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Ferrous Sulph Tabs 200mg Actavs (60)

Ferrous Sulph Tabs 200mg Actavs (60)

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  • ✔️ Treats iron deficiency anaemia in adults and children
  • ✔️ Restores haemoglobin levels and reduces fatigue
  • ✔️ Each tablet delivers 65mg of elemental iron
  • ✔️ Suitable for pregnant women under medical supervision
  • ✔️ 60-tablet pack provides a full course of treatment

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What Are Ferrous Sulphate 200mg Tablets Used For?

 

Iron deficiency is one of the most common nutritional deficiencies in the UK, affecting millions of people — particularly women of childbearing age, pregnant women, and those with certain long-term health conditions. Ferrous sulphate 200mg tablets are a well-established, clinically recognised treatment for iron deficiency anaemia, helping to restore iron levels in the body so that red blood cells can carry oxygen effectively. Each pack contains 60 tablets, making it a practical and affordable option at just £4.49. You can browse our full range of vitamins and supplements if you're looking for additional nutritional support alongside your iron treatment.

Iron deficiency anaemia occurs when your body doesn't have enough iron to produce adequate haemoglobin. Symptoms can include persistent tiredness, shortness of breath, pale skin, and difficulty concentrating. Left untreated, it can significantly affect your quality of life. Ferrous sulphate tablets provide a reliable, cost-effective way to address this deficiency under appropriate medical guidance.

 

How Do Ferrous Sulphate Tablets Work in the Body?

 

Ferrous sulphate works by supplying the body with iron in a form it can readily absorb through the lining of the small intestine. Once absorbed, iron is transported in the blood and used to synthesise haemoglobin — the protein inside red blood cells responsible for carrying oxygen from your lungs to every tissue in your body. Without sufficient iron, haemoglobin production falls, and anaemia develops.

  • Iron is absorbed primarily in the duodenum and upper jejunum
  • Ferrous (Fe²⁺) iron is more readily absorbed than ferric (Fe³⁺) iron
  • Absorbed iron binds to transferrin and is transported to the bone marrow
  • In the bone marrow, iron is incorporated into haemoglobin in developing red blood cells
  • Excess iron is stored as ferritin in the liver, spleen, and bone marrow

 

Who Is Suitable for Ferrous Sulphate 200mg Tablets?

 

These tablets are suitable for adults and children over the age of six who have been diagnosed with, or are at risk of, iron deficiency anaemia. They are particularly relevant for people whose dietary iron intake is insufficient or whose iron absorption is impaired. That said, it's always worth speaking to your GP or pharmacist before starting iron supplementation, especially if you haven't had a blood test to confirm deficiency.

  • Adults with confirmed iron deficiency anaemia
  • Pregnant or breastfeeding women (under medical supervision)
  • Vegetarians and vegans with low dietary iron intake
  • People with heavy menstrual periods
  • Individuals recovering from surgery or significant blood loss

 

How Do Ferrous Sulphate Tablets Compare to Other Iron Supplements?

 

Feature Ferrous Sulphate 200mg Ferrous Fumarate 210mg
Elemental iron per tablet 65mg 68mg
Absorption rate Good Good
GI tolerability Moderate Slightly better tolerated by some
Typical OTC cost Lower cost Slightly higher cost
Availability Widely available OTC Widely available OTC

 

How Should You Store Ferrous Sulphate 200mg Tablets?

 

Store your ferrous sulphate 200mg tablets below 25°C in a dry place, away from direct sunlight and moisture. Keep the tablets in their original packaging and ensure the container is tightly closed after each use. This helps maintain the integrity of the tablets throughout the shelf life of the product.

It is absolutely essential to keep iron tablets out of the reach and sight of children. Iron overdose in young children is a medical emergency and can be life-threatening. If you suspect a child has swallowed iron tablets, call 999 or go to your nearest A&E immediately. If you're also managing other health conditions, you may find our women's health range useful for complementary support products.

This product is a medicine. Speak to your doctor or pharmacist before using if you have an underlying medical condition or are taking other medicines.

Ferrous Sulphate Tablets 200mg Actavis (60) specifications
Treatment category Iron deficiency anaemia
Active ingredient Ferrous sulphate 200mg
Mechanism of action Replenishes iron stores; supports haemoglobin synthesis
Suitable for Adults and children over 6 years
Pack size 60 tablets
Strength 200mg
UK classification General Sale / Pharmacy (P)
Drug class Iron supplement / Haematinic
Preparation Tablet
Route of administration Oral
Effective for Treating and preventing iron deficiency anaemia

Specifications of Ferrous Sulphate Tablets 200mg Actavis (60)

 

What Is Ferrous Sulphate and What Is It Used For?

