How to increase hemoglobin is not an idle question. Although it is more often asked by people who already know why the body needs hemoglobin in the blood and what happens if low hemoglobin is diagnosed. Functions of hemoglobin protein - worth reading for those who are not familiar with them.

In life, we often encounter a decrease in hemoglobin through an external manifestation. Suddenly we find that cracks have appeared in the corners of the mouth. Or suddenly noticed that the hair began to somehow slowly grow. And they break and thin. These are the signs we can look out for.

But there are signs that we perceive as just working moments of life. And the reason actually lies again in the departure from the norm of hemoglobin.

Symptoms to watch out for include the following:

• ease of development of viral diseases;
• causeless decrease in blood pressure;
• severe dizziness with short-term loss of consciousness when standing up abruptly
• tachycardia that has no logical cause

These symptoms are important. Of course, they can talk not only about low hemoglobin in the blood, but such manifestations, especially if they appear more than once, give a reason to visit a therapist. Naturally, the therapist will write out a referral to the general one, which will give a picture of what is happening.

Pay attention also to the “simple” symptoms that may go unnoticed:

• pale skin
• frequent headaches with concomitant dizziness
• decreased appetite
• manifestations of weakness, lethargy and increased fatigue
• increased drowsiness
• unreasonable memory problems
• possible manifestation of leg cramps

These symptoms are more like “everyday” ones, to which no one pays attention in the turmoil. However, the regular manifestation of the described manifestations should not be ignored if you want to maintain health for a long time.

The human body is a complex system in which all processes are regulated. The described symptoms do not appear suddenly. Small changes that develop gradually can eventually be perceived as the norm.

Attention! Reduced hemoglobin in the blood, if not corrected, can gradually produce even irreversible changes in the body. This ending is scary.

Note that with a decrease in the level of hemoglobin in the blood, the first blow falls on the brain, as the most important consumer of oxygen. Secondly, the nervous and immune systems begin to suffer. And these are the most important components of the body.

What is anemia

If the results of the general blood test that you passed in the direction of the therapist really showed low hemoglobin, you need to understand that you have been diagnosed with anemia. Yes, that is what used to be called the condition, which is currently called anemia.

Why a condition and not a disease? In the medical community, low hemoglobin is considered to be a set of symptoms, which is ultimately understood as a syndrome. The syndrome is just a complex of interconnected signs (symptoms).

This is bad? Yes, because behind every syndrome there is a disease. Behind anemia, there may simply be an iron deficiency, or maybe bleeding. Although sometimes there is a hereditary cause. But most often anemia is characterized by iron deficiency. It is important to identify the cause in order to understand how to raise hemoglobin to normal.

In fact, anemia has its own classification, in which iron deficiency anemia has the most common statistics.

Causes of low hemoglobin in the blood

Recall that the norm of hemoglobin in men is 125-145 g/l (although currently it is considered the norm 140-160 g/l), and in women 115-135 g/l.

Reduced hemoglobin can be counted as a problem situation only if the decrease is not a daily change. That is, if the fixed decrease will be observed for several days. The best way out in this situation is to contact a specialized doctor - this is a hematologist. A comprehensive examination prescribed by a hematologist will show the cause of the decrease.

The main reasons for the decrease in the level, which are not related to gender differences, include the following:

• deficiency of iron, which is involved in the transport of oxygen in the body
• acute conditions of hemorrhoids
• deteriorating food quality
• vitamin B12 deficiency
• severe bleeding during operations (especially abdominal)
• blood disorders (such as leukemia)
• violation of the absorption of iron in the intestine.

It is believed that the following diseases that have already been diagnosed can develop an iron deficiency state:

1. Diseases of the gastrointestinal tract, in which chronic blood loss is observed:
   • stomach ulcer, as well as duodenal ulcer;
   • ulcerative colitis;
   • haemorrhoids;
   • diverticulosis;
   • oncological neoplasms.
2. Liver disease, most commonly cirrhosis.
3. Kidney diseases:
   • urolithiasis disease;
   • alcoholic nephropathy;
   • kidney cancer.
4. Worm infestations.
5. Severe infectious diseases.

In the presence of these diagnoses, special attention should be paid to the issue of bringing hemoglobin back to normal.

Decreased hemoglobin in women

The female body has additional reasons:

• heavy periods
• childbirth, abortion, accompanied by a large loss of blood
• uterine bleeding
• weight loss diets

Diseases of the reproductive system that add low hemoglobin to the medical history should also be considered:

• ovarian dysfunction;
• endometriosis;
• fibromyoma of the uterus;
• cancer of the cervix, as well as the body of the uterus.

How to increase hemoglobin in the blood quickly

The subtitle contains the keyword “fast”. The question is why? The fact is that prolonged anemia in any case harms the body and not every body will be able to cope with this harm, that is, fully recover. This is especially true for organisms weakened by diseases, or for people aged with weakened body functions.

Important. The longer the low hemoglobin persists, the more difficult it will be to restore health and get rid of diseases.

To effectively bring hemoglobin back to normal, some subtleties should be understood. Of course, the most natural way is to adjust the diet. Many sources of information will convince you that it is enough to include iron-containing foods in the diet. However, everything is not so simple.

First of all, you need to know that the products that are proposed to be included in the menu contain the so-called heme and non-heme iron. Without delving into chemical subtleties, we note that heme iron is absorbed easily and quickly enough, but with non-heme iron, everything is not simple - it must first be converted into heme iron and after that it will be absorbed.

