Yesterday 21 kids had to be rushed to
hospitals across Delhi
after they were given iron and folic acid tablets during a government drive
against anaemia.
The children, aged 9 to 17, had severe stomach
ache, nausea and vomiting
Govt.
defense
1. These are common side-effect found in 1% of cases.
2. Around 18 lakh pills were administered.
3. Around 200 students took ill across the city but most
of them did not need hospitalization.
4. Pills were given under a central scheme
launched on Monday.
5. Delhi government is
following the guidelines laid down by the Union health ministry and the drugs
are formulated as per government of India 's specification which is in
use countrywide.
6. The drugs provided under the programme were
manufactured in June 2013 with expiry date in May 2015 and the drugs have been
pre-tested at a government-approved laboratory.
7. About 56% of Indian girls and 30% of boys
suffer from anaemia, primarily a deficiency of essential micronutrients because
of poor nutrition. As part of the government programme, around 100mg of
elemental iron and 500mg of folic acid would be given to boys and girls. They
would also be screened for anaemia.
eMedinews
Comments
1. Estimates are that up to 50 percent of patients
complain of nausea, constipation, diarrhea, epigastric distress and/or vomiting
after taking various oral iron preparations.
2. 100 mg dose in children may be high as the first dose
3. In any way police will investigate about the equality
of iron pill
Treatment
options for such patients:
1. The patient may take an iron preparation
containing a smaller dose of elemental iron
2. Or switch over from ferrous sulfate to
ferrous gluconate
3. Or switch from a tablet to a liquid
preparation, the dose of which (44 mg elemental iron per 5 mL) can be easily
titrated
by the patient
by the patient
4. Patient may slowly increase the dose
5. The iron may be taken with meals,
although this will decrease absorption somewhat.
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