Low hemoglobin levels
Dear Pharmacist Huang,
I recently had a health check-up and my hemoglobin level was low at 13.1, with a hematocrit of 38.5.
I often experience slight dizziness.
A friend suggested I take Lango soft capsules.
Could you please advise if there are any side effects, what the appropriate dosage would be, and what precautions I should take while using it? Thank you for your response.
liou6500, 40~49 year old female. Ask Date: 2007/11/19
Dr. Huang Shenggang reply Pharmacology
Hello: If the examination is conducted in a hospital, you should ask the physician for assistance in identifying the cause of low hemoglobin levels.
As for the soft capsules, they are used to treat anemia, with the following active ingredients: Hemoglobin....216 mg, Vitamin B12....2 mcg, Liver desiccated....3.6 mg, Copper....0.15 mg, Manganese....0.15 mg, Iron....5 mg.
The dosage is one capsule three times a day.
Precautions: 1.
Tea, coffee, antacids, or calcium supplements should be taken at least one hour apart from this medication.
2.
It may cause stools to turn dark green or black.
Reply Date: 2007/11/19
More Info
Low hemoglobin levels can be a significant health concern, as they may indicate anemia, which can lead to various symptoms and complications. In your case, a hemoglobin level of 13.1 g/dL is on the lower end of the normal range for adult males (typically 13.8 to 17.2 g/dL) and for adult females (typically 12.1 to 15.1 g/dL). The symptoms you are experiencing, such as dizziness, can be associated with low hemoglobin levels, as they may indicate that your body is not receiving enough oxygen.
Risks Associated with Low Hemoglobin
Low hemoglobin can lead to several risks, including:
1. Fatigue: As hemoglobin is responsible for transporting oxygen throughout the body, lower levels can result in decreased energy and increased fatigue.
2. Dizziness and Lightheadedness: Insufficient oxygen delivery to the brain can cause dizziness, especially when standing up quickly or engaging in physical activity.
3. Increased Heart Rate: The heart may work harder to compensate for the lack of oxygen, leading to an increased heart rate or palpitations.
4. Shortness of Breath: You may experience difficulty breathing, especially during exertion, as your body struggles to meet its oxygen demands.
5. Complications: Severe anemia can lead to more serious complications, such as heart problems, particularly in individuals with pre-existing heart conditions.
Dosage and Precautions for Iron Supplements
You mentioned considering taking "朗保軟膠囊" (which I assume refers to an iron supplement). Iron supplements can be beneficial for individuals with iron deficiency anemia, but they should be taken with caution. Here are some guidelines regarding dosage and precautions:
1. Dosage: The typical dosage for iron supplements varies depending on the severity of the deficiency. For adults, a common recommendation is 100 to 200 mg of elemental iron per day, divided into two or three doses. However, it is crucial to consult with a healthcare provider for personalized recommendations based on your specific needs and blood test results.
2. Side Effects: Iron supplements can cause gastrointestinal side effects, including:
- Nausea
- Constipation
- Diarrhea
- Stomach cramps
- Dark stools (which is harmless but can be alarming)
3. Timing: Iron is best absorbed on an empty stomach, so consider taking it one hour before meals or two hours after meals. However, if gastrointestinal discomfort occurs, you may take it with food.
4. Vitamin C: Taking vitamin C (ascorbic acid) with iron can enhance absorption. You might consider taking your iron supplement with a glass of orange juice or a vitamin C supplement.
5. Avoid Certain Foods: Some foods and medications can inhibit iron absorption, including dairy products, antacids, and calcium supplements. It is advisable to space these out from your iron supplement.
6. Monitoring: Regular follow-up with your healthcare provider is essential to monitor your hemoglobin levels and adjust your treatment plan as necessary. Blood tests may be required to assess your iron levels and overall blood health.
Conclusion
In summary, low hemoglobin levels can lead to various symptoms and health risks. If you are considering taking iron supplements, it is crucial to consult with a healthcare provider for personalized advice on dosage and monitoring. They can help determine the underlying cause of your low hemoglobin levels and recommend appropriate treatment options. Always prioritize safety and professional guidance when it comes to managing your health.
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