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The Pharmaceutical Journal Vol 267 No 7164 p313-316
8 September 2001

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CSM warns on iron overdose

Pharmacists are being asked by the Committee on Safety of Medicines to warn patients about the danger of young children accidentally overdosing on dietary iron supplements. It has asked manufacturers to change warning labels on products.

The CSM says that dietary iron supplements are commonly taken by pregnant women and mothers of young children. Accidental ingestion of fewer than 10 of the most commonly prescribed iron tablets (ferrous sulphate 200mg) could be fatal to a toddler. The packaging of all licensed oral iron supplements will include the words: “Warning: contains iron. Keep out of the reach and sight of children, as overdose may be fatal.”

Professor Alasdair Breckenridge, chairman of the CSM, said: “Iron is not an uncommon source of accidental overdose in small children but fatalities are fortunately rare. Parents are often unaware of the danger of iron overdose to small children and that they should take normal drug safety precautions for oral iron and other dietary supplements.” (Current Problems in Pharmacovigilance 2001;27:9–16).

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