Have you ever wondered why the phrase “balanced” nutrition is often used? But precisely because of the impact of some products on others (more precisely, the constituent products). For example, non-heme iron is converted into heme iron, that is, easily absorbed in the presence of vitamin C (a universal vitamin that saves, for example, from scurvy). This vitamin can be found in a decent amount, for example, in a mixture of beetroot and carrot juice, which can be washed down with traditional food for your table. Orange or grapefruit juice also works well.

And fresh herbs for the table? In addition to being a carrier of vitamins in itself, it is the substances found in greens that help in the processing of basic protein foods. This must be taken into account.

Let's return to the rapid increase in hemoglobin. Eat meat. It is in its composition that heme iron is contained. However, not everything is simple here either.

Important! In order for the process of iron absorption to be fast and as complete as possible (in this case, assimilation by 20 - 30 percent will be considered a good result), meat should be cooked with minimal heat treatment so that iron remains in the maximum amount.

To preserve iron, you can cook meat in the form of a barbecue or chop, but not cutlets or goulash.

In fairness, we note that not all people can eat a lot of barbecue, and even every day until the norm is restored. Where is the exit then? You can turn to traditional medicine, such as nettle, parsley and dill, which can help.

Yes, the usual large-leaved stinging nettle has been known for a very long time for its composition. Nettle has been used by healers for centuries to treat anemia. Moreover, in the season, nettle may well become a replacement for iron synthetic medicines. It is important to use freshly picked leaves and stems of young nettles, which must be harvested before flowering.

Rinse the collected nettles thoroughly, squeeze out the juice, strain it and take three times a day in a tablespoon. The juice is not tasty, so you can add a little honey. The prepared portion of juice will be stored in the refrigerator for several days.

Parsley and dill can now be found in the store all year round. So, one hundred grams of parsley contains 5 mg of iron, and one hundred grams of dill contains 7 mg. There are stories when long-term treatment for anemia (anemia) did not work, and the transition to daily consumption of a bunch of greens for several weeks brought the hemoglobin content back to normal.

Nutrition rules to increase hemoglobin

A rapid increase in hemoglobin should not become the norm in nutrition. At any age, you need to strive for a variety of nutrition, but there are subtleties in maintaining the hemoglobin norm. It is especially important to understand (or at least know) the interaction of products consumed at the same time. Since we are considering iron-containing products, we also consider the interaction with respect to these products.

Important. There are foods that can help the body absorb iron (these are iron synergists), and there are foods that will interfere with absorption (these are antagonists).

Synergists include the juices mentioned above (orange and grapefruit), and citrus fruits for the most part. Therefore, it is advisable to eat iron-containing foods (the list can be found on the Internet), it is important to supplement the food eaten with juice or citrus fruits for the absorption of iron. In this case, you can be sure that iron will be absorbed in the maximum possible amount.

Separately, we note the trace element calcium. Yes, this trace element helps the absorption of iron, however, in the case of very large doses, calcium becomes an antagonist and begins to interfere with absorption. This should be remembered. As an example, my favorite buckwheat with milk. It is in this combination that the benefits of the dish can be obtained only in the form of taste sensations. It would be more correct to eat buckwheat with its iron separately.

Coffee and tea (black and green) also do not promote iron absorption. It is better to consume these drinks a couple of hours after the main meal. Although it is advisable to drink real green tea in other therapies (for example, in oncology) more than once a day, you should not mix the process of increasing hemoglobin with the same oncological therapy.

Attention! If you have low acidity of gastric juice (for example, you have been taking antacids such as Zantac or Tagamet for a long time), then you should expect that the absorption of iron from food will be greatly reduced and it will not be possible to increase hemoglobin within the expected time frame.

Iron in food

If you do not take iron-containing synthetic preparations, then iron can only come from food. The average daily requirement for iron in women is considered to be 15 mg, and for men this figure is slightly less - 10 mg.

In the first place of the recommended iron-containing products are: meat and organ meats. The older generation remembers that doctors have long recommended in case of anemia to eat the tongue, liver, heart, which quickly restored the hemoglobin norm. It is good to have fish and eggs in the diet at least sometimes (although eggs are questionable - you should not abuse them).

The situation is worse with the absorption of iron from fruits and vegetables. This is due to the fact that they contain iron in non-heme form. Keep in mind that, for example, popular apples during storage significantly lose both vitamin C and iron in their composition. Losses can be up to 70 - 80%. That is, you expect a positive effect, but it is not.

From vegetables, you can pay attention to beets, celery, turnips. To make iron from them available for absorption, it is recommended to add greens and bell peppers to them, in which there is a lot of vitamin C.

Important! Products made from soy (for example, Tofu cheese), as well as which include soy flour (sausage, sausages), exclude the absorption of iron. These are the strongest antagonists.

Iron preparations

In life, there are cases when low hemoglobin, especially after some operations, cannot be corrected by any changes in nutrition. You should not harbor illusions about the omnipotence of natural methods and you should include medicinal iron-containing preparations in therapy.

Most often, the proposed preparations contain heme (ferrous) iron, which is quite easily absorbed. However, as we discussed above, it is still better to supplement such preparations with ascorbic acid (vitamin C) for more complete absorption.

