Low Hemoglobin: Risks, Dosage, and Precautions - Pharmacology

Share to:

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.

Similar Q&A

Understanding Low Hemoglobin Levels: Tips for Managing Thalassemia

I have had Mediterranean anemia since childhood. Besides being unable to climb mountains and occasionally experiencing dizziness, I haven't had major issues in my daily life. However, during my pre-marital check-up, it was found that my hemoglobin level is only 6.3, which se...


Dr. Hu Ziren reply Oncology
Hello, online friend: It is important to supplement with iron and pay attention to safety (avoid falls and intense exercise, etc.); however, a level of 6.3 is too low, so it is recommended to see a hematologist for further evaluation.

[Read More] Understanding Low Hemoglobin Levels: Tips for Managing Thalassemia


Anemia and Blood Transfusion: Risks and Recommendations for Recovery

Dear Doctor, due to anemia caused by hemorrhoidal bleeding (with a normal hemoglobin level of 14-16, but my level is 6), aside from resting and consuming nutritious foods, is blood transfusion a quicker solution? What methods do you recommend for replenishing blood? Additionally,...


Dr. Ke Fangxu reply Surgery
Hello: In response to your question, the treatment for anemia primarily involves blood transfusions. Generally, for young individuals with hemoglobin levels below 10 g/dL, blood transfusion is recommended. If there is a fear of contracting unknown diseases from transfusions, diet...

[Read More] Anemia and Blood Transfusion: Risks and Recommendations for Recovery


Understanding the Impact of Low Hemoglobin and Bruising in Family Medicine

1. A hemoglobin level of only 10.6 g/dL can lead to anemia, which may cause symptoms such as fatigue, weakness, shortness of breath, and dizziness. It can also affect the body's ability to transport oxygen effectively, potentially leading to complications if left untreated. ...


Dr. Li Yuqi reply Family Medicine
(1) The normal hemoglobin levels for women are 12 to 14 g/dL. If the level is 10.6 g/dL, it is essential to determine the underlying cause before assessing its impact on the body. (2) Easy bruising can have many causes, and it is important to seek medical attention to arrange for...

[Read More] Understanding the Impact of Low Hemoglobin and Bruising in Family Medicine


Managing Iron Deficiency Anemia in Children: Dosage and Concerns

Hello doctor, when my son was one year old, he was diagnosed with iron deficiency anemia due to wheezing and had a ferritin level of 15.1. The doctor recommended iron supplements. At that time, he weighed about 10 kilograms and was prescribed a liquid iron supplement, Ferrous Sul...


Dr. Xiao Kaiwen reply Pediatrics
The safety range of iron supplements is relatively broad, and such dosages are not excessive, so they will not have an adverse effect on the body. Generally, monitoring for iron deficiency anemia includes hemoglobin, total red blood cell count, mean corpuscular volume, total iron...

[Read More] Managing Iron Deficiency Anemia in Children: Dosage and Concerns


Related FAQ

Hemoglobin

(Internal Medicine)

Anemia

(Family Medicine)

Thalassemia

(Cardiology)

Medication Safety

(Pharmacology)

Anemia

(Nutrition)

Hemoglobin A1C

(Family Medicine)

Health Supplements

(Pharmacology)

Drug Side Effects

(Pharmacology)

Thalassemia

(Pediatrics)

Anemia

(Oncology)