 

Ferrous sulphate 200mg tablets are an iron supplement used to treat iron deficiency anaemia — a condition where the body lacks enough iron to produce sufficient healthy red blood cells. Each tablet contains 200mg of ferrous sulphate, which provides approximately 65mg of elemental iron. The NHS recommends iron supplementation as a first-line treatment for iron deficiency anaemia in most adults and children. These tablets may also be used to prevent iron deficiency in people at higher risk, such as pregnant women or those with poor dietary iron intake.

 

What Do You Need to Know Before Using Ferrous Sulphate Tablets?

 

Before taking ferrous sulphate, it's important to consider whether this medicine is appropriate for you. Do not take these tablets if any of the following apply:

  • You have haemochromatosis (iron overload disorder)
  • You have haemolytic anaemia or other non-iron-deficiency anaemias
  • You are allergic to ferrous sulphate or any of the tablet's excipients
  • You have a history of peptic ulcer disease or inflammatory bowel disease (seek medical advice first)
  • You are receiving repeated blood transfusions

Ferrous sulphate can interact with a number of other medicines. Speak to your pharmacist if you are taking any of the following:

  • Antacids — may reduce iron absorption if taken at the same time
  • Tetracycline or quinolone antibiotics — iron can reduce their absorption; separate doses by at least two hours
  • Levothyroxine (thyroid medication) — iron may reduce its absorption
  • Levodopa (used in Parkinson's disease) — absorption may be reduced
  • Calcium supplements — may compete with iron for absorption
  • Penicillamine — iron can reduce its effectiveness

 

How Should You Use Ferrous Sulphate 200mg Tablets?

 

Always take ferrous sulphate exactly as directed by your doctor or pharmacist. Swallow the tablets whole with a full glass of water. Taking them on an empty stomach improves absorption, but if you experience stomach upset, taking them with food is acceptable — just be aware this may slightly reduce how much iron is absorbed.

  1. Take the tablet with a full glass of water
  2. Ideally take on an empty stomach, 30 minutes before a meal
  3. If stomach upset occurs, take with a small amount of food
  4. Avoid taking with tea, coffee, or dairy products as these reduce iron absorption
  5. Vitamin C (ascorbic acid) taken alongside iron can enhance absorption
  6. Do not crush or chew the tablets unless advised to do so
Indication Age Group Dose Frequency
Treatment of iron deficiency anaemia Adults 200mg (1 tablet) Two to three times daily
Prevention of iron deficiency Adults 200mg (1 tablet) Once daily
Treatment of iron deficiency anaemia Children 6–12 years As directed by a doctor As directed by a doctor
Pregnancy (iron deficiency) Pregnant adults As directed by midwife/GP As directed by midwife/GP

 

What Are the Possible Side Effects of Ferrous Sulphate Tablets?

 

Like all medicines, ferrous sulphate can cause side effects, though not everyone experiences them. One of the most commonly noticed effects is that your stools may turn dark or black — this is completely normal and harmless. If you're also supporting your general health with other products, you might find our vitamins and supplements collection helpful for a broader nutritional approach.

Common side effects (may affect more than 1 in 10 people):

  • Dark or black stools
  • Nausea or feeling sick
  • Stomach pain or discomfort
  • Constipation
  • Diarrhoea

Less common side effects:

  • Vomiting
  • Heartburn or indigestion — if this is a concern, our indigestion range may offer some relief
  • Loss of appetite
  • Allergic reactions (rash, itching, swelling) — seek medical advice promptly if these occur

If you experience severe abdominal pain, blood in your stools, or signs of an allergic reaction such as difficulty breathing or facial swelling, stop taking the tablets and seek urgent medical attention.

 

How Should You Store Ferrous Sulphate Tablets?

 

  • Store below 25°C in a dry place away from direct sunlight
  • Keep in the original packaging with the lid tightly closed
  • Do not store in the bathroom or near a sink — moisture can damage the tablets
  • Keep out of the reach and sight of children at all times
  • Do not use after the expiry date printed on the packaging
  • Do not dispose of medicines via wastewater or household waste — return unused tablets to your pharmacy

Written and reviewed by our qualified team

Your safety and success are our highest priorities. Our medical team rigorously evaluates every product and piece of advice we provide, ensuring you receive only the most effective, science-backed solutions available.

