{
  "schema_version": 1,
  "kind": "condition",
  "id": "iron-deficiency-anemia",
  "name": "Iron deficiency anemia",
  "category": "chronic",
  "sources": "Huda T, Dibley M, El Arifeen S, et al. Assessing the Efficacy of Bovine Lactoferrin to Correct Iron Deficiency Anemia in Non-pregnant Non-lactating Women: A Randomized Controlled Trial. Current Developments in Nutrition 2019;3(Suppl 1):nzz044.FS08-02-19 (https://pmc.ncbi.nlm.nih.gov/articles/PMC6574033/): \"Arm A, B and C received daily oral 200 mg bLf, 400 mg bLf and 60 mg ferrous sulfate. ... Treatment was for 12 weeks.\" The trial's own result was that neither lactoferrin arm raised haemoglobin - \"Women on 200 mg bLf had a decrease in Hb of 0.3 g/dl\" and \"women on 400 mg bLf arm had no change in Hb: 0.0 g/dl\" - while \"women on ferrous sulfate arm had an increase in Hb: 1.1 g/dl\". · WHO Iron Supplementation 2021 · Egyptian National Drug Formulary - Blood Disorder Medications 2025 (iron sucrose monograph) · Rahman et al, randomised controlled trial of bovine lactoferrin versus ferrous sulfate, Current Developments in Nutrition 2019 (PMC6574033)",
  "review_status": "reviewed",
  "verified_against": "Huda T, Dibley M, El Arifeen S, et al. Assessing the Efficacy of Bovine Lactoferrin to Correct Iron Deficiency Anemia in Non-pregnant Non-lactating Women: A Randomized Controlled Trial. Current Developments in Nutrition 2019;3(Suppl 1):nzz044.FS08-02-19 (https://pmc.ncbi.nlm.nih.gov/articles/PMC6574033/): \"Arm A, B and C received daily oral 200 mg bLf, 400 mg bLf and 60 mg ferrous sulfate. ... Treatment was for 12 weeks.\" The trial's own result was that neither lactoferrin arm raised haemoglobin - \"Women on 200 mg bLf had a decrease in Hb of 0.3 g/dl\" and \"women on 400 mg bLf arm had no change in Hb: 0.0 g/dl\" - while \"women on ferrous sulfate arm had an increase in Hb: 1.1 g/dl\". · Egyptian National Drug Formulary - Blood Disorder Medications 2025 (iron sucrose monograph) · Rahman et al, randomised controlled trial of bovine lactoferrin versus ferrous sulfate, Current Developments in Nutrition 2019 (PMC6574033) · Iron Deficiency and Microcytic Hypochromic Anemia - disease-level clinical article (iron-deficiency-anemia-clinical.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 1057,
      "generic": "Ferrous fumarate",
      "line": 1,
      "is_adjunct": false,
      "form": "oral.solid",
      "strength_mg": 200.0,
      "adult_dose": "200 mg (65 mg elemental iron) 1-2 times daily on empty stomach",
      "adult_duration": "3-6 months",
      "dose_source": "Egyptian National Drug Formulary - Blood Disorder Medications 2025",
      "rationale": "Ferrous fumarate is the Egyptian formulary's oral iron: a 200 mg tablet is 65.57 mg elemental, and there is a 140 mg/5 mL syrup for children. Dose by elemental iron, not tablet weight. No plain ferrous tablet is registered here - the packs below are combinations, mostly ferrous salt with folic acid and some carrying vitamin C or zinc instead, which is what an Egyptian pharmacy will hand over.",
      "cautions": [
        "Take 1 hour before meals; vitamin C aids absorption.",
        "Constipation, dark stools, and epigastric discomfort are common.",
        "Keep out of reach of children - overdose is fatal.",
        "Egyptian products are labelled inconsistently - most are registered as \"iron\" with no salt named. Check the elemental iron content on the pack rather than the salt weight; 200 mg of ferrous sulphate or fumarate is about 65 mg elemental.",
        "Most iron tablets in Egypt come with folic acid in them, though not all - check the pack. Folate corrects the blood picture of B12 deficiency while the neurological damage carries on - check B12 before starting if the anaemia is macrocytic, mixed, or unexplained.",
        "The pack a pharmacy hands over is a combination rather than plain iron - besides folic acid, many Egyptian iron products add vitamin C, and some add zinc or B vitamins. A combination is an acceptable way to give oral iron: the formulary's ferrous fumarate monograph lists the dosage forms as a 200 mg tablet and a 140 mg/5 mL syrup, then adds combination products to that list, and states the adult dose in elemental iron (100 to 200 mg elemental iron daily). The vitamin C is wanted rather than merely tolerated - 200 to 500 mg alongside oral iron is recommended to enhance its absorption. Dose by the elemental iron the pack states, not by tablet weight and not by the other ingredients. The Egyptian register does not record elemental iron content for most of these products, so the carton has to be read."
