# Iron deficiency anemia - Category: chronic - Review status: reviewed (every claim checked against a document named on this page) - Sources: Huda T, Dibley M, El Arifeen S, et al. Assessing the Efficacy of Bovine Lactoferrin to Correct Iron Deficiency Anemia in Non-pregnant Non-lactating Women: A Randomized Controlled Trial. Current Developments in Nutrition 2019;3(Suppl 1):nzz044.FS08-02-19 (https://pmc.ncbi.nlm.nih.gov/articles/PMC6574033/): "Arm A, B and C received daily oral 200 mg bLf, 400 mg bLf and 60 mg ferrous sulfate. ... Treatment was for 12 weeks." The trial's own result was that neither lactoferrin arm raised haemoglobin - "Women on 200 mg bLf had a decrease in Hb of 0.3 g/dl" and "women on 400 mg bLf arm had no change in Hb: 0.0 g/dl" - while "women on ferrous sulfate arm had an increase in Hb: 1.1 g/dl". · WHO Iron Supplementation 2021 · Egyptian National Drug Formulary - Blood Disorder Medications 2025 (iron sucrose monograph) · Rahman et al, randomised controlled trial of bovine lactoferrin versus ferrous sulfate, Current Developments in Nutrition 2019 (PMC6574033) - Verified date: 2026-08 ## Verified against - Huda T, Dibley M, El Arifeen S, et al. Assessing the Efficacy of Bovine Lactoferrin to Correct Iron Deficiency Anemia in Non-pregnant Non-lactating Women: A Randomized Controlled Trial. Current Developments in Nutrition 2019;3(Suppl 1):nzz044.FS08-02-19 (https://pmc.ncbi.nlm.nih.gov/articles/PMC6574033/): "Arm A, B and C received daily oral 200 mg bLf, 400 mg bLf and 60 mg ferrous sulfate. ... Treatment was for 12 weeks." The trial's own result was that neither lactoferrin arm raised haemoglobin - "Women on 200 mg bLf had a decrease in Hb of 0.3 g/dl" and "women on 400 mg bLf arm had no change in Hb: 0.0 g/dl" - while "women on ferrous sulfate arm had an increase in Hb: 1.1 g/dl". - Egyptian National Drug Formulary - Blood Disorder Medications 2025 (iron sucrose monograph) - Rahman et al, randomised controlled trial of bovine lactoferrin versus ferrous sulfate, Current Developments in Nutrition 2019 (PMC6574033) - Iron Deficiency and Microcytic Hypochromic Anemia - disease-level clinical article (iron-deficiency-anemia-clinical.txt) ## Treatment metadata - Ferrous fumarate — 200 mg — oral.solid - Referral & safety-netting (no drug therapy) - Ferric hydroxide polymaltose — 100 mg — oral.solid - Iron — injection - Lactoferrin — 200 mg — oral.solid - Ascorbic acid — oral.solid ## Complete treatment card ```text IRON DEFICIENCY ANEMIA Sources: Huda T, Dibley M, El Arifeen S, et al. Assessing the Efficacy of Bovine Lactoferrin to Correct Iron Deficiency Anemia in Non-pregnant Non-lactating Women: A Randomized Controlled Trial. Current Developments in Nutrition 2019;3(Suppl 1):nzz044.FS08-02-19 (https://pmc.ncbi.nlm.nih.gov/articles/PMC6574033/): "Arm A, B and C received daily oral 200 mg bLf, 400 mg bLf and 60 mg ferrous sulfate. ... Treatment was for 12 weeks." The trial's own result was that neither lactoferrin arm raised haemoglobin - "Women on 200 mg bLf had a decrease in Hb of 0.3 g/dl" and "women on 400 mg bLf arm had no change in Hb: 0.0 g/dl" - while "women on ferrous sulfate arm had an increase in Hb: 1.1 g/dl". · WHO Iron Supplementation 2021 · Egyptian National Drug Formulary - Blood Disorder Medications 2025 (iron sucrose monograph) · Rahman et al, randomised controlled trial of bovine lactoferrin versus ferrous sulfate, Current Developments in Nutrition 2019 (PMC6574033) Review status: REVIEWED against Huda T, Dibley M, El Arifeen S, et al. Assessing the Efficacy of Bovine Lactoferrin to Correct Iron Deficiency Anemia in Non-pregnant Non-lactating Women: A Randomized Controlled Trial. Current Developments in Nutrition 2019;3(Suppl 1):nzz044.FS08-02-19 (https://pmc.ncbi.nlm.nih.gov/articles/PMC6574033/): "Arm