Naturally, you should not engage in self-treatment with iron-containing preparations - this is the prerogative of at least a therapist or better a hematologist. The doctor will select the daily dose based on objective indicators (based on the results of a complete blood count). It should be borne in mind the possible intolerance of a particular drug for you personally. In this case, the doctor will suggest switching to another drug.

Here is a sample list of drugs for oral use:

• pheramide
• ferrocerone
• ferroplex
• hemostimulin
• ferrogradum
• ferrocal

For intramuscular injections use:

• ferrum lek
• ferbitol
• ectopher

The list of drugs is far from complete - ask your doctor.

Against the background of the use of iron-containing drugs, you still need to change your diet. At least for the time of bringing the hemoglobin content back to normal.

The lack of the necessary elements in the human body leads to a deterioration in the state of his health. Of particular relevance is the problem of iron deficiency. It is this microelement that is considered an active participant in many life processes. The best drugs to increase hemoglobin can help in such cases.

It is this group of drugs that is used to normalize the level of iron in the blood. The dose of admission for each patient should be selected individually, based on the indicators of analyzes and deviations from the norm. There are many different medicines for leveling blood counts. Each of them has its own advantages and disadvantages. Therefore, their reception can be started only after appointment by a specialist.

You should consult a doctor already with such health complaints as frequent headaches, more than usual fatigue, unprovoked by increased stress on the body.

There are several options to help the body cope with iron deficiency. Initially, it is worth sticking to a diet, using folk methods, drinking vitamin complexes. Medications are prescribed when cases of iron deficiency are more severe.

Why does the body need hemoglobin?

This trace element has one of the most important functions. It is he who transports oxygen molecules through the blood, delivering it to all cells of the body. In medical terms, this process involves the combination of protein and iron in red blood cells.

In the case of a lack of hemoglobin, iron deficiency anemia develops, which is familiar to almost everyone. The main signs of the disease are:

• deterioration in the condition of the hair, their loss;
• nails become very brittle;
• severe headaches;
• impotence, dizziness;
• frequent diseases of the viral type;
• rashes on the lips, the appearance of cracks in the corners of the mouth.

In terms of their physiology and anatomical structure, the fair sex is more likely to suffer from this disease. Especially iron deficiency manifests itself during periods of critical days and during pregnancy. In such cases, it is recommended to adhere to a special diet, which will include meat, fish, buckwheat, apples and pomegranates. It is these products that are rich in the necessary trace element and help to cope with its deficiency. If such a diet does not give results, it is necessary to take stronger medicines.

Anemia is a disease that should be treated as quickly as possible. Untimely assistance can significantly disrupt life processes. The most needed medicines are:

• adolescents whose whole body is at the stage of active growth and development, which requires complete and constant oxygen supply of tissues;
• women during childbearing;
• women who feed their children with breast milk, for the child to receive all the necessary substances;
• people who have chronic diseases.

Insufficient amount of iron is a serious violation. After all, it is the most essential component of protein.

It should be increased as quickly as possible after the first manifestations of a shortage and deterioration in health. This makes it possible to get rid of the problem in a matter of hours and prevent the development of complications.

If the treatment process is delayed, then there is even a risk of changes in internal organs.

Types of disease

Iron deficiency is defined by several types:

• constantly reduced hemoglobin due to malnutrition;
• a decrease in the level of a trace element due to internal or external blood loss;
• hemolytic anemia, which is provoked by the fact that red cells are destroyed at a high speed, not having time to form;
• leukemia, which is a consequence of a violation of the formation of red blood cells;
• pernicious anemia, which is provoked by a lack of vitamin B12, which leads to the inability to absorb iron;
• anemia - a significant decrease in the level of hemoglobin in the blood, is the most common type of disease of this type.

Treatment methods for low hemoglobin

The first step in helping to identify anemia is to find out the cause of the disease. But already at this stage, doctors already recommend starting to equalize the level of this substance in the blood. This makes it possible to start getting rid of the problem in a timely manner and prevent the subsequent progression of the disease.

The effectiveness of medicines for each person will be different. But still, the dosage of medications is generally generally accepted in terms of test indicators and the level of deviation from the norm of the amount of iron in the blood. Increasing the amount of the drug will not work, as more of the substance will not be absorbed and will not bring any benefit.
Most often, doctors with a low hemoglobin in the blood attribute tablets with iron in the composition. If the test results are very poor, then injection of the drug, intramuscularly or intravenously, is recommended.

Doctors prescribe medication in such cases:

• there is no way to adhere to the correct diet;
• the decrease in the amount of this microelement occurs at a very rapid pace;
• Dieting didn't work.
• surgery or a long course of treatment for other diseases is planned.

Frequent manifestations of anemia that are not fully cured can become chronic, and this may be accompanied by the development of many other diseases. Especially with a lack of iron and a violation of oxygen supply to organ tissues, the load on the heart increases greatly, which leads to a sharp drop in immunity.

Treatment of iron deficiency takes place in 4 stages:

1. complete elimination of the causes of the disease;
2. adherence to proper nutrition, which should include iron-containing foods;
3. taking medications;
4. prevention of recurrence of the disease.

Doctors select medicines individually for each patient, but the main condition for taking them should be efficiency and the absence of allergic reactions.

Almost all remedies for the treatment of iron deficiency contain ascorbic acid, which contributes to their better and faster absorption.

The main rule in the treatment of iron deficiency is that all medications must be prescribed by a specialist. They should also be taken under the supervision of a physician for observation and correction if necessary. In addition, iron-containing drugs have a lot of side effects. These include:

• constipation;
• nausea;
• vomit
• feeling of excitement;
• diarrhea.

