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LACTOFERRIN 40 mg ORAL SOLUTION

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About the medicine

How to use LACTOFERRIN 40 mg ORAL SOLUTION

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the User

LACTOFERRIN 40 mg ORAL SOLUTION

Iron Proteinsuccinylate (Fe3+)

Read the entire package leaflet carefully before starting to take the medicine

  • Keep this package leaflet, as you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you. Do not pass it on to others, as it may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, consult your doctor or pharmacist. This includes any possible side effects not listed in this package leaflet.

Contents of the package leaflet:

  1. What is Lactoferrin and what is it used for
  2. Before taking Lactoferrin
  3. How to take Lactoferrin
  4. Possible side effects
  5. Storage of Lactoferrin
  6. Additional information

1. What is Lactoferrin and what is it used for

Lactoferrin is a medicine that provides iron to red blood cells, treating iron deficiency states and curing anemia (reduction of hemoglobin levels and the number and size of red blood cells) due to this iron deficiency.

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2. Before taking Lactoferrin

Do not take Lactoferrin

  • If you are allergic (hypersensitive) to Iron Proteinsuccinylate or any of the other components of Lactoferrin.
  • If you are allergic to milk proteins.
  • If you have a disease that causes iron accumulation in the body (hemochromatosis, hemosiderosis).
  • If you have pancreatitis (inflammation of the pancreas) or liver cirrhosis (a chronic liver disease characterized by the formation of fibrosis or "scars" in liver tissue that alter its structure and normal function) due to iron accumulation.
  • If you have anemia due to causes other than iron deficiency.

Be careful with Lactoferrin

  • Before starting treatment with this medicine, if you have anemia or iron deficiency, consult your doctor.

Use of other medicines

Tell your doctor or pharmacist if you are taking, or have recently taken, other medicines, including those obtained without a prescription.

Lactoferrin may reduce the intestinal absorption and, therefore, the effect of some medicines, such as:

  • Antibiotics, such as quinolones and tetracyclines.
  • Bisphosphonates, used in patients with osteoporosis (bone loss and weakening).
  • Penicillamine, used for arthritis (inflammation of the joints).
  • Alpha-methyldopa, used to treat high blood pressure.
  • Thyroxine, used to treat hypothyroidism (underactive thyroid gland).
  • Levodopa and carbidopa, used to treat Parkinson's disease.
  • Mycofenolate mofetil, used to prevent transplant rejection.

The intestinal absorption of iron and, therefore, the efficacy of Lactoferrin may be reduced if taken with the following medicines, so you should wait at least 2 hours between taking any of these medicines and taking Lactoferrin:

  • Antacids, normally used in patients with gastric acidity.
  • Chloramphenicol (antibiotic).
  • Colestyramine, used in patients with high cholesterol.
  • Medicines for the treatment of stomach ulcers or esophageal reflux, such as omeprazole, lansoprazole, pantoprazole.

Interference with diagnostic tests:

This medicine may interfere with laboratory tests for the investigation of occult blood in stool.

Taking Lactoferrin with food and drinks

Some plant-based foods, milk, coffee, and tea reduce iron absorption, so it is recommended not to take Lactoferrin during the 2 hours following the consumption of any of these foods.

The simultaneous ingestion of freshly squeezed citrus juices (orange, lemon, etc.) may enhance the absorption of iron derivatives.

Pregnancy and breastfeeding

Consult your doctor or pharmacist before using any medicine.

Lactoferrin is particularly indicated in iron deficiency states that occur during pregnancy and breastfeeding; therefore, no special precautions are necessary.

Driving and using machines

No effects have been observed on the ability to drive and use machines.

Important information about some of the components of Lactoferrin

This medicine contains 1400 mg of sorbitol per vial. Sorbitol is a source of fructose. If your doctor has told you that you (or your child) have an intolerance to certain sugars, or you have been diagnosed with hereditary fructose intolerance (HFI), a rare genetic disease in which the patient cannot break down fructose, consult your doctor before taking this medicine. Sorbitol may cause gastrointestinal discomfort and a mild laxative effect.