A, B and C received daily oral 200 mg bLf, 400 mg bLf and 60 mg ferrous sulfate. ... Treatment was for 12 weeks." The trial's own result was that neither lactoferrin arm raised haemoglobin - "Women on 200 mg bLf had a decrease in Hb of 0.3 g/dl" and "women on 400 mg bLf arm had no change in Hb: 0.0 g/dl" - while "women on ferrous sulfate arm had an increase in Hb: 1.1 g/dl"., Egyptian National Drug Formulary - Blood Disorder Medications 2025 (iron sucrose monograph), Rahman et al, randomised controlled trial of bovine lactoferrin versus ferrous sulfate, Current Developments in Nutrition 2019 (PMC6574033), Iron Deficiency and Microcytic Hypochromic Anemia - disease-level clinical article (iron-deficiency-anemia-clinical.txt) (2026-08) IS IT THIS? - reference only, to read alongside your own examination SYMPTOMS - what the patient reports (6) - Vague complaints span low energy, tiredness, trouble concentrating, mood swings, irritability, headaches, and breathlessness on exertion [breathlessness · fatigue · irritability · poor concentration] - Iron deficiency without anemia causes the same symptoms as with anemia, just milder - Pica - craving and eating non-food substances - occurs in about half of patients with true iron deficiency [pica] - Craving ice (pagophagia) is a fairly specific clue to iron deficiency [pica] - Restless legs syndrome links to low brain iron on MRI, and up to 40% of patients with restless legs have iron deficiency, with or without anemia - Urine can turn red after eating beets (beeturia), a nonspecific finding that is more common with iron deficiency SIGNS - what you find (3) - Exam may be normal, or show dry skin, hair loss, a smooth atrophic tongue, cracked mouth corners, pallor, brittle nails, and spoon-shaped nails [atrophy · dry skin · hair loss · nail changes · pallor] - A systolic flow murmur may be heard on cardiac auscultation [heart murmur] - Pallor and pale conjunctivae only show up late in the course of iron deficiency anemia [anaemia · pallor] TESTS (12) - Core panel checks serum iron, transferrin, ferritin, iron-binding capacity, and how saturated the transferrin is - Iron studies should be drawn at least 9 hours after eating iron-containing food - True iron deficiency is diagnosed when ferritin is under 30 ng/mL or transferrin saturation is under 20% - A ferritin under 30 ng/mL predicts absent marrow iron stores with about 92% sensitivity and 98% specificity - Normal hemoglobin does not rule out iron deficiency, since hemoglobin only falls after substantial iron depletion; microcytosis is likewise not a sensitive marker - Soluble transferrin receptor rises in iron deficiency and can distinguish absolute from functional deficiency - Peripheral smear in thalassemia shows target cells, basophilic stippling, and uniformly small red cells - Reticulocyte hemoglobin content reflects iron available for red cell production over recent days and is useful for catching early deficiency and tracking response to IV iron - In beta-thalassemia trait, hemoglobin electrophoresis shows HbA2 above 3.5%, sometimes with raised HbF - In alpha-thalassemia, electrophoresis can look normal, so DNA testing for alpha-globin gene deletions is needed to confirm - Thalassemia often keeps red cell counts normal-to-high despite anemia, with MCV under 70 fL but a normal RDW - the reverse of iron deficiency's pattern - Basophilic stippling combined with lead-poisoning features or small pale red cells confirms lead toxicity outright IF NOT THIS - what else fits (6) - Fatigue-type conditions such as fibromyalgia, chronic fatigue syndrome, depression, other chronic disease, and hypothyroidism overlap with iron deficiency's nonspecific symptoms - Pica, eating disorders, psychiatric