The most popular and effective remedies for anemia are:

• Maltofer;
• Ferretab;
• Hemofer drops;
• Ferrum Lek and others.

The choice of such drugs is due to the fact that they are easily tolerated by the body. But the correct dose of administration in each case should be indicated by a specialist after conducting a blood test.

It is often practiced to also use liquid preparations with a high content of a trace element such as ferum, which is the chemical name for iron. They are absorbed faster in all organs, which makes it possible to achieve the desired result with maximum efficiency. In addition, they gently pass through the gastrointestinal tract, which reduces the risk of side effects.

iron pills for anemia

The course of drug treatment continues until the hemoglobin levels return to normal. It is the divalent ferum in medicines that is considered the most effective element for combating anemia. The product is well absorbed, but it should still be remembered that in order to prevent problems with the stomach, it is necessary to maintain an acidic environment in it. Ascorbic acid can help with this, which should be combined with drugs against anemia.

The level of hemoglobin reaches the required level approximately in 6-8 weeks of treatment. The first improvements can be felt and seen within 3-4 days after the start of taking the drugs. But the increase itself occurs in 2-3 weeks. In cases of serious violations, a full return to normal may take even longer.

If you choose among tableted iron-containing products, then most doctors recommend and often prescribe the following:

• "Sorbifer Durules", which in its composition has ferum sulfate, as well as ascorbic acid, but still they are contraindicated for those who have problems with the gastrointestinal tract and children. There are restrictions on the use of this drug during the period of bearing a child.
• "Ferrogradum", which also has ferum molecules and ascorbic acid. In addition, these tablets contain folic acid, which, in combination with other elements, quickly levels the level of essential trace elements in the blood. But he also has side effects, namely dyspeptic disorders.
• "Tardiferon retard" also includes castor oil, starch, talc, povidone, vitamin C and other components that have the properties of getting rid of iron deficiency. It is also suitable for preventing the onset of symptoms of anemia. But in the process of treatment, nausea, vomiting, allergies, diarrhea or constipation may occur.
• "Heferol", which has a high level of iron content and fumarate. It is safe during pregnancy or when children are growing.
• "Totem" is prescribed by a doctor when there is not enough trace element in daily food. This preparation contains gluconate, copper, and manganese, which contribute to the absorption of iron. It is allowed to give it even to babies from the first weeks of life.
• "Irovit", which, due to the multi-element composition, has a combined effect on the state of the blood, namely, it increases hemoglobin and activates hematopoiesis. You can not use it if the patient has hemochromatosis or hypersensitivity to the components of the drug.
• "Maltofer" is one of the most popular drugs in the fight against iron deficiency, which, unlike other drugs of a similar direction, consists of iron (III) hydroxide polymaltose complex. It is available not only in tablets, but also in the form of syrups. Its price is one of the most affordable. Contraindications are very rare.
• "Fefol", which belongs to the group of iron-containing with a small amount of folic acid. It can not be taken only in cases of allergic reactions to components or impaired iron metabolism in the body.
• "Ferro-foilgamma" is a group of vitamins, most of which are iron. You can not use them if the patient is diagnosed with liver failure, there are no processes for processing this microelement, hemochromatosis.

In general, drugs to increase hemoglobin levels are quite harmless. An exception to the general picture can only be manifestations of some side effects, namely: increased gas formation, constipation, diarrhea, discomfort in the abdomen.

Effective injections to normalize hemoglobin levels

Also often used drugs for the treatment of iron deficiency in liquid form, which are in ampoules.

It is injections that are used:

• if the patient has removed elements of the stomach or intestines;
• problems with the absorption of necessary substances in the digestive tract;
• established ulcer in the gastrointestinal tract;
• ulcerative colitis;
• allergic reactions to the components of the tablets.

The most effective injections are:

• "Ferrum-Lek", which is also produced in the form of syrups and solutions, as well as chewable tablets;
• "Ektofer";
• "Venofer".

Medicines of natural origin

Often, biologically active additives and vitamins are also used to normalize the level. Microelement complexes are selected so that the body quickly absorbs iron and does not lose the necessary reserves. To prevent and treat this disorder, B vitamins and ascorbic acid are also needed.

A positive result is also shown by the use of natural vitamins in the treatment process. They are better known as dietary supplements. It is in these complexes that natural preparations are collected that are able to make up for the missing elements in the body.

• "Fenuls" - a complex of vitamins, in addition to which a large amount of ferum is included, is categorically contraindicated for people with allergic reactions to dietary supplement components, patients with hemosiderosis and hemochromatosis, and children.
• NUTRILITE Iron Plus is one of the best options for treating iron deficiency because it contains folic acid and the most absorbable types of iron: iron fumarate and gluconate.
• "Nutrimaks Vision" includes a large amount of vitamins. In addition, this biologically active supplement contains plant extracts that help improve immunity and restore all body functions.
• Vitabiotics Feroglobin B12 is a high ferum complex supplemented with vitamin B12 and folic acid for better absorption. It is this dietary supplement that is recommended during pregnancy, as well as in oncology.

When the lack of this element is very pronounced and it is no longer possible to correct the situation with nutrition, then medications will be the best option. But, if anemia is not very evident, then it makes sense to use cheap folk remedies and follow a certain diet.

