Each ampoule contains iron gluconate equivalent to iron 50 mg, manganese gluconate equivalent to manganese 1.33 mg and copper gluconate equivalent to copper 0.7 mg.
Tot'hema also contains the following excipients: Glycerol, glucose, sucrose, anhydrous citric acid, sodium citrate, sodium benzoate, polysorbate 80, caramel colouring (E 150 c), tutti frutti aroma and demineralized water to make 1 drinkable ampoule of 10 mL.
 

Indications/Uses

Iron supplement. Treatment of iron deficiency anaemia.
 

Dosage/Direction for Use

Oral Route: Ampoules are drunk after dilution in sweetened or normal water or in any other soft drink (non-alcoholic). Preferably, take the ampoule before meals but sometimes the time of the intake and the dosage must be adapted in accordance with digestive tolerance.
Curative Treatment: Adults: 100-200 mg/day (2-4 ampoules). Children and Infants >1 month: 5-10 mg/kg/day.
Preventive Treatment: Pregnant Women: 50 mg/day (1 ampoule) during the last 2 quarters of pregnancy (or from the 4th month).
Duration of Treatment: It must be sufficient to correct anaemia and to restore iron reserves wherein the adults are provided with 600 mg for women and 1,200 mg for men.
Anaemia Due to Iron Deficiency: 3-6 months depending on the depletion of reserves but may be prolonged further if the cause of anaemia is not controlled. The control of efficacy is only useful after at least 3 months of treatment. It should consist of determining the correction of anaemia [hemoglobin (Hb), mean corpuscular volume (MCV)] and the restoration of iron stores (seric iron and transferrin saturation).
Follow strictly the duration of treatment. In all cases, strictly follow the physician's prescription.