illness, malnutrition, neurological causes of restless legs, and pregnancy are also on the differential - Microcytosis without iron deficiency can come from thalassemia, sideroblastic anemia, lead poisoning, copper deficiency, or drugs like isoniazid and chloramphenicol - Thalassemia is distinguished from iron deficiency because iron studies come back normal or increased, rather than low - Reticulocyte hemoglobin content or zinc protoporphyrin can help tell iron deficiency apart from thalassemia - If iron deficiency and thalassemia coexist, iron studies must be read together with hemoglobin electrophoresis Source StatPearls "Iron Deficiency and Microcytic Hypochromic Anemia" - disease-level clinical article Status traced to the source above Rx: Main treatment | Intravenous iron - refer | Lactoferrin alternative MAIN TREATMENT - choose one, plus any add-on marked below 1. FERROUS FUMARATE [1st line] Adult 200 mg (65 mg elemental iron) 1-2 times daily on empty stomach x 3-6 months Peds 3-6 mg/kg/day [child max 180 mg] (Doses are for elemental iron (not salt), divided BID-TID; give between meals with fruit juice. Ceiling of 180 mg is the formulary maximum for a child: 20 mL/day of the 140 mg/5 mL syrup, which is 45 mg elemental iron per 5 mL. This is deliberately above the 130 mg an adult gets here: a growing child needs more elemental iron per kilogram, and modern adult practice is lower and less frequent dosing than the formulary allows. It is not an inversion to correct.) 3kg -> 9-18 mg/day 4kg -> 12-24 mg/day 5kg -> 15-30 mg/day 6kg -> 18-36 mg/day 7kg -> 21-42 mg/day 8kg -> 24-48 mg/day 9kg -> 27-54 mg/day 10kg -> 30-60 mg/day 11kg -> 33-66 mg/day 12kg -> 36-72 mg/day 13kg -> 39-78 mg/day 14kg -> 42-84 mg/day 15kg -> 45-90 mg/day 16kg -> 48-96 mg/day 17kg -> 51-102 mg/day 18kg -> 54-108 mg/day 19kg -> 57-114 mg/day 20kg -> 60-120 mg/day 21kg -> 63-126 mg/day 22kg -> 66-132 mg/day 23kg -> 69-138 mg/day 24kg -> 72-144 mg/day 25kg -> 75-150 mg/day 26kg -> 78-156 mg/day 27kg -> 81-162 mg/day 28kg -> 84-168 mg/day 29kg -> 87-174 mg/day 30kg -> 90-180 mg/day 31kg -> 93-180 mg/day (upper capped) 32kg -> 96-180 mg/day (upper capped) 33kg -> 99-180 mg/day (upper capped) 34kg -> 102-180 mg/day (upper capped) 35kg -> 105-180 mg/day (upper capped) 36kg -> 108-180 mg/day (upper capped) 37kg -> 111-180 mg/day (upper capped) 38kg -> 114-180 mg/day (upper capped) 39kg -> 117-180 mg/day (upper capped) 40kg -> 120-180 mg/day (upper capped) 41kg -> 123-180 mg/day (upper capped) 42kg -> 126-180 mg/day (upper capped) 43kg -> 129-180 mg/day (upper capped) 44kg -> 132-180 mg/day (upper capped) 45kg -> 135-180 mg/day (upper capped) 46kg -> 138-180 mg/day (upper capped) 47kg -> 141-180 mg/day (upper capped) 48kg -> 144-180 mg/day (upper capped) 49kg -> 147-180 mg/day (upper capped) 50kg -> 150-180 mg/day (upper capped) Source Egyptian National Drug Formulary - Blood Disorder Medications 2025 Why Ferrous fumarate is the Egyptian formulary's oral iron: a 200 mg tablet is 65.57 mg elemental, and there is a 140 mg/5 mL syrup for children. Dose by elemental iron, not tablet weight. No plain ferrous tablet is registered here - the packs below are combinations, mostly ferrous salt with folic acid and some carrying vitamin C or zinc instead, which is what an Egyptian pharmacy will hand over. Caution Take 1 hour before meals; vitamin C aids absorption. Constipation, dark stools, and epigastric discomfort are common. Keep out of reach of children - overdose is fatal. Egyptian products are labelled inconsistently - most are registered as "iron" with no salt named. Check the elemental iron content on the pack rather than the salt weight; 200 mg of ferrous sulphate or fumarate is about 65 mg elemental. Most iron tablets in Egypt come with folic acid in them, though