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NCLEXPacePatient Education

Iron Deficiency Anemia: Your Iron Pill Guide

Medical-Surgical · Hematology / Oncology

Anemia means your blood has too few healthy red blood cells to carry oxygen. Low iron is a common cause. Iron-rich foods and iron pills help your body make new red blood cells.

Know the signs

  • Feeling tired or weak
  • Pale skin
  • Shortness of breath or a fast heartbeat when you are active
  • Craving ice

Eat iron-rich foods

  • Red meat, chicken, fish, beans, lentils, and dark leafy greens
  • Cereals and breads with added iron
  • Eat them with vitamin C foods, such as oranges, tomatoes, or strawberries. Vitamin C helps your body take in iron.

Take your iron pill the right way

  • Take it 1 hour before a meal, with water or orange juice.
  • If it upsets your stomach, take it with a little food.
  • Keep milk, tea, coffee, calcium pills, and antacids (Tums) 2 hours away from your iron.
  • Liquid iron: drink it through a straw, then rinse your mouth. This protects your teeth.
  • Keep taking it until your provider says to stop, even when you feel better.

Expect some changes

  • Dark green or black stools are normal with iron.
  • For constipation: drink more fluids, eat more fiber, and stay active. Ask about a stool softener.

Keep iron away from children

  • Iron pills are a leading cause of deadly poisoning in young children. Store them in a child-proof bottle, out of reach.

Call your provider today if you have

  • Black, sticky, tar-like stools without dizziness. This can be a sign of bleeding.
  • Constipation or an upset stomach that stops you from taking iron
  • More tiredness or shortness of breath

Call 911 or your local emergency number if you have

  • Chest pain
  • Black, sticky, tar-like stools with dizziness, weakness, or fainting. This is a sign of serious bleeding.
  • Fainting or severe trouble breathing
  • A child who swallowed iron pills: call 911 or Poison Control (1-800-222-1222 in the US) or your local poison center right away, even if the child seems fine