      ],
      "peds_mgkg_low": 3.0,
      "peds_mgkg_high": 6.0,
      "peds_max_mg": 180.0,
      "peds_basis": "day",
      "peds_unit": "mg",
      "peds_note": "Doses are for elemental iron (not salt), divided BID-TID; give between meals with fruit juice. Ceiling of 180 mg is the formulary maximum for a child: 20 mL/day of the 140 mg/5 mL syrup, which is 45 mg elemental iron per 5 mL. This is deliberately above the 130 mg an adult gets here: a growing child needs more elemental iron per kilogram, and modern adult practice is lower and less frequent dosing than the formulary allows. It is not an inversion to correct.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": [
        {
          "weight_kg": 10,
          "low_mg": 30,
          "high_mg": 60,
          "capped": false
        },
        {
          "weight_kg": 20,
          "low_mg": 60,
          "high_mg": 120,
          "capped": false
        },
        {
          "weight_kg": 30,
          "low_mg": 90,
          "high_mg": 180,
          "capped": false
        },
        {
          "weight_kg": 40,
          "low_mg": 120,
          "high_mg": 180,
          "capped": true
        }
      ],
      "brands": [
        {
          "trade_name": "FERROL 10 F.C. TABLET",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "AMOUN",
          "price_egp": 2.0,
          "pack_count": 10,
          "unit_price": 0.2,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "folic acid"
        },
        {
          "trade_name": "FOLIFER 30 TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MISR",
          "price_egp": 7.2,
          "pack_count": 30,
          "unit_price": 0.24,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "folic acid"
        },
        {
          "trade_name": "FERROZINC-C 24 CAPS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "SAFE PHARMA > PHARCO",
          "price_egp": 7.5,
          "pack_count": 24,
          "unit_price": 0.31,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "vitamin c, zinc"
        },
        {
          "trade_name": "IROFOL 30 CAPS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MULTICARE",
          "price_egp": 40.5,
          "pack_count": 30,
          "unit_price": 1.35,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "copper, folic acid, pyridoxine, vitamin b12, zinc"
        },
        {
          "trade_name": "HAEMACTIN 30 CAPS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "DELTA GRAND PHARMA > NOBEL PHARM. INDUSTRIES",
          "price_egp": 150.0,
          "pack_count": 30,
          "unit_price": 5.0,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "folic acid, vitamin b12"
        },
        {
          "trade_name": "TESLAGLOBIN 20 CAP",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "DAWA EGYPT INTERNATIONAL > TESLA",
          "price_egp": 140.0,
          "pack_count": 20,
          "unit_price": 7.0,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "b12, b6, copper, folic acid, zinc"
        },
        {
          "trade_name": "CHEMARED CAPSULE",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "PHARMA ZAD > CHEMA HERB",
          "price_egp": 195.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "calcium, methyl cobolamine, pyridoxine"
        },
        {
          "trade_name": "FERRONIL 125MG/5ML SYRUP 120 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EL NILE.",
          "price_egp": 4.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 125.0,
          "exact_strength": false,
          "exact_form": false,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "iron-deficiency-anemia"
    },
    {
      "id": 1061,
      "generic": "Referral & safety-netting (no drug therapy)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": null,
      "adult_duration": null,
      "dose_source": "Iron Deficiency and Microcytic Hypochromic Anemia - disease-level clinical article (iron-deficiency-anemia-clinical.txt)",
      "rationale": "Carries the referral criteria and warning signs for this condition, which apply whichever treatment is chosen.",
      "cautions": [
        "RED FLAG - iron deficiency requires investigation for an underlying cause (eg GI, uterine, or urinary bleeding); delayed diagnosis of an underlying malignancy causing the bleeding worsens outcomes."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": null,
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "iron-deficiency-anemia"
    },
    {
      "id": 1058,
      "generic": "Ferric hydroxide polymaltose",
      "line": 2,
      "is_adjunct": false,
      "form": "oral.solid",
      "strength_mg": 100.0,
      "adult_dose": "100 mg elemental iron 1-2 times daily with or after meals",