not all - check the pack. Folate corrects the blood picture of B12 deficiency while the neurological damage carries on - check B12 before starting if the anaemia is macrocytic, mixed, or unexplained. The pack a pharmacy hands over is a combination rather than plain iron - besides folic acid, many Egyptian iron products add vitamin C, and some add zinc or B vitamins. A combination is an acceptable way to give oral iron: the formulary's ferrous fumarate monograph lists the dosage forms as a 200 mg tablet and a 140 mg/5 mL syrup, then adds combination products to that list, and states the adult dose in elemental iron (100 to 200 mg elemental iron daily). The vitamin C is wanted rather than merely tolerated - 200 to 500 mg alongside oral iron is recommended to enhance its absorption. Dose by the elemental iron the pack states, not by tablet weight and not by the other ingredients. The Egyptian register does not record elemental iron content for most of these products, so the carton has to be read. Egypt FERROL 10 F.C. TABLET AMOUN 2.00 EGP (0.20/unit) -> ! also contains folic acid FOLIFER 30 TAB. MISR 7.20 EGP (0.24/unit) -> ! also contains folic acid FERROZINC-C 24 CAPS. SAFE PHARMA >... 7.50 EGP (0.31/unit) -> ! also contains vitamin c, zinc IROFOL 30 CAPS. MULTICARE 40.50 EGP (1.35/unit) -> ! also contains copper, folic acid, pyridoxine, vitamin b12, zinc HAEMACTIN 30 CAPS. DELTA GRAND P... 150.00 EGP (5.00/unit) -> ! also contains folic acid, vitamin b12 TESLAGLOBIN 20 CAP DAWA EGYPT IN... 140.00 EGP (7.00/unit) -> ! also contains b12, b6, copper, folic acid, zinc CHEMARED CAPSULE PHARMA ZAD > ... 195.00 EGP -> ! also contains calcium, methyl cobolamine, pyridoxine FERRONIL 125MG/5ML SYRUP 120 ML EL NILE. 4.00 EGP -> ? strength differs, ? different route - not oral solid 2. REFERRAL & SAFETY-NETTING (NO DRUG THERAPY) [1st line] Adult Source Iron Deficiency and Microcytic Hypochromic Anemia - disease-level clinical article (iron-deficiency-anemia-clinical.txt) Why Carries the referral criteria and warning signs for this condition, which apply whichever treatment is chosen. Caution RED FLAG - iron deficiency requires investigation for an underlying cause (eg GI, uterine, or urinary bleeding); delayed diagnosis of an underlying malignancy causing the bleeding worsens outcomes. 3. FERRIC HYDROXIDE POLYMALTOSE [2nd line] Adult 100 mg elemental iron 1-2 times daily with or after meals x 3-6 months Peds 3-5 mg/kg/day [child max 200 mg] (Doses are for elemental iron (not salt), divided BID; give with or immediately after meals) 3kg -> 9-15 mg/day 4kg -> 12-20 mg/day 5kg -> 15-25 mg/day 6kg -> 18-30 mg/day 7kg -> 21-35 mg/day 8kg -> 24-40 mg/day 9kg -> 27-45 mg/day 10kg -> 30-50 mg/day 11kg -> 33-55 mg/day 12kg -> 36-60 mg/day 13kg -> 39-65 mg/day 14kg -> 42-70 mg/day 15kg -> 45-75 mg/day 16kg -> 48-80 mg/day 17kg -> 51-85 mg/day 18kg -> 54-90 mg/day 19kg -> 57-95 mg/day 20kg -> 60-100 mg/day 21kg -> 63-105 mg/day 22kg -> 66-110 mg/day 23kg -> 69-115 mg/day 24kg -> 72-120 mg/day 25kg -> 75-125 mg/day 26kg -> 78-130 mg/day 27kg -> 81-135 mg/day 28kg -> 84-140 mg/day 29kg -> 87-145 mg/day 30kg -> 90-150 mg/day 31kg -> 93-155 mg/day 32kg -> 96-160 mg/day 33kg -> 99-165 mg/day 34kg -> 102-170 mg/day 35kg -> 105-175 mg/day 36kg -> 108-180 mg/day 37kg -> 111-185 mg/day 38kg -> 114-190 mg/day 39kg -> 117-195 mg/day 40kg -> 120-200 mg/day 41kg -> 123-200 mg/day (upper capped) 42kg -> 126-200 mg/day (upper capped) 43kg -> 129-200 mg/day (upper capped) 44kg -> 132-200 mg/day (upper capped) 45kg -> 135-200 mg/day (upper capped) 46kg -> 138-200 mg/day (upper capped) 47kg -> 141-200 mg/day (upper capped) 48kg -> 144-200 mg/day (upper capped) 49kg -> 147-200 mg/day (upper capped) 50kg -> 150-200 mg/day (upper capped) Source Egyptian