Antacids, cholestyramine, cimeti-dine, vitamin E: May decrease ferrous fumarale absorption.
Separate doses by 1 to 2 hours. Chloramphenicol: Delayed response to iron ther-apy. Monitor child for desired effects.
Doxycycline: May interfere with ferrous fumarate absorption even when doses are separated. Watch for desired effects.
Levodopa, methyldopa: May decrease absorp-tion and efficacy of these drugs. Avoid concomi-tant use.
L-thyroxine: May decrease L-thyroxine absorp-tion. Separate doses by at least 2 hours; moni-tor thyroid function.
Penicillamine: Decreased absorption. Separate doses by at least 2 hours.
Quinolones: May decrease absorption of quino-lones. Monitor child closely.
Tetracycline: Inhibited absorption of both drugs. Avoid concomitant use and give tetracycline 3 hours after or 2 hours before iron.
Vitamin C: May increase iron absorption. Bene-ficial drug interaction.
Drug-food:
Cereals, cheese, coffee, eggs, milk, tea, whole-grain breads, yogurt: May impair oral iron absorption. Dont administer together. Tell child to avoid these foods. |