Frequently Asked Questions

Where can I buy ferrous sulphate 200mg tablets online in the UK?

You can buy Ferrous Sulphate 200mg Tablets (60) directly from Cured Pharmacy, a GPhC-registered UK online pharmacy, for just £4.49. No prescription is needed for this over-the-counter product. Simply add to your basket and your order will be dispatched promptly to your door.

How do ferrous sulphate tablets work in the body?

Ferrous sulphate provides iron in a ferrous (Fe²⁺) form that the gut can absorb efficiently through the lining of the small intestine. Once absorbed, the iron is transported via transferrin to the bone marrow, where it is incorporated into haemoglobin in red blood cells. This process helps restore the oxygen-carrying capacity of the blood, relieving symptoms of iron deficiency anaemia such as fatigue and breathlessness.

How do I take ferrous sulphate 200mg tablets step by step?

Swallow one tablet whole with a full glass of water, ideally 30 minutes before a meal on an empty stomach for best absorption. If you experience nausea or stomach discomfort, you can take the tablet with a small amount of food. Avoid taking it alongside tea, coffee, milk, or antacids, as these can significantly reduce how much iron your body absorbs.

What is the correct dose of ferrous sulphate 200mg for adults?

For treating iron deficiency anaemia in adults, the typical dose is one 200mg tablet taken two to three times daily, as directed by a doctor or pharmacist. For prevention of iron deficiency, a lower dose of one tablet once daily may be sufficient. Always follow the specific guidance given to you by your healthcare professional, as individual needs vary.

What is the best time of day to take ferrous sulphate tablets?

Iron is best absorbed when taken on an empty stomach, so taking your tablet around 30 minutes before breakfast is often recommended. However, if morning doses cause stomach upset, taking it with a light meal is a reasonable alternative. Consistency matters — try to take your tablets at the same time each day to maintain steady iron levels.

What are the common side effects of ferrous sulphate and how do I manage them?

The most common side effects include dark or black stools (which is harmless), nausea, constipation, stomach cramps, and diarrhoea. Taking the tablet with food rather than on an empty stomach can help reduce nausea and stomach discomfort. If constipation becomes a problem, increasing your fluid and fibre intake may help — and you can explore our constipation range for additional support.

Who is eligible to take ferrous sulphate 200mg tablets?

These tablets are suitable for adults and children over six years of age who have iron deficiency anaemia or are at risk of developing it. They are commonly used by pregnant women, people with heavy periods, vegetarians, vegans, and those recovering from surgery or significant blood loss. You should not take them if you have haemochromatosis, haemolytic anaemia, or are allergic to any of the ingredients.

Can I take ferrous sulphate tablets during pregnancy?

Yes — ferrous sulphate is one of the most commonly recommended iron supplements during pregnancy, as iron requirements increase significantly to support the growing baby and placenta. The NHS advises that pregnant women with iron deficiency anaemia should take iron supplements under the guidance of their midwife or GP. Always confirm the appropriate dose with your healthcare provider before starting treatment.

What happens if I miss a dose of ferrous sulphate?

If you forget to take a dose, take it as soon as you remember — unless it is nearly time for your next scheduled dose, in which case simply skip the missed one. Never take a double dose to compensate for a missed tablet, as this increases the risk of side effects. Try setting a daily reminder on your phone to help you stay consistent with your treatment.

How long does it take for ferrous sulphate to work?

Many people begin to notice an improvement in energy levels and reduced fatigue within two to four weeks of starting treatment. However, it typically takes two to four months of regular use to fully replenish the body's iron stores. Your GP will usually arrange a follow-up blood test to check your haemoglobin and ferritin levels and confirm that treatment is working.

How long can you stay on ferrous sulphate tablets?

Treatment duration depends on the severity of your iron deficiency and the underlying cause. Most people are advised to continue taking iron tablets for at least three to six months after their haemoglobin levels return to normal, to ensure iron stores are fully replenished. Your doctor will advise when it is safe to stop, based on your blood test results.

What are the alternatives to ferrous sulphate 200mg tablets?