This medicine contains 61.1 mg of propylene glycol in each vial, equivalent to 4.1 mg/ml. If the baby is less than 4 weeks old, consult your doctor or pharmacist, especially if the baby has been given other medicines that contain propylene glycol or alcohol.

This medicine contains 38.4 mg of sodium (main component of table salt/cooking salt) in each vial. This is equivalent to 1.9% of the maximum daily sodium intake recommended for an adult.

Lactoferrin may cause allergic reactions (possibly delayed) because it contains propyl hydroxybenzoate sodium salt (E-217) and methyl hydroxybenzoate sodium salt (E-219).

3. How to take Lactoferrin

Follow the administration instructions of Lactoferrin indicated by your doctor. Consult your doctor or pharmacist if you have any doubts. Remember to take your medicine.

Your doctor will indicate the duration of your treatment. Do not stop the treatment before, as the desired effect will not be achieved.

Take this medicine preferably a few hours before meals.

The contents of the vial can be taken directly or diluted in water.

The normal doses are as follows:

Adults:

1-2 vials per day, according to medical criteria, (equivalent to 40-80 mg of Fe3+) divided into 2 doses.

Children:

Administer 1.5 ml of solution/Kg/day (equivalent to 4 mg of Fe3+) or according to medical criteria, divided into 2 doses.

The duration of treatment depends on the nature and severity of the iron deficiency. Treatment should continue until iron reserves are replenished.

If you think the action of Lactoferrin is too strong or too weak, tell your doctor or pharmacist.

If you take more Lactoferrin than you should

If you take more Lactoferrin than you should, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone 91 562 04 20.

If you forget to take Lactoferrin

Do not take a double dose to make up for forgotten doses. If you forget to take a dose, take the next one as soon as possible and continue as before.

If you have any further questions about the use of this product, ask your doctor or pharmacist.

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4. Possible side effects

Like all medicines, Lactoferrin can cause side effects, although not everyone gets them.

The following side effects have been reported (frequency unknown):

Gastrointestinal disorders: stomach pain, nausea, constipation or diarrhea, which usually disappear quickly after reducing the dose or, if necessary, after stopping treatment.

Skin and subcutaneous tissue disorders:allergic reactions.

Appearance of green or black stools, due to iron elimination. This side effect is harmless.

If you think any of the side effects you are experiencing is serious, or if you notice any side effects not listed in this package leaflet, tell your doctor or pharmacist.

5. Storage of Lactoferrin

No special storage conditions are required.

Keep out of the reach and sight of children.

Do not use Lactoferrin after the expiration date stated on the packaging. The expiration date is the last day of the month indicated.

Medicines should not be disposed of via wastewater or household waste. Place the packaging and any unused medicines in the SIGRE collection point at your pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medicines. This will help protect the environment.

6. Additional information

Composition of Lactoferrin

The active ingredient is Iron Proteinsuccinylate (contains milk protein). Each 15 ml vial of oral solution contains 800 mg of Iron Proteinsuccinylate, equivalent to 40 mg of Fe3+.

The other components are: sorbitol (E-420), propylene glycol (E-1520), propyl hydroxybenzoate sodium salt (E-217), methyl hydroxybenzoate sodium salt (E-219); sodium saccharin, blackcurrant flavor, sodium hydroxide, and purified water.

Appearance of the product and packaging contents

LACTOFERRIN is presented as a transparent oral solution, brown in color, and with a characteristic odor.

Each package contains 20 vials.

Marketing authorization holder

CHIESI ESPAÑA, S.A.U.

Plaça d’Europa, 41-43, Planta 10

08908 L'Hospitalet de Llobregat - Barcelona (Spain)

Under license from Italfarmaco S.p.A. (Italy)

Manufacturer

Italfarmaco S.A.