But be sure to start treating iron deficiency only after consulting a specialist. Iron-containing preparations should be taken especially carefully in oncology and pregnancy, as well as in children.

Prevention of a decrease in hemoglobin in the blood

To avoid the manifestation of anemia, prevention is considered the best remedy. The main methods that are used to prevent a decrease in hemoglobin are proper nutrition with a sufficient amount of iron-containing foods:

• fresh vegetables;
• boiled cereals, buckwheat is considered especially useful, which contains many different trace elements;
• meat;
• fish;
• citrus fruits and other products with vitamin C in the composition;
• freshly made juices, especially from beets, pomegranates and carrots;
• berries.

A nutritious diet will ensure that the body will have all the necessary substances. As for iron deficiency, the use of the right foods can quickly raise the amount of the missing trace element in the blood. But it is worth noting that food should always be varied, and not only during periods of exacerbation of diseases. This approach will help to say goodbye forever not only to iron deficiency, but also to beriberi of all types.

To effectively increase the concentration of hemoglobin (Hb) in the blood, several pharmacotherapeutic groups of drugs are currently used. Basically, these are iron-containing medicines, which are based on other trace elements and vitamins, which allow this mineral to be better absorbed with low hemoglobin.

Depending on the clinical situation, drugs to increase hemoglobin are administered parenterally (by injection) or orally (taken by mouth). The beginning of therapy with iron-containing drugs should be preceded by a thorough diagnostic search, since low hemoglobin can be a symptom of dangerous and complex diseases, without which the increase in hemoglobin is useless.

In contact with

To improve the transport of oxygen in the blood, the ability of iron salts (a chemical element called "ferrum", Fe) to be absorbed into the blood from the intestine and incorporated into heme (here, the non-protein part of hemoglobin) is used. The basis of drugs that increase hemoglobin is II-valent or III-valent iron, usually in combination with other elements. List of drugs with divalent Fe that increase the concentration of hemoglobin in the blood:

• Aktiferin;
• Gino-Tardiferon;
• Sorbifer Durules;
• Tardiferon;
• Feroplex;
• Fenyuls;
• Fero-Folgamma;
• Ferretab.

Familiar from childhood Hematogen (chewable lozenges) is also a source of ferrous iron and food albumin.

Hematogen bars

In the group of tablets to increase hemoglobin, Tardiferon can be distinguished with the active ingredient ferum sulfate (iron sulfate, FeSO4). The drug is produced by the French company Pierre Fabre Medicine Production. This medicine to increase the level of iron in the blood is allowed for children from 6 years old, but it is forbidden to take:

• with stenosis of the esophagus and changes in the patency of the gastrointestinal tract;
• violation of the utilization of Fe (in conditions provoked by lead intoxication, sideroahrestic, or iron-saturated anemia);
• hemolytic anemia;
• isolated deficiency of vitamin B12 in the absence of iron deficiency (megaloblastic anemia);
• thalassemia, aplastic and refractory anemia;
• lack of sucrase-isomaltase;
• syndrome of glucose-galactose malabsorption;
• increased susceptibility to the composition of the drug;
• fructose intolerance.

This medicine is allowed for both breastfeeding and pregnant women under medical supervision. The remaining drugs from the list are combined and will be considered separately. Information about contraindications for most iron-containing products is the same, so they do not require separate consideration.

As a rule, iron preparations are dispensed in pharmacies by prescription, which indicates the inadmissibility of self-medication with these drugs.

List of medicines for adults with trivalent Fe

Compounds of ferric iron have a slightly lower bioavailability, therefore they are less preferred compared to salts of II-valent Fe. The absorption of III-valent iron is improved by additional components in the basis of preparations - ascorbic or B vitamins. Therefore, medicines based on III-valent Fe are usually combined:

• Maltofer and Maltofer foul;
• Fenyuls and Fenyuls 100;
• Ferrum lek;
• Ferlatum and Ferlatum Fall;
• Biofer.

Maltofer is a preparation of III-valent Fe in the form of chewable tablets. Produced by the Swiss company VIFOR, it is intended for the treatment and prevention of anemic conditions in adults and adolescents from 12 years of age. It is recommended for donors, vegetarians, pregnant and lactating women, in whose blood hemoglobin is low. Use in lactating and pregnant women should be agreed with the doctor.

The above drugs

In a similar dosage form, Ferrum Lek is manufactured by the Slovenian company LEK. The basis of the drug is trivalent iron hydroxide polymaltose. It is approved for use by adults and adolescents from 12 years of age, is not contraindicated in pregnant women and breastfeeding.

The instruction indicates that, unlike most other iron preparations, Ferrum Lek does not cause darkening of tooth enamel. However, it also contains a warning for people - the 1st tablet contains 0.04 bread units.

The Italian medicine Ferlatum and Ferlatum Fall are offered in the form of solutions for oral administration, the main ingredient is iron protein succinylate. These drugs have no age restrictions, they are not contraindicated when carrying a child and breastfeeding.

Medicines that increase hemoglobin have a number of contraindications and usage patterns, so they should be taken strictly according to the doctor's prescription.

Complex iron-containing medicines

In clinical practice, preference is given to 2 and 3-valent iron in combination with ascorbic acid (vitamin C). This vitamin improves the absorption and absorption of Fe, so iron-containing tablets for raising hemoglobin with ascorbic acid are considered the most physiological way to increase it. To improve the therapeutic effect, iron in preparations for low hemoglobin is combined with other elements.

