Iron Health Article

Precautions

Iron deficiency can be a sign of a more serious problem, such as internal bleeding. Anyone suffering from iron-deficiency anemia should always undergo a thorough evaluation by a healthcare professional to determine the cause.

Iron overdose in children can be fatal, and is a leading cause of poisoning in children. Children should never take supplements intended for adults, and should receive iron supplementation only under the guidance of a physician.

Individuals with chronic or acute health conditions, including kidney infection, alcoholism, liver disease, rheumatoid arthritis, asthma, heart disease, colitis, and stomach ulcer should consult a physician before taking herbal or pharmaceutical iron supplements.

If individuals taking homeopathic dilutions of ferrum phosphoricum experience worsening of their symptoms (known as a homeopathic aggravation), they should stop taking the remedy and contact their healthcare professional. A homeopathic aggravation can be an early indication that a remedy is working properly, but it can also be a sign that a different remedy is needed.

Patients diagnosed with hemochromatosis, a genetic condition in which the body absorbs too much iron and stores the excess in organs and tissues, should never take iron supplements.

Side effects

Taking herbal or pharmaceutical iron supplements on an empty stomach may cause nausea. Iron supplementation may cause hard, dark stools, and individuals who take iron frequently experience constipation. Patients who experience dark bowel movements accompanied by stomach pains should check with their doctor, as this can also indicate bleeding in the digestive tract.

Other reported side effects include stomach cramps and chest pain. These symptoms should be evaluated by a physician if they occur.

Some iron supplements, particularly those taken in liquid form, may stain the teeth. Taking these through a straw, or with a dropper placed towards the back of the throat, may be helpful in preventing staining. Toothpaste containing baking soda and/or hydrogen peroxide can be useful in removing iron stains from teeth.

Signs of iron overdose include severe vomiting, racing heart, bloody diarrhea, stomach cramps, bluish lips and fingernails, pale skin, and weakness. If overdose is suspected, the patient should contact poison control and/or seek emergency medical attention immediately.

Interactions

Iron supplements may react with certain medications, including antacids, acetohydroxamic acid (Lithostat), dimercaprol, etidronate, fluoroquinolones. In addition, they can decrease the effectiveness of certain tetracyclines (antibiotics). Individuals taking these or any other medications should consult their healthcare professional before starting iron supplements.

Certain foods decrease the absorption of iron, including some soy-based foods, foods with large concentrations of calcium, and beverages containing caffeine and tannin (a substance found in black tea). These should not be taken within two hours of using an iron supplement. Some herbs also contain tannic acid, and should be avoided during treatment with iron supplements. These include allspice (Pimenta dioica) and bayberry (Myrica cerifera, also called wax myrtle).

Individuals considering treatment with homeopathic remedies should also consult their healthcare professional about possible interactions with certain foods, beverages, prescription medications, aromatic compounds, and other environmental elements—factors known in homeopathy as remedy antidotes—that could counteract the efficacy of treatment for iron deficiency.

BOOKS

Medical Economics Company. PDR 2000 Physicians' Desk Reference. Montvale, NJ: Medical Economics Company, 1998.

Medical Economics Company. PDR for Herbal Medicines. Montvale, NJ: Medical Economics Company, 1998.

Ody, Penelope. The Complete Medicinal Herbal. New York: DK Publishing, 1993.

PERIODICALS

de Valk, B., and J.J.M. Marx. "Iron, Atherosclerosis, and Is-chemic Heart Disease." Archives of Internal Medicine 159(i14): 1542.

Paula Ford-Martin