San Rafael, 3

28108 Alcobendas (Madrid)

Spain

or

LACER, S.A.

Boters, 5

08290 Cerdanyola del Vallès (Barcelona)

Spain

This package leaflet was approved in May 2022.

Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.es.

Online doctors for LACTOFERRIN 40 mg ORAL SOLUTION

Discuss questions about LACTOFERRIN 40 mg ORAL SOLUTION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques. For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance. Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults. In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions. Patients commonly seek his care for: 

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Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.

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Yevgen Yakovenko

General surgery 12 years exp.

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

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  • 12+ years of clinical experience in university hospitals in Germany and Spain.
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Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Joao Silva

General medicine 6 years exp.

Dr. João Silva is a physician with training and experience in the field of General and Family Medicine, dedicated to providing healthcare focused on the well-being and quality of life of his patients. Throughout his professional career, he has developed broad clinical competencies, striving to maintain a medical practice based on scientific evidence and continuous knowledge updates.

Between 2013 and 2019, he completed the Integrated Master's Degree in Medicine at the Abel Salazar Institute of Biomedical Sciences in Porto, where he acquired a solid academic and clinical education.

Subsequently, between January 2021 and December 2021, he completed the General Internship at the Entre Douro e Vouga Hospital Center in Santa Maria da Feira, where he had the opportunity to work in different hospital settings and deepen his competencies in several areas of medicine.

From January 2022 until March 2026, he works as a Resident Physician in General and Family Medicine at USF Salvador Machado in Oliveira de Azeméis, developing clinical activities in primary healthcare, follow-up of chronic patients, and health promotion in the community.

Complementing his medical training, Dr. João Silva also completed a Postgraduate Degree in Continuing and Palliative Care at CESPU, strengthening his preparation in the comprehensive approach to patient care, especially in situations requiring prolonged care and multidisciplinary support.

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Bulat Garipov

General medicine 15 years exp.

Dr. Bulat Garipov is a radiologist with more than 15 years of experience, specializing in magnetic resonance imaging (MRI). Throughout his professional career, he has worked in leading diagnostic imaging centers, both in on-site practice and teleradiology, which has allowed him to develop a broad and versatile approach to radiology.

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You could consult Dr. Bulat Garipov in cases where accurate interpretation of MRI studies or a second expert opinion is required. His expertise is especially valuable in cases of suspected neurological conditions, back and joint pain, vascular disorders, as well as in the diagnosis of abdominal and pelvic diseases. The doctor also provides support in complex or unclear clinical situations, including the review of previously performed studies, which helps improve diagnostic accuracy and determine the optimal treatment strategy. A teleradiology format is available, allowing you to receive a professional opinion remotely.

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Frequently Asked Questions

Is a prescription required for LACTOFERRIN 40 mg ORAL SOLUTION?
LACTOFERRIN 40 mg ORAL SOLUTION requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in LACTOFERRIN 40 mg ORAL SOLUTION?
The active ingredient in LACTOFERRIN 40 mg ORAL SOLUTION is ferric proteinsuccinylate. This information helps identify medicines with the same composition but different brand names.
How much does LACTOFERRIN 40 mg ORAL SOLUTION cost in pharmacies?
The average pharmacy price for LACTOFERRIN 40 mg ORAL SOLUTION is around 12.52 EUR. Prices may vary depending on the manufacturer and dosage form.
Who manufactures LACTOFERRIN 40 mg ORAL SOLUTION?
LACTOFERRIN 40 mg ORAL SOLUTION is manufactured by Chiesi España S.A.U.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of LACTOFERRIN 40 mg ORAL SOLUTION online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether LACTOFERRIN 40 mg ORAL SOLUTION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to LACTOFERRIN 40 mg ORAL SOLUTION?
Other medicines with the same active substance (ferric proteinsuccinylate) include FERPLEX 40 mg ORAL SOLUTION, FERROCUR 40 mg ORAL SOLUTION, FERACCRU 30 mg HARD CAPSULES. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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