |
|---|---|---|
| Ferrous Ascorbate 30 mg/mL (elemental iron ~9.8 mg/mL) | ~9.8 mg elemental Fe per mL | ~3.3 mL/day |
| Ferrous Ascorbate drops (15 mg elemental Fe/mL) | 15 mg elemental Fe per mL | ~2.1 mL/day |
| Standard pediatric iron drops (25 mg Fe/mL) | 25 mg elemental Fe per mL | ~1.3 mL/day |
Most Commonly Available: Ferrous Ascorbate Drops
Ferrous Ascorbate 75 mg + Folic Acid 500 mcg per mL is widely used.
- Ferrous ascorbate 75 mg contains approximately 24.5 mg elemental iron per mL
| Target dose | Calculation | Volume |
|---|---|---|
| 32 mg elemental iron | 32 ÷ 24.5 | ~1.3 mL/day |
If the dropper delivers ~0.5 mL per drop-full (calibrated dropper):
- → Give 1.5 mL once daily (rounds to nearest practical dose)
Practical Advice
- Check the label for mg of elemental iron per mL — this varies by brand.
- Divide into 2 doses (16 mg × 2) if GI side effects occur.
- Formula:
Volume (mL) = Target dose (mg) ÷ Elemental iron per mL
Share the brand name or label details and I can give you the exact mL/drops.
If in 5 mg in 1 mL than ??
Simple Calculation
Concentration: 5 mg elemental iron per 1 mL
32 mg ÷ 5 mg/mL = 6.4 mL/day
Practical Dosing
| Dose split | Volume per dose |
|---|---|
| Once daily | 6.4 mL |
| Twice daily | 3.2 mL per dose |
Tip: Twice daily dosing (3.2 mL × 2) is better tolerated in toddlers — reduces GI side effects like constipation and nausea.
If the dropper is 1 mL calibrated, give 3 full droppers twice daily (= 3 mL × 2 = 6 mL ≈ close enough, or 3.2 mL × 2 for precision using a syringe).
Use a 1 mL or 5 mL oral syringe for accurate measurement rather than a dropper.
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