Noripurum is a remedy used in the treatment of small red blood cell anemia and anemia caused by iron deficiency, however it can also be used in people who do not have anemia but who have low iron levels.
This medicine can be used in various forms, depending on each situation, each having a different way of taking and can be purchased in pharmacies by prescription.
1. Noripurum tablets
Noripurum tablets have 100 mg of iron type III, essential for the formation of hemoglobin, which is a protein that allows the transport of oxygen through the circulatory system and can be used in the following situations:
- Signs and symptoms of iron deficiency that have not yet manifested or manifested in a mild manner;
- Iron deficiency anemia due to malnutrition or food shortages;
- Anemias due to intestinal malabsorption;
- Iron deficiency anemia during pregnancy and breastfeeding;
- Anemia due to recent bleeding or for long periods.
Taking iron should always be advised by your doctor after diagnosis, so it is very important to know the symptoms of anemia. Learn how to identify iron deficiency anemia.
How to take
Noripurum chewable tablets are indicated for children as young as 1 year of age in adults, pregnant and lactating. The dose and duration of therapy vary greatly depending on the person's problem, but usually the recommended dose is:
| Children (1-12 years) | 1 tablet of 100 mg once daily |
| Pregnant | 1 tablet of 100 mg, 1 to 3 times daily |
| Infants | 1 tablet of 100 mg, 1 to 3 times daily |
| Adults | 1 tablet of 100 mg, 1 to 3 times daily |
This medicine should be chewed during or immediately after meals. As a complement to this treatment, iron-rich food can also be made with strawberries, eggs or veal, for example. See more iron-rich foods.
2. Injectable Noripurum
The ampoules of Noripurum solution for injection have in their composition 100 mg of iron III, which can be used in the following situations:
- Severe iron deficiency anemia, which occurs after bleeding, delivery or surgery;
- Gastrointestinal absorption disorders when it is not possible to take tablets or drops;
- Gastrointestinal absorption disorders, in cases of lack of adherence to treatment;
- Anemias in the third trimester of pregnancy or postpartum;
- Correction of iron deficiency anemia in the preoperative period of major surgeries;
- Iron deficiency anemias accompanying chronic renal failure.
How to use
The daily dose should be determined individually according to the degree of iron deficiency, the weight and the hemoglobin values in the blood:
Hemoglobin Value | 6 g / dl | 7.5 g / dl | 9 g / dl | 10.5 g / dl |
| Weight in kg | Injection volume (ml) | Injection volume (ml) | Injection volume (ml) | Injection volume (ml) |
| 5 | 8 | 7 | 6 | 5 |
| 10 | 16 | 14 | 12 | 11 |
| 15 | 24 | 21 | 19 | 16 |
| 20 | 32 | 28 | 25 | 21 |
| 25 | 40 | 35 | 31 | 26 |
| 30 | 48 | 42 | 37 | 32 |
| 35 | 63 | 57 | 50 | 44 |
| 40 | 68 | 61 | 54 | 47 |
| 45 | 74 | 66 | 57 | 49 |
| 50 | 79 | 70 | 61 | 52 |
| 55 | 84 | 75 | 65 | 55 |
| 60 | 90 | 79 | 68 | 57 |
| 65 | 95 | 84 | 72 | 60 |
| 70 | 101 | 88 | 75 | 63 |
| 75 | 106 | 93 | 79 | 66 |
| 80 | 111 | 97 | 83 | 68 |
| 85 | 117 | 102 | 86 | 71 |
| 90 | 122 | 106 | 90 | 74 |
Administration of this medicinal product into the vein should be made and calculated by a health care professional and if the required total dose exceeds the maximum allowable single dose, which is 0.35 ml / kg, administration should be divided.
3. Noripurum drops
The drops of Noripurum have 50mg / ml of iron type III, which can be used in the following situations:
- Signs and symptoms of iron deficiency that have not yet manifested or manifested in a mild manner;
- Iron deficiency anemia due to malnutrition or food shortages;
- Anemias due to intestinal malabsorption;
- Iron deficiency anemia during pregnancy and breastfeeding;
- Anemia due to recent bleeding or for long periods.
For the treatment to have better results, it is important to go to the doctor as soon as the first symptoms appear. Know the symptoms of iron deficiency.
How to take
The drops of Noripurum are indicated for children from birth, in adults, pregnant and lactating. The dose and duration of therapy vary greatly depending on the person's problem. Thus, the recommended dose varies as follows:
| Prophylaxis of anemia | Treatment of anemia | |
| Premature | ---- | 1 - 2 drops / kg |
| Children up to 1 year | 6-10 drops / day | 10-20 drops / day |
| Children from 1 to 12 years | 10-20 drops / day | 20 - 40 drops / day |
| Over 12 years and infants | 20 - 40 drops / day | 40 - 120 drops / day |
| Pregnant | 40 drops / day | 80 - 120 drops / day |
The daily dose may be ingested at once or divided into separate doses during or immediately after meals and may be mixed with porridge, fruit juice or milk. Drops should not be given directly into children's mouths.
Possible side effects
In the case of tablets and drops, the adverse reactions of this medicine are rare, but abdominal pain, constipation, diarrhea, nausea, stomach pain, poor digestion and vomiting may occur. In addition, skin reactions such as redness, hives and itching may also occur.
In the case of injectable noripurum, transient palate alteration may occur with some frequency. The most rare adverse reactions are low blood pressure, fever, tremors, heat sensation, injection site reactions, nausea, headache, dizziness, increased heart rate, palpitations, shortness of breath, diarrhea, muscle pain and such as redness, hives and itching.
Fecal darkening is also very common in people who are taking iron.
Who should not use
Noripurum should not be used in people who are allergic to iron III or any of the other ingredients of the formula, who have acute liver diseases, gastrointestinal disorders, anemia not caused by iron deficiency or people who are unable to use it, or even in situations of iron overload.
In addition to these cases, intravenous Nopirum should also not be used in the first trimester of pregnancy.
