
Symptoms: nausea, vomiting, diarrhea, epigastric pain. Cases of gastrointestinal necrosis and shock states are described.
Treatment: gastric lavage with a 1% solution of baking soda. If the serum iron concentration exceeds 5 mg / ml, deferoxamine is administered. With the development of shock, anti-shock therapy is carried out.
With simultaneous use of Totem reduces the absorption of bisphosphonates, Ciprofloxacin, tetracyclines.
Salts, oxides and hydroxides of Magnesium, aluminum and Calcium violate the absorption of iron salts. Totem should be taken no earlier than 2 hours after taking these drugs.
The drug should be stored out of the reach of children at a temperature not higher than 30 ° C.