• Enfamil Fer-In-Sol - Liquid Iron Supplement

Enfamil® Fer-In-Sol®

Liquid Iron Supplement

Last Updated: Wednesday, October 18, 2017

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.

  • Side Effects
    • While taking iron, stools may appear darker in color. This is normal and no cause for concern. When taking iron drops, temporary discoloration of teeth or dentures may occur. The discoloration can be minimized by thorough brushing and will gradually disappear after iron therapy is completed. For infants, a small amount of baking soda or non-fluoridated tooth powder, placed on a small cloth and rubbed on the teeth once a week, will minimize this temporary discoloration.

  • Nutrients
    • Drops (per mL)

      % Daily Value (DV) % Daily Value (DV)
      Dosage Ferrous Sulfate, mg Elemental Iron, mg Infants Children under 4
      0.5 mL 37.5 7.5 50 75
      1.0 mL 75 15 100 150

      Source of iron is ferrous sulfate heptahydrate.

  • Product Form
    • Enfamil Fer-In-Sol Liquid Iron Supplement is available as drops in 50 mL bottles.

      Item #: 074026
      Description: With Dropper
      Unit Size: 50 mL
      Cal./Unit: N/A
      Prod. Yield / Unit (fl oz): N/A
      Case: 12 bottles per case
      Reimbursement Code: 00087–074002

      Usual Daily Dose

      Drops: 1.0 mL or as prescribed.

  • Composition
    • Ingredients: Water, sugar, sorbitol, ferrous sulfate, citric acid (antioxidant for iron), alcohol (0.2% v/v), sodium bisulfite (preservative), and 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.

  • Administration
    • Drops: Now includes an easy-to-use and store dropper.

      Instructions for Use: Shake bottle well and fill the dropper to the 1 mL line (daily serving), unless another dosage is recommended (needed). 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. American Academy of Pediatrics, Section on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics. 2005;115:496-506.

      2. Food and Nutrition Board, Institute of Medicine. Calcium. Iron In: 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 Handbook. 6th ed. Elk Grove Village, Ill: AAP;2009:414-415.

      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, Sep 2009.

      6. Manoguerra AS, Erdman AR, Booze LL, et al for the American Association of Poison Control Centers. Iron Ingestion: an evidence-based consensus guideline for out-of-hospital management. Clin Toxicol (Phila). 2005;43:553-570.