National Drug Formulary - Blood Disorder Medications 2025 Why Second line, and the reason is tolerance rather than strength. A ferrous salt is absorbed better and costs a tenth as much, but the constipation, black stools and epigastric pain are why patients stop taking it. Polymaltose is plain iron with no folic acid attached, is taken with food rather than on an empty stomach, and is what to move to when the ferrous salt has already been tried and abandoned - not before. Caution Must be taken WITH meals (unlike a ferrous salt, which needs an empty stomach). Does not stain teeth in liquid form. Absorption is lower than a ferrous salt's. Expect the haemoglobin to rise more slowly and recheck at 4 weeks rather than assuming failure. There is a lower incidence of GI irritation than with ferrous salts. Egypt HAEMOPOWER 100MG 30 CHEW. TABS. AMRIYA 25.20 EGP HEMALTOSE 100 MG 30 CHEW. TABS. GLOBAL ADVANC... 40.50 EGP HAEMOJET 100 MG 36 S.G.CAPS. EUROPEAN EGYP... 58.50 EGP GOLDEN FER 100 MG 30 CHEW. TABS. MEDIZEN PHARM... 60.00 EGP FERRITOP 15MG/5ML SYRUP 100 ML HIKMA PHARMA 10.00 EGP -> ? strength differs, ? different route - not oral solid ANSCHLARIN SYRUP 120 ML AVERROES PHAR... 10.50 EGP -> ? strength differs, ? different route - not oral solid 4. ASCORBIC ACID [add-on - not a substitute] Adult 200-500 mg orally in combination with oral iron Peds No paediatric dose is stated in the sources held for this drug. Source Iron deficiency anemia - disease-level clinical article (iron-deficiency-anemia- clinical.txt) Why Given concurrently with oral iron therapy to reduce ferric iron to ferrous iron and enhance gastrointestinal absorption. Caution May cause gastrointestinal disturbances and nephrolithiasis at doses >1 g daily, and may interfere with blood and urine glucose measurements at doses ≥2 g daily. Do not exceed 1 g daily during pregnancy. Using vitamin C in large quantities without concomitant deferoxamine use carries a higher risk for fatal arrhythmias. Egypt C-VITON 500 MG 20 TABS KAHIRA 8.00 EGP (0.40/unit) CEVAROL 500MG 20 TAB. MEMPHIS 12.00 EGP (0.60/unit) C-SAFE 500 MG 36 CAPS. SAFE PHARMA 35.00 EGP (0.97/unit) MUNITO C 1000 MG 60 F.C. TABS. MULTICARE 156.50 EGP (2.61/unit) VITAMIN C 500 MG 30 TABS. (NEW BOSTON) COPAD > NEW BOSTON PH... 120.00 EGP (4.00/unit) VITACID C 1 GM 12 EFF. TAB. CID 54.00 EGP ADVANCED VITAMIN C 30 GUMMIES VITACARE > VI... 599.00 EGP VITAMIN C 1000 MG 100 CAPLETS (PURITANS PRIDE) PURITANS PRIDE > ARAB IMP... 850.00 EGP CEBION 100MG/ML ORAL DROPS 30 ML AMOUN > MERCK... 5.50 EGP -> ? strength differs, ? different route - not oral solid UR-C ORAL DROPS 15 ML HI-PHARM 6.00 EGP -> ? strength differs, ? different route - not oral solid INTRAVENOUS IRON - REFER 5. IRON [3rd line] Adult Iron sucrose 100-200 mg elemental iron by slow intravenous injection or infusion, one to three times a week depending on the haemoglobin. Total dose = body weight (kg) x (target Hb - actual Hb in g/L) x 0.24, plus 500 mg storage iron at 35 kg and above - until the calculated total dose is given Peds The formulary states use has not been studied in children. A child who needs intravenous iron is a paediatric referral, not a primary-care prescription. Source Egyptian National Drug Formulary - Blood Disorder Medications 2025 (iron sucrose monograph) Why Third line, and not something to start in the clinic - it is what to refer for. The three reasons to reach it are malabsorption that oral iron cannot overcome (coeliac disease, gastric surgery, inflammatory bowel disease), intolerance of both oral options above, and a haemoglobin that has to come up faster than oral iron can manage. The packs are listed so the cost of that referral is known before it is made - 9 EGP to 1,600 EGP is the spread. Caution The register does not