This medicinal product contains iron gluconate, an effective agent for treatment and prevention of anaemia due to iron deficiency.
This medicine includes the recommended daily dose of copper and manganese.
Copper promotes iron absorption in the gastrointestinal tract and uptake in erythroblasts.
Manganese facilitates haemoglobin synthesis.
The product is also suitable for children after 1 month of age and for pregnant women.
IndicationsPrevention and treatment of anaemia due to iron deficiency.
Do not take TOT’HEMA:
- if you are allergic to the active substances or any of the other ingredients of this medicine;
- if you have too much iron in your body;
- if you have thalassemia;
- if you have refractory anaemia;
- if you have bone marrow deficiency.
Pregnancy, breast-feeding and fertilityTalk to your doctor or pharmacist before taking this medicine if you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby.
Tot`hema is suitable for use during the second and third trimester of pregnancy.
Data collected on a large number of pregnancies indicate no adverse effect on pregnancy, the foetus or the new-born child.
This is an OTC drug, so it can be taken without a doctor's recommendation.
Before using this medicine read carefully the package leaflet as it contains more detailed information.
For any uncertainty consult your doctor or pharmacist.

Treatment:
adults 100-200 mg of iron (2-4 ampoules) per day before meals, children after 1 month of age 5-10 mg of iron per kg per day (1-2 mL/kg, the dose can be measured with asyringe, for instance).
Prevention in case of pregnancy:
50 mg of iron (1 ampoule) per day in the last two trimesters of pregnancy.
Drinking large quantities of tea reduces iron absorption.
Take iron preparations when you are not drinking tea.
Instructions for useShake the ampoule before use.
Open both ends of the ampoule with your fingers and add the contents to water (sweetened or not) or non-alcoholic drink (but not milk).
If you feel that the effect of TOT’HEMA is too strong or too weak, talk to your doctor or pharmacist.

ferrous gluconate, manganese gluconate and copper gluconate, glycerol, glucose solution, sucrose, anhydrous citric acid, sodium citrate, sodium benzoate, polysorbate 80, caramel colour* (E 150c), fruit flavour*, purified water.
Caramel colour:
glucose, ammonium hydroxideFruit flavour:
isoamyl acetate, isoamyl butyrate, benzaldehyde, ethyl methylphenylglycidate, gamma undecalactone, ethylvanillin, alcohol, water.