      "adult_duration": "3-6 months",
      "dose_source": "Egyptian National Drug Formulary - Blood Disorder Medications 2025",
      "rationale": "Second line, and the reason is tolerance rather than strength. A ferrous salt is absorbed better and costs a tenth as much, but the constipation, black stools and epigastric pain are why patients stop taking it. Polymaltose is plain iron with no folic acid attached, is taken with food rather than on an empty stomach, and is what to move to when the ferrous salt has already been tried and abandoned - not before.",
      "cautions": [
        "Must be taken WITH meals (unlike a ferrous salt, which needs an empty stomach).",
        "Does not stain teeth in liquid form.",
        "Absorption is lower than a ferrous salt's. Expect the haemoglobin to rise more slowly and recheck at 4 weeks rather than assuming failure.",
        "There is a lower incidence of GI irritation than with ferrous salts."
      ],
      "peds_mgkg_low": 3.0,
      "peds_mgkg_high": 5.0,
      "peds_max_mg": 200.0,
      "peds_basis": "day",
      "peds_unit": "mg",
      "peds_note": "Doses are for elemental iron (not salt), divided BID; give with or immediately after meals",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": [
        {
          "weight_kg": 10,
          "low_mg": 30,
          "high_mg": 50,
          "capped": false
        },
        {
          "weight_kg": 20,
          "low_mg": 60,
          "high_mg": 100,
          "capped": false
        },
        {
          "weight_kg": 30,
          "low_mg": 90,
          "high_mg": 150,
          "capped": false
        },
        {
          "weight_kg": 40,
          "low_mg": 120,
          "high_mg": 200,
          "capped": false
        }
      ],
      "brands": [
        {
          "trade_name": "HAEMOPOWER 100MG 30 CHEW. TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "AMRIYA",
          "price_egp": 25.2,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 100.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "HEMALTOSE 100 MG 30 CHEW. TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "GLOBAL ADVANCED PHARMACEUTICALS (GAP)",
          "price_egp": 40.5,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 100.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "HAEMOJET 100 MG  36 S.G.CAPS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EUROPEAN EGYPTIAN PHARM. IND.",
          "price_egp": 58.5,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 100.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "GOLDEN FER 100 MG 30 CHEW. TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MEDIZEN PHARMACEUTICAL INDUSTRIES",
          "price_egp": 60.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 100.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "FERRITOP 15MG/5ML SYRUP 100 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "HIKMA PHARMA",
          "price_egp": 10.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 15.0,
          "exact_strength": false,
          "exact_form": false,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "ANSCHLARIN SYRUP 120 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "AVERROES PHARMA-EGYPT",
          "price_egp": 10.5,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": false,
          "exact_form": false,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "iron-deficiency-anemia"
    },
    {
      "id": 1059,
      "generic": "Iron",
      "line": 3,
      "is_adjunct": false,
      "form": "injection",
      "strength_mg": null,
      "adult_dose": "Iron sucrose 100-200 mg elemental iron by slow intravenous injection or infusion, one to three times a week depending on the haemoglobin. Total dose = body weight (kg) x (target Hb - actual Hb in g/L) x 0.24, plus 500 mg storage iron at 35 kg and above",
      "adult_duration": "until the calculated total dose is given",
      "dose_source": "Egyptian National Drug Formulary - Blood Disorder Medications 2025 (iron sucrose monograph)",
      "rationale": "Third line, and not something to start in the clinic - it is what to refer for. The three reasons to reach it are malabsorption that oral iron cannot overcome (coeliac disease, gastric surgery, inflammatory bowel disease), intolerance of both oral options above, and a haemoglobin that has to come up faster than oral iron can manage. The packs are listed so the cost of that referral is known before it is made - 9 EGP to 1,600 EGP is the spread.",
      "cautions": [
        "The register does not name the salt on most of these vials. Iron dextran carries a materially higher anaphylaxis risk than iron sucrose or ferric carboxymaltose - read the vial, do not go by the trade name.",