With folic acid

Vitamin B9, or folic acid, improves the absorption of Fe by the body, and in the case of trivalent, accelerates its conversion to ferrous iron. Therefore, this vitamin is often found in iron preparations as one of the active ingredients.

Biofer is an Indian drug produced in the form of chewable tablets. It is based on polymaltose hydroxide of III-valent iron and folic acid. Designed for adults and teenagers from 12 years old. Information for patients with diabetes - each tablet contains 0.06 XE.

Gyno-Tardiferon is a drug based on ferrous sulfate and folic acid. These are pills for increasing blood Hb in the absence of sufficient intake of these substances from food. They are prescribed for prevention and as a remedy for anemic conditions (low hemoglobin in the blood) in adults, including pregnant women. Do not give these tablets to raise hemoglobin to children under 18 years of age.

Packing gyno-tardiferon

Ferretab based on ferrous fumarate and folic acid is produced by the Austrian corporation Lannacher Heilmittel in the form of capsules. This medicine can be attributed to the list of the best iron preparations prescribed for low hemoglobin in adults and children, as it has no age restrictions for use and, as a rule, is well tolerated.

Maltofer Fall - Swiss chewable tablets with III-valent iron and folic acid in the composition. It is prescribed for adults and adolescents from the age of 12, it is also recommended for lactating.

With cyanocobalamin

Ferro-Folgamma capsules, produced by the German company ContractPharma, GmbH, contain iron sulfate, folic acid and cyanocobalamin (vitamin B12) in their main composition. Among the restrictions on use are the contraindications indicated in the previous sections, the age range is not indicated in the instructions. The drug, like all drugs to increase hemoglobin, is available by prescription, which means that it requires a doctor's consultation before starting therapy.

The remaining preparations of cyanocobalamin are solutions for injection.

Cyanocobalamin for injection

With ascorbic acid

The basis of the medication Sorbifer Durules is ferrous sulfate with ascorbic acid. Iron-containing tablets Sorbifer durules, produced by the Hungarian company EGIS Pharmaceuticals, are designed to increase hemoglobin and prevent iron deficiency anemia in pregnant women, nursing mothers and donors. They are allowed for teenagers from 12 years old. Contraindicated in the presence of factors listed for previous drugs to raise blood Hb.

To increase with medicines from the age of 4, it is recommended to use Ferroplex, produced by the Hungarian branches of the Israeli company Teva. The basis of the drug is ferrous sulfate with ascorbic acid. The drug is produced in the form of a dragee, is dispensed by prescription and is indicated for the prevention of iron deficiency conditions. Contraindicated in case of intolerance to the components, impaired absorption of Fe, diseases accompanied by the accumulation of this element in the body, with gastrointestinal bleeding.

Sorbifer

With other vitamins and trace elements

Another option for combining iron, other trace elements and vitamins is Aktiferrin preparations from the Israeli Teva corporation, produced in capsules and drops for oral administration:

• Aktiferrin - contains ferrous sulfate and D, L-serine;
• Aktiferrin compositum - ferrous sulfate, serine and folic acid;
• Aktiferrin in drops - ferrous sulfate, serine, ascorbic acid and ethanol as an auxiliary substance.

In the presence of intolerance to at least one ingredient of combined preparations, they should not be used to increase hemoglobin.

Means for intravenous administration

In severe anemia resulting from heavy bleeding (including internal), iron preparations are used for intravenous administration. These are the solutions:

• Venofer - a drug based on ferric iron (sugar oxide), produced by companies in Switzerland and Germany;
• Argeferr is a colloidal solution consisting of spheroidal nanoparticles of carbon and iron, manufactured by Swiss companies GENFA MEDICA;
• CosmoFer is a solution for intravenous and intramuscular administration based on ferric iron (dextran hydroxide), according to the instructions - it has minimal toxicity;
• Likferr100 - a colloidal solution of 3-valent iron (sugar oxide), is contraindicated in the 1st trimester of pregnancy, is produced in Russia.

Parenteral preparations are also indicated for patients who cannot tolerate oral medications, but the decision to use them is made by the doctor.

The problem of side effects

Despite the relatively small list of contraindications and the good tolerance of iron preparations by most patients, the problem of side effects still exists, forcing many to refuse antianemic therapy. Adverse reactions to iron preparations when taken orally are manifested:

• dyspeptic effects - diarrhea, vomiting, nausea;
• intestinal irritation, heartburn;
• darkening of the mucous membranes of the mouth and enamel of the teeth.

With parenteral administration, side effects provoke deeper changes:

• damage to cell membranes, accompanied by an increase in hemolysis (destruction) of red blood cells;
• increased permeability of arterioles and venules, decreased tone;
• drop in blood pressure, tachycardia.

The last of these side effects occur against the background of an overdose of iron-containing drugs, which is explained by a decrease in peripheral vascular resistance and circulating blood volume, an increase in fluid extravasation.

What drugs are best used to quickly raise the level of Hb?

There are situations when it is necessary to quickly raise hemoglobin with drugs in order to avoid the development of life-threatening conditions. In such cases, injections or oral preparations in the form of solutions, drops and other liquid substances are usually used. One of the best medicines to increase blood hemoglobin quickly and effectively is the Totem oral solution of the French company INNOTHERA CHOUZ.

The basis of the drug is:

• Fe gluconate dihydrate;
• copper gluconate;
• manganese gluconate.