name the salt on most of these vials. Iron dextran carries a materially higher anaphylaxis risk than iron sucrose or ferric carboxymaltose - read the vial, do not go by the trade name. Never give intravenous iron where the anaemia is not iron deficiency. Confirm with ferritin and transferrin saturation first. Contraindicated in iron overload, haemochromatosis, and in known serious hypersensitivity to any parenteral iron product. Resuscitation facilities must be available for the first dose. Egypt FERROJECT 12.5MG/ML AMP. FOR I.V. INF. OR SLOW I.V. INJ. ADWIA 9.00 EGP HYDROFERRIN 100MG/2ML 3 AMP. BORG 33.00 EGP EMIFERRON-S 100MG/5ML 1 AMP. I.V INJ./INF. HIKMA SPECIALIZED PHARMACEUTI... 38.50 EGP HAEMOPOWER 100MG/2ML 5 AMP. FOR I.M INJ. AMRIYA 75.00 EGP AMPOFER 20MG/ML 5 AMPS. I.V. INJ./INF. DELTA GRAND PHARMA > EGYPHARMA-EGYPT 275.00 EGP INTEROFER 100MG/5ML 5 AMP FOR I.V. INJ. SUNNY MEDICAL > MULTIPHARMA 275.00 EGP COSMOFER 50MG/ML FOR INF. 5 AMPS. PHARMACOSMOS A/S > PHAROPHARMA 470.00 EGP INJECTAFER 500MG/10ML 1 VIAL FOR I.V. INJ./INFUSION IDT BIOLOGICA GMBH >... 1600.00 EGP LACTOFERRIN ALTERNATIVE 6. LACTOFERRIN [3rd line] Adult 200 mg once daily. 400 mg once daily was also tested in the trial below and was no more effective x 12 weeks in the trial, with haemoglobin and ferritin rechecked monthly Peds No paediatric dose could be sourced from a regulatory document. Childhood iron deficiency anaemia should be treated with an iron salt at a properly calculated mg/kg dose, not with lactoferrin. Source Huda T, Dibley M, El Arifeen S, et al. Assessing the Efficacy of Bovine Lactoferrin to Correct Iron Deficiency Anemia in Non-pregnant Non-lactating Women: A Randomized Controlled Trial. Current Developments in Nutrition 2019;3(Suppl 1):nzz044.FS08-02-19 (https://pmc.ncbi.nlm.nih.gov/articles/PMC6574033/): "Arm A, B and C received daily oral 200 mg bLf, 400 mg bLf and 60 mg ferrous sulfate. ... Treatment was for 12 weeks." The trial's own result was that neither lactoferrin arm raised haemoglobin - "Women on 200 mg bLf had a decrease in Hb of 0.3 g/dl" and "women on 400 mg bLf arm had no change in Hb: 0.0 g/dl" - while "women on ferrous sulfate arm had an increase in Hb: 1.1 g/dl". Why 38 live Egyptian products and one of the most-prescribed anaemia preparations in Cairo, so a search must not come back empty. It is placed at line 3 with the negative trial evidence stated first in the cautions, not hidden. Caution THE EVIDENCE DOES NOT SUPPORT IT AS A SUBSTITUTE FOR AN IRON SALT. In a 555-woman randomised trial, haemoglobin fell 0.3 g/dL on 200 mg lactoferrin and did not change on 400 mg, while it rose 1.1 g/dL on 60 mg ferrous sulfate. Ferritin rose 2.8-3.5 micrograms/L versus 41.1 micrograms/L. The one consistent advantage is tolerability: abdominal pain, indigestion, diarrhoea and black stool were all significantly commoner with ferrous sulfate. Trials in pregnancy have been more favourable but are smaller and mostly single-centre - the evidence is not equivalent. Use it only where an iron salt genuinely cannot be tolerated and parenteral iron is not available. Recheck haemoglobin at 4 weeks and switch if it has not risen. It is sold as a food supplement in Egypt, so the actual lactoferrin content is not regulated to medicine standards and varies between brands. Never let a lactoferrin prescription substitute for finding the cause of the iron deficiency - the investigation matters more than the tablet. Egypt DEVAFERRIN 200 MG 20 CAPS. DEVARTLAB > B... 325.00 EGP (16.25/unit) CORETIDE 200 MG 7 SACHETS > CORE PHARM 109.00 EGP Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy. ``` --- Dawaa Reference is a reference for prescribers, not a medical device, and does not replace clinical judgement. [Privacy policy](/privacy)