        "Never give intravenous iron where the anaemia is not iron deficiency. Confirm with ferritin and transferrin saturation first.",
        "Contraindicated in iron overload, haemochromatosis, and in known serious hypersensitivity to any parenteral iron product.",
        "Resuscitation facilities must be available for the first dose."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "The formulary states use has not been studied in children. A child who needs intravenous iron is a paediatric referral, not a primary-care prescription.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "FERROJECT 12.5MG/ML AMP. FOR I.V. INF. OR SLOW I.V. INJ.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "ADWIA",
          "price_egp": 9.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 12.5,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "HYDROFERRIN 100MG/2ML 3 AMP.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "BORG",
          "price_egp": 33.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 100.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "EMIFERRON-S 100MG/5ML 1 AMP. I.V INJ./INF.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "HIKMA SPECIALIZED PHARMACEUTICALS",
          "price_egp": 38.5,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 100.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "HAEMOPOWER 100MG/2ML 5 AMP. FOR I.M INJ.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "AMRIYA",
          "price_egp": 75.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 100.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "AMPOFER 20MG/ML 5 AMPS. I.V. INJ./INF.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "DELTA GRAND PHARMA > EGYPHARMA-EGYPT",
          "price_egp": 275.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 20.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "INTEROFER 100MG/5ML 5 AMP FOR I.V. INJ.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "SUNNY MEDICAL > MULTIPHARMA",
          "price_egp": 275.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 100.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "COSMOFER 50MG/ML FOR INF. 5 AMPS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "PHARMACOSMOS A/S > PHAROPHARMA",
          "price_egp": 470.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 50.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "INJECTAFER 500MG/10ML 1 VIAL FOR I.V. INJ./INFUSION",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "IDT BIOLOGICA GMBH > HIKMA PHARMA",
          "price_egp": 1600.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "iron-deficiency-anemia"
    },
    {
      "id": 1060,
      "generic": "Lactoferrin",
      "line": 3,
      "is_adjunct": false,
      "form": "oral.solid",
      "strength_mg": 200.0,
      "adult_dose": "200 mg once daily. 400 mg once daily was also tested in the trial below and was no more effective",
      "adult_duration": "12 weeks in the trial, with haemoglobin and ferritin rechecked monthly",
      "dose_source": "Huda T, Dibley M, El Arifeen S, et al. Assessing the Efficacy of Bovine Lactoferrin to Correct Iron Deficiency Anemia in Non-pregnant Non-lactating Women: A Randomized Controlled Trial. Current Developments in Nutrition 2019;3(Suppl 1):nzz044.FS08-02-19 (https://pmc.ncbi.nlm.nih.gov/articles/PMC6574033/): \"Arm A, B and C received daily oral 200 mg bLf, 400 mg bLf and 60 mg ferrous sulfate. ... Treatment was for 12 weeks.\" The trial's own result was that neither lactoferrin arm raised haemoglobin - \"Women on 200 mg bLf had a decrease in Hb of 0.3 g/dl\" and \"women on 400 mg bLf arm had no change in Hb: 0.0 g/dl\" - while \"women on ferrous sulfate arm had an increase in Hb: 1.1 g/dl\".",
      "rationale": "38 live Egyptian products and one of the most-prescribed anaemia preparations in Cairo, so a search must not come back empty. It is placed at line 3 with the negative trial evidence stated first in the cautions, not hidden.",
      "cautions": [
        "THE EVIDENCE DOES NOT SUPPORT IT AS A SUBSTITUTE FOR AN IRON SALT. In a 555-woman randomised trial, haemoglobin fell 0.3 g/dL on 200 mg lactoferrin and did not change on 400 mg, while it rose 1.1 g/dL on 60 mg ferrous sulfate. Ferritin rose 2.8-3.5 micrograms/L versus 41.1 micrograms/L.",
        "The one consistent advantage is tolerability: abdominal pain, indigestion, diarrhoea and black stool were all significantly commoner with ferrous sulfate.",
        "Trials in pregnancy have been more favourable but are smaller and mostly single-centre - the evidence is not equivalent.",
        "Use it only where an iron salt genuinely cannot be tolerated and parenteral iron is not available. Recheck haemoglobin at 4 weeks and switch if it has not risen.",