Glucose, sucrose, citric acid, Tutti-frutti flavoring and other food additives were used as additional substances. The drug is approved for use in adults and children from 3 months of age, patients with diabetes can only use under medical supervision.

While taking any drugs to increase hemoglobin, it is necessary to refrain from the use of medicines and foods that weaken the absorption of iron.

Based on the fact that no more than 20% of iron is absorbed from food, it is easy to understand that no diet can effectively compensate for the deficiency of this mineral. But against the background of taking drugs to increase Hb, a diet rich in iron will turn out to be a good helper for the body on the road to recovery. This mineral is best absorbed from meat - beef, veal, chicken, turkey. Somewhat less digestibility has Fe contained in:

• eggs;
• cocoa;
• legumes;
• buckwheat, oatmeal;
• white mushrooms;
• greens;
• apples;
• peaches, apricots, and other fruits, as well as in honey.

The consumption of dairy, flour and cereal products (especially rice) should be limited, as they adversely affect the absorption of iron.

Useful video

There are products that interfere with the absorption of iron, the hosts of the Health TV show will tell you how to properly combine food and medicine in these cases:

Conclusion

1. There is no shortage of drugs to increase hemoglobin today, but they can only be used as prescribed by a doctor.
2. To improve the absorption of iron, Fe-containing preparations are recommended to be combined with ascorbic or folic acid, other vitamins and microelements.
3. An anti-anemic diet cannot serve as a full-fledged replacement for drug therapy for anemic conditions.

In case of anemia in adults and children, the doctor prescribes drugs that increase hemoglobin along with dietary nutrition.

Various factors can provoke a decrease in hemoglobin in the blood. If the cause is unhealthy food, then most often anemia does not cause a person practically any discomfort, and the pathology can be eliminated by a properly balanced menu.

But if the decrease in hemoglobin occurred due to a serious pathology, then treatment is not complete without the use of medications containing iron.

In modern medicine, there are plenty of iron-containing drugs to increase hemoglobin. Depending on the form of release, such drugs are taken orally, administered intramuscularly or intravenously.

What drugs to attribute to a patient with anemia, the doctor chooses, taking into account the level of complexity of the pathology of the blood and the characteristics of the body of a sick person.

For example, if you need to quickly increase hemoglobin with iron deficiency anemia, then an agent for intravenous administration is prescribed.

Naturally, such therapy is carried out in a hospital, and the need for it arises only in difficult cases. But most often, anemia is treated with oral medications.

Tablets made on the basis of Fe II are considered the most effective - their active ingredients penetrate the blood as quickly as possible.

The appointment of tablet drugs that increase hemoglobin in anemia, the doctor performs taking into account the level of acidity of the stomach, which should be normal.

If at the time of treatment of anemia in the stomach an alkaline environment is detected, then the patient is prescribed hydrochloric acid or vitamin C preparations - these substances contribute to the penetration of iron into the blood.

Such patients are usually prescribed tablets for anemia, which contain not only iron, but also ascorbic acid.

In the list of the most used oral drugs that allow you to raise hemoglobin in the blood, are:

• Ferretab;
• Sorbifer Durules;
• Irovit.

The first drug for anemia is endowed with a long-term effect, it is sold in the form of capsules that contain 540 micrograms of vitamin B 9 and 152 mg of Ferrous fumarate.

Ferretab is taken one capsule per day. Hemoglobin-boosting medicine has side effects, so it is not prescribed for people with medical conditions that adversely affect the body's absorption of iron and can cause iron to accumulate.

Ferretab capsules are contraindicated in patients with anemia not associated with a lack of Fe in the blood.

Sorbifer tablets are made using 320 mg of Ferrous sulfate and 60 mg of vitamin C. The instructions for the drug, which affects the increase in hemoglobin in the blood during anemia, indicate that it should be drunk in a capsule twice every 24 hours.

According to the doctor's prescription, the dose of the indicated drug for anemia can be doubled.

It is with an increased dose that side effects occur, which are most often expressed by a violation of the stool, the occurrence of nausea and vomiting, and a feeling of discomfort in the abdomen.

Irovit tablets are a combination drug that allows you to raise hemoglobin to the desired level in both adults and children.

And if adults, following the instructions, should drink the drug with the calculation of 1 tab. per day half an hour before meals, then for small patients the dosage is prescribed individually.

Irovit has contraindications, so not all patients can increase hemoglobin with it.

Injections for anemia

A few decades ago, injectable drugs to increase hemoglobin did not exist - in order to somehow correct the situation, patients with anemia were given blood transfusions. The result of such treatment often became either an allergy or infection of the body with pathogenic bacteria.

Today's medicine has reached a high level and has changed dramatically.

At the moment, hemoglobin can be increased in case of anemia with the help of special injections, which are prescribed taking into account the characteristics of the organism and the level of severity of the blood disease.

For anemia, use:

• Ferum Lek;
• Mircera drug;
• Erythropoietin alfa.

Intramuscular injections of Ferrum Lek are used to treat iron deficiency anemia. Before prescribing this drug in injections, the patient passes an allergy test by injecting 1/4 of the ampoule of the drug.

If after 15 minutes no allergic reactions to Ferrum Lek are detected, then it is prescribed in a certain dose, which is set only by the doctor, focusing on the level of iron deficiency in the patient's blood. Usually adult patients are credited with 1-2 injections per day.

