TOT'HEMA oral solution medication leaflet

B03AE10 • ferrous gluconate + manganese gluconate + copper gluconate • Blood and blood forming organs | Iron preparations | Iron in other combinations

This combination of ferrous gluconate, manganese gluconate, and copper gluconate is used to treat or prevent deficiencies of essential minerals, particularly in cases of anemia, chronic fatigue, or other conditions associated with a lack of these trace elements. Each component plays a vital role in the body's optimal functioning.

- Ferrous gluconate is a source of iron used to treat iron-deficiency anemia. Iron is essential for the production of hemoglobin, the protein that carries oxygen in the blood.
- Manganese gluconate contributes to energy metabolism, connective tissue formation, and protection against oxidative stress. It is a cofactor for several essential enzymes.
- Copper gluconate is involved in red blood cell formation, maintaining a healthy immune system, and protecting against free radicals.

This combination is indicated in cases of nutritional deficiencies, during recovery periods, or in situations requiring increased mineral intake, such as pregnancy, breastfeeding, or intense physical activity.

Side effects may include nausea, abdominal discomfort, constipation, or diarrhea, especially with iron supplements. In rare cases, allergic reactions may occur. It is important for patients to strictly follow the doctor’s instructions regarding dosage, as excess iron, manganese, or copper can be toxic.

Patients should inform their doctor about other supplements or medications they are taking, as these minerals may interact with other treatments, such as antibiotics or antacids. It is also recommended to take iron supplements on an empty stomach for better absorption, but if gastric irritation occurs, they can be taken with food.