Enfamil® Fer-In-Sol® Liquid Iron Supplement

Liquid Iron Supplement

Last Updated: Tuesday, October 17, 2017 - 20:00

Description/Indication

Enfamil Fer-In-Sol Liquid Iron Supplement is for the supplemental iron needs of infants and children. Infants who may especially require supplemental iron include infants of anemic mothers1,2, low-birth-weight infants1,3,4 and infants of mothers with poorly controlled diabetes4.

Product Features:

  • 1 mL = 15 mg of elemental iron
  • Has the recommended daily amount of iron for infants and toddlers
  • Enfamil® is the #1 vitamin drops brand recommended by pediatricians
  • Kosher (Note: the alcohol in Enfamil Fer-In-Sol is not approved for Passover)
  • Osmolality
    • When added to 2 fl oz of infant formula or breast milk, 1 mL of Enfamil Fer-In-Sol Liquid Iron Supplement increases the osmolality by +55 mOsm/kg water5,*. If the resulting osmolality is higher than desired for a particular baby, an option is to add 0.5 mL of the supplement to the feeding twice per day.

      * A previous formulation was evaluated.

  • Side Effects
    • Temporary discoloration of the teeth due to liquid iron supplements can be minimized by thorough brushing. While taking iron, stools may appear darker in color. This is normal and no cause for concern.

  • Nutrients
    • NutrientPer 1 mL% DV Infants% DV Children under age 4 years
      Iron, mg15100150
  • Product Forms

      Enfamil® Fer-In-Sol® Liquid Iron Supplement is available as drops in 50 mL bottles

      When using this information, please note the following:

      Coding systems and reimbursement allowable rates vary by payer:

      • Medicare Part B uses HCPCS (Healthcare Common Procedure Coding System) to group products
      • Medicaid systems vary by state; some use HCPCS while others use NDC format code or systems of their own—contact your state provider for more information
      • Private health insurance and managed care companies may use HCPCS, NDC format code or their own system—contact your provider for more information

    • Product: Enfamil®Fer-In-Sol®Liquid Iron Supplement
      Item #: 074026
      Description: Dropper
      Unit Size: 50 mL
      Calories/Unit: N/A
      Product Yield/Unit (fl oz): N/A
      Case: 12 cartons per case
      HCPCS Code: N/A
      NDC Format Code: 00087-0740-02
  • Composition
    • Ingredients: Water, sugar, sorbitol, ferrous sulfate, citric acid (antioxidant for iron), alcohol (0.2% v/v), sodium bisulfite (preservative), natural flavors.

  • Accidental Overdosage or Intake
    • In case of accidental overdose, the physician, poison control center or hospital emergency should be notified immediately. Patients with a known exposure of more than 40 mg/kg of elemental iron, or with severe, persistent symptoms related to iron ingestion, should be referred to a healthcare facility for medical evaluation and observation6.

      WARNING: Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6. Keep this product out of the reach of children. In case of accidental overdose, call a doctor or poison control center immediately.

  • Administration
    • Enfamil® D-Vi-Sol®, Enfamil® Fer-In-Sol®, Enfamil® Poly-Vi-Sol®, Enfamil® Poly-Vi-Sol® with Iron, Enfamil® Tri-Vi-Sol®

      Drops:

      • Shake the bottle well and fill the dropper to 1 mL line (daily serving) unless doctor recommends another dosage.
      • Dispense gently into mouth towards inner cheek; a small amount will remain in the tip.
      • To increase acceptance, mix with breast milk, formula, juice, cereal or other foods.
  • Storage
    • Store at room temperature. Refrigeration is not required, but will not harm the drops.

  • Precautions
    • As with all products providing iron, parents should be warned against excessive dosage. The bottle should be kept out of reach of children.

  • References
      1. Gartner LM et al. Breastfeeding and the use of human milk. Pediatrics. 2005;115:496-506.
      2. Institute of Medicine. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington, DC: National Academy Press; 2001.
      3. American Academy of Pediatrics, Committee on Nutrition. Kleinman RE, ed. Pediatric Nutrition. 7th ed. Elk Grove Village, Ill: AAP;2014.
      4. American Academy of Pediatrics, Committee on Nutrition. Iron fortification of infant formulas. Pediatrics. 1999;104:119-123.
      5. Data on file, Mead Johnson Nutrition, September 2009.
      6. Manoguerra AS, Erdman AR, Booze LL, et al. Iron ingestion: an evidence-based consensus guideline for out-of-hospital management. Clin Toxicol (Phila). 2005;43:553-570.
  • Consumer Reviews