Mircer's medicine is a new development. If you need a drug that raises hemoglobin in blood diseases against the background of kidney pathology, then you can count on the effectiveness of this composition. Mircera's medicine can be administered both intravenously and subcutaneously.

In the latter case, the injection can be made in the thigh, shoulder or anterior part of the abdominal wall.

Injections are made until the hemoglobin level returns to normal - for this reason, during the treatment period, its behavior in the blood is monitored. The initial dose of the drug is 0.6 mcg / kg.

The drug alpha-erythropoietin is one of those drugs that are often used to treat anemia caused by chemotherapy, kidney disease or systemic pathologies.

In one case, injections can be given several times every seven days, in the other - once every five weeks, it all depends on the characteristics of the course of the disease.

The preparations indicated here contain in their composition not only Fe, a trace element necessary to increase hemoglobin in the blood in case of anemia, but also other active and auxiliary substances, taking into account which the doctor will be able to correctly select the type of drug necessary for the treatment of a particular patient. Doing this on your own is not recommended.

Products to increase hemoglobin

The process of treating low hemoglobin with medications is always accompanied by a diet.

At the same time, products that are a source of iron, animal protein and carbohydrates are introduced into the patient's menu.

The list of iron-containing products includes beef meat, which exceeds rabbit and pig meat in terms of useful trace elements. A lot of iron is found in beef and chicken liver.

From vegetables, beets are a useful product for low hemoglobin, but in order to raise hemoglobin with beets, it must be eaten daily for at least two months in a row. From it you can make juice or prepare salads.

A lot of iron is found in oatmeal and buckwheat - cereals from them are quickly digested in the digestive tract, and trace elements are intensively absorbed.

Buckwheat is very rich in protein, which, in combination with iron, forms hemoglobin, so porridge from it should be consumed as often as possible.

At home, you can independently prepare a fortified mixture from products, which will allow a person with low hemoglobin in the blood to achieve an effective result in treatment with daily use:

1. Grind into powder and combine in one container one glass of walnuts and buckwheat. Add 250 ml of natural honey to the ingredients - mix the ingredients thoroughly. The prepared mixture must be taken in 1 tbsp. l. on an empty stomach;
2. Take in equal parts and chop: walnut core, raisins (preferably from blue grapes) and dried apricots. Season the ingredients with natural honey. Take the medicine three times a day for 1 tbsp. l. before eating;
3. Grind two unpeeled lemons, add a glass of chopped dried apricots, walnut kernels, prunes and raisins to them, season the mixture with honey (250 ml). Take the composition 3 times a day, one tablespoon before meals.

Of the fruits, apples have a good effect on the hemoglobin level, especially those varieties that quickly darken in the cut area, which indicates the content of a large amount of Fe in fruits.

Apples are beneficial to the whole body, so they need to be consumed daily, but you should not hope that only with their help it will be possible to raise hemoglobin. In addition, few people will be able to eat half a kilo of them every day.

Of great benefit in anemia is pomegranate juice, which contains proteins, vegetable fats, carbohydrates, fiber, iron and other trace elements, many vitamins.

The consequences of a decrease in hemoglobin

A decrease in hemoglobin is a rather dangerous condition, the cause of which can be both poor nutrition and serious pathological changes in internal organs.

Iron deficiency in the blood causes disruption of the functioning of the brain, heart and other organs and systems of the body.

A decrease in hemoglobin causes a drop in the protective properties of the body and increases the risk of a person becoming infected with an infection.

For children, a decrease in hemoglobin is dangerous because it negatively affects the development of an organism that has not yet fully formed, including the brain system.

Patients even with the initial stage of anemia have increased fatigue, children have problems with school performance, adults have a constant feeling of fatigue and apathy for work.

In the absence of treatment, the quality of the structure of all tissues of the body decreases, the efficiency of organs decreases, and the risk of cardiomyopathy increases.

Delay in the treatment of low hemoglobin leads to heart failure, which is explained by the increased work of the heart in oxygen deficiency.

In this case, the amount of blood that passes through the heart increases. This condition causes the expansion of the left ventricle of the organ and gradually leads to its hypertrophy.

During this period, swelling of the hands and feet, an increase in the liver are noted. Most of all, epithelial tissues undergo pathological changes: the mucosa of the gastrointestinal tract and the upper respiratory tract.

It is low hemoglobin that causes dermatitis and other problems with the epidermis.

Against the background of low hemoglobin in anemia, there is a violation of the functions of the gastric mucosa, which adversely affects the absorption of nutrients, including iron. Therefore, patients with anemia often develop intestinal infections and acute viral pathologies.

Decreased hemoglobin levels adversely affect the functioning of the central nervous system. For this reason, children with anemia have delayed psychomotor development.

Such children are very sleepy, quickly and often irritated, may cry for no reason. School-age children have a poor concentration of attention, they quickly get tired in the classroom.

Preparations to increase hemoglobin for women recommended in the treatment of anemia, depending on its type. With persistent iron deficiency anemia, iron preparations are prescribed. This is the most common form of the disease.

Anemia in women can also develop as a result of a deficiency of vitamin B12 and folic acid, which are actively involved in the synthesis of iron-containing protein due to malnutrition (diet), pregnancy, and lactation.

Hemoglobin is a protein synthesized in the body of warm-blooded animals. He part of the molecules of erythrocytes. Its main task is to transport oxygen from the lungs to all tissues of the body.