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Vitamins and minerals

Ferrous sulfate

Also sold as: Feospan, Fer-In-Sol

No prescription neededVitamins and minerals
Comes as:TabletSyrupDrops

Usual adult dose

Usual adult dose for iron deficiency: one 200 mg tablet (about 65 mg iron) one to three times a day, as advised by your doctor. To prevent anaemia (for example in pregnancy) one tablet a day is usually enough. Children: dose by weight — ask your doctor or pharmacist.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • nausea
  • stomach pain
  • constipation or diarrhoea
  • black stools

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • severe allergic reaction
  • vomiting blood or severe stomach pain
  • a child swallowing many tablets (emergency)

Do not take it, or take care, if

  • Anaemia not caused by lack of iron (for example thalassaemia), unless a doctor advises
  • Iron overload or repeated blood transfusions
  • Active stomach ulcer or inflammatory bowel disease (use with caution)
  • Keep out of reach of children — iron overdose is dangerous

Interactions

Medicines that can react with this one.

Moderate8 medicinesTake together only with care. Ask your doctor or pharmacist.
  • Aluminium hydroxide + Magnesium hydroxide

    Antacids reduce iron absorption; take them at least 2 hours apart.

  • Ciprofloxacin

    Iron reduces absorption of ciprofloxacin; take the antibiotic 2 hours before or 6 hours after iron.

  • Doxycycline

    Iron and doxycycline bind together in the gut; take them at least 2 to 3 hours apart.

  • Levodopa + Carbidopa

    Iron reduces levodopa absorption; take them at least 2 hours apart.

  • Levothyroxine

    Iron reduces absorption of levothyroxine; take them at least 4 hours apart.

  • Methyldopa

    Iron reduces absorption of methyldopa; take them at least 2 hours apart.

Show 2 more
  • Tenofovir + Lamivudine + Dolutegravir

    Iron reduces dolutegravir absorption unless both are taken with food.

  • Tetracycline

    Iron blocks absorption; leave 2 to 3 hours between them.

Minor2 medicinesUsually not a problem, but tell your doctor.
  • Calcium carbonate

    Calcium reduces iron absorption; take them at least 2 hours apart.

  • Zinc sulfate

    Iron and zinc compete for absorption; take them at different times.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category A

Studies in pregnant women show no risk to the baby.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • Ferrous fumarateNo prescription needed
  • Ferrous sulfate + Folic acidNo prescription needed
  • Iron sucrose
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.