Patient Instructions for Iron Therapy

1. Take Ferrous Sulfate 325 mg 3 times a day with meals (start 30 days prior to surgery).

2. All iron medications can cause upset stomach and/or constipation, and may turn bowel movement black in color. If constipation develops, you may use Metamucil or Fibercon as directed on the package. Sometimes iron medication can cause diarrhea and should be discontinued for 2-3 days. Then restart once a day for 2-3 days. If this is tolerable, it may be increased to twice a day for 2-3 days, then three times a day. Even if you can take it only once daily, this will help preoperatively. If additional problems arise call our office or your family physician.

3. You are encouraged to add foods higher in iron to your diet, unless you have specific dietary restrictions. Orange juice will help to enhance absorption of the iron.

Foods High in Iron

The following foods are high in iron. Please try to include these foods in your diet; however, you must maintain your present dietary restrictions. Patients with diabetes or high cholesterol cannot have some of these foods. Please check with your family physician if there are any concerns.

• Dried Apricots or Peaches
• Brewer’s Yeast
• Cocoa
• “Total” Cereal
• Calves Livers
• Wheat Germ
• Beans – Kidney or Soy
• Oysters, Clams, Scallops, Shrimp
• Almonds and Cashews
• Raisins
• Spinach
• Beets