Cosmofer 100mg Solution for Injection

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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Chong Zhan Pong
Written byDr. Chong Zhan PongDoctor of Medicine (MD), International Medical University (IMU)

Last updated:

Overview

Cosmofer 100mg Solution for Injection is a prescription-only medicine (POM) presented as an injection, with Iron (as low molecular weight iron dextran) 100mg per 2mL ampoule as its active ingredient content.

This page is limited to product, safety and handling information, in line with Malaysian rules on prescription medicine information for the public. Your prescriber or pharmacist is the right source for anything beyond that, together with the leaflet inside the pack.

Through DoctorOnCall, this product is supplied after an online consultation with a licensed doctor and a valid prescription, and it is checked by a registered pharmacist before dispensing. Take it exactly as prescribed, and speak to your doctor before stopping, changing the dose, or starting any other medicine alongside it.

Directions for Use

Cosmofer is administered by slow intravenous injection, intravenous infusion (diluted in sodium chloride solution), or in some cases by deep intramuscular injection, only by trained healthcare staff in a setting where resuscitation facilities are available. Patients are monitored closely during administration and for a period afterwards for signs of an allergic or hypersensitivity reaction.

Dosage

The total dose of Cosmofer required is calculated individually by the treating doctor based on the patient’s body weight and haemoglobin level, using a specific formula to determine the total iron deficit. This total dose may be given as a single infusion or divided into several sessions, depending on the clinical situation. A test dose is typically given before the first full dose to check for hypersensitivity reactions. Dosing must always be determined and administered by qualified healthcare professionals – this medicine is never self-administered or self-dosed.

Storage Instructions

Store below 30°C in a dry place, away from direct sunlight and out of reach of children. Do not freeze.

Side Effects

  • Headache or dizziness
  • Nausea or metallic taste
  • Injection or infusion site reactions, including pain, swelling, or discolouration of the skin
  • Flushing or changes in blood pressure
  • Hypersensitivity reactions, which can range from mild to severe (anaphylaxis) and require immediate medical attention

Contraindications

  • Known hypersensitivity to iron dextran or any component of the formulation
  • History of severe allergic disorders
  • Iron overload conditions or disturbances in iron utilisation, such as haemochromatosis
  • Decompensated liver disease
  • Active acute or chronic infection

Drug / Food Interactions

  • Oral iron supplements should generally not be taken at the same time as Cosmofer – your doctor will advise when oral iron can be safely restarted
  • May interfere with certain laboratory tests for serum iron and iron-binding capacity for a period after administration
  • Inform your doctor of all other medicines and supplements you are taking before receiving this treatment

Quick Tips

  • Attend your infusion or injection appointment as scheduled, and arrange to stay at the healthcare facility for the recommended observation period afterwards
  • Tell the healthcare team immediately if you notice itching, rash, difficulty breathing, or dizziness during or after administration
  • Avoid taking oral iron supplements around the same time unless specifically advised by your doctor
  • Keep your follow-up blood test appointments so your iron levels and response to treatment can be assessed

Ingredients / Active Ingredients

  • Iron (as low molecular weight iron dextran) 100mg per 2mL ampoule

Frequently Asked Questions

Product Specifications

BrandZuellig Pharma
ManufacturerZuellig Pharma
ClassificationPrescription medicine
Volume2ml
Pack Size5s
Shelf LifeUse this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.

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