        "It is sold as a food supplement in Egypt, so the actual lactoferrin content is not regulated to medicine standards and varies between brands.",
        "Never let a lactoferrin prescription substitute for finding the cause of the iron deficiency - the investigation matters more than the tablet."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "No paediatric dose could be sourced from a regulatory document. Childhood iron deficiency anaemia should be treated with an iron salt at a properly calculated mg/kg dose, not with lactoferrin.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "DEVAFERRIN 200 MG 20 CAPS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "DEVARTLAB > BIOERA",
          "price_egp": 325.0,
          "pack_count": 20,
          "unit_price": 16.25,
          "strength_mg": 200.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "CORETIDE 200 MG 7 SACHETS",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "> CORE PHARM",
          "price_egp": 109.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 200.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "iron-deficiency-anemia"
    },
    {
      "id": 1062,
      "generic": "Ascorbic acid",
      "line": 1,
      "is_adjunct": true,
      "form": "oral.solid",
      "strength_mg": null,
      "adult_dose": "200-500 mg orally in combination with oral iron",
      "adult_duration": null,
      "dose_source": "Iron deficiency anemia - disease-level clinical article (iron-deficiency-anemia-clinical.txt)",
      "rationale": "Given concurrently with oral iron therapy to reduce ferric iron to ferrous iron and enhance gastrointestinal absorption.",
      "cautions": [
        "May cause gastrointestinal disturbances and nephrolithiasis at doses >1 g daily, and may interfere with blood and urine glucose measurements at doses ≥2 g daily.",
        "Do not exceed 1 g daily during pregnancy.",
        "Using vitamin C in large quantities without concomitant deferoxamine use carries a higher risk for fatal arrhythmias."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "No paediatric dose is stated in the sources held for this drug.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "C-VITON 500 MG 20 TABS",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "KAHIRA",
          "price_egp": 8.0,
          "pack_count": 20,
          "unit_price": 0.4,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "CEVAROL 500MG 20 TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MEMPHIS",
          "price_egp": 12.0,
          "pack_count": 20,
          "unit_price": 0.6,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "C-SAFE 500 MG 36 CAPS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "SAFE PHARMA",
          "price_egp": 35.0,
          "pack_count": 36,
          "unit_price": 0.97,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "MUNITO C 1000 MG 60 F.C. TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MULTICARE",
          "price_egp": 156.5,
          "pack_count": 60,
          "unit_price": 2.61,
          "strength_mg": 1000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "VITAMIN C 500 MG 30 TABS. (NEW BOSTON)",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "COPAD > NEW BOSTON PHARMACEUTICALS",
          "price_egp": 120.0,
          "pack_count": 30,
          "unit_price": 4.0,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "VITACID C 1 GM 12 EFF. TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "CID",
          "price_egp": 54.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 1000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "ADVANCED VITAMIN C 30 GUMMIES",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "VITACARE > VITALIFE",
          "price_egp": 599.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "VITAMIN C 1000 MG 100 CAPLETS (PURITANS PRIDE)",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "PURITANS PRIDE > ARAB IMPORTERS TRADING (AIT)",
          "price_egp": 850.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 1000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "CEBION 100MG/ML ORAL DROPS 30 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "AMOUN > MERCK KGAA  F.R.GERMANY",
          "price_egp": 5.5,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 100.0,
          "exact_strength": false,
          "exact_form": false,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "UR-C ORAL DROPS 15 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "HI-PHARM",
          "price_egp": 6.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": false,
          "exact_form": false,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "iron-deficiency-anemia"
    }
  ]
}