Other oral iron supplements available in the UK include ferrous fumarate 210mg, ferrous gluconate, and sodium feredetate (Sytron syrup). Some people find ferrous fumarate or gluconate slightly easier on the stomach than ferrous sulphate. Your GP or pharmacist can help you choose the most appropriate alternative if you are experiencing troublesome side effects. You can also explore our broader vitamins and supplements range for complementary nutritional products.

Can ferrous sulphate tablets interact with other medicines?

Yes — ferrous sulphate can interact with several medicines, including antacids, tetracycline and quinolone antibiotics, levothyroxine, levodopa, penicillamine, and calcium supplements. To minimise interactions, separate iron tablets from these medicines by at least two hours. Always tell your pharmacist about all medicines, supplements, and herbal products you are taking before starting ferrous sulphate.

Is it safe to give ferrous sulphate tablets to children?

Ferrous sulphate tablets may be used in children over six years of age, but only under the supervision and direction of a doctor — the dose will be calculated based on the child's weight and the severity of their anaemia. Iron overdose in young children is extremely dangerous and can be fatal, so tablets must always be stored securely out of children's reach. Never give a child iron tablets without specific medical advice.

What does the latest research say about ferrous sulphate for anaemia?

Ferrous sulphate remains the first-line oral iron supplement recommended by the NHS and NICE for treating iron deficiency anaemia, supported by decades of clinical evidence. Recent research has explored alternate-day dosing as a strategy to improve absorption and reduce gastrointestinal side effects, with some studies suggesting it may be as effective as daily dosing for certain patients. Speak to your GP or pharmacist about the most up-to-date dosing approach for your individual circumstances.

How Should You Use Ferrous Sulphate 200mg Tablets?

Ferrous sulphate tablets should be swallowed whole with a full glass of water. Do not crush, chew, or break the tablets unless specifically advised to do so by your doctor or pharmacist. Taking them correctly helps ensure you absorb as much iron as possible and reduces the likelihood of stomach discomfort.

Follow these steps each time you take your tablets:

What Is the Correct Dose of Ferrous Sulphate 200mg Tablets?

The correct dose depends on your age, the reason for taking iron, and your doctor's instructions. Always follow the specific guidance given to you by your GP or pharmacist. Do not exceed the recommended dose without medical advice, as excess iron can be harmful.

When Is the Best Time to Use Ferrous Sulphate Tablets?

Iron is absorbed most efficiently when taken on an empty stomach, so the ideal time is approximately 30 minutes before a meal — many people find taking their first dose before breakfast works well. If you are taking multiple doses per day, space them evenly throughout the day, for example before breakfast, before lunch, and before your evening meal.

If morning doses consistently cause nausea, taking the tablet with a light meal is a reasonable compromise. Avoid taking iron tablets at the same time as other medicines, particularly antacids, thyroid medication, or antibiotics — leave a gap of at least two hours between iron and these other medicines.

How Long Can You Use Ferrous Sulphate Tablets For?

Treatment duration is usually determined by your GP based on blood test results. For most people with iron deficiency anaemia, treatment continues for at least three to six months after haemoglobin levels return to normal, to ensure iron stores are fully replenished. Stopping too early is a common reason for anaemia returning.

If you are taking iron tablets for prevention rather than treatment, your doctor will advise on the appropriate duration. Do not continue taking iron supplements long-term without periodic blood tests to monitor your iron levels, as excess iron can accumulate in the body and cause harm.

Do not exceed the recommended dose. If in doubt, speak to your pharmacist.

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What Are the Most Common Side Effects of Ferrous Sulphate Tablets?

Most people who take ferrous sulphate experience at least one gastrointestinal side effect, particularly when starting treatment. These are generally mild and often improve as your body adjusts to the supplement. The most frequently reported effect is a change in stool colour — your stools may become dark green or black. This is completely harmless and simply reflects the iron passing through your digestive system.

  • Dark or black stools
  • Nausea or feeling sick
  • Stomach pain or cramping
  • Constipation
  • Diarrhoea
  • Loss of appetite

What Are the Less Common Side Effects of Ferrous Sulphate Tablets?

Some people experience side effects that are less frequent but still worth being aware of. These tend to occur more often at higher doses or in people with sensitive digestive systems. If any of these become troublesome, speak to your pharmacist — they may be able to suggest a different iron preparation that suits you better.

  • Vomiting
  • Heartburn or acid reflux
  • Bloating or flatulence
  • Discolouration of teeth (more common with liquid iron preparations, less so with tablets)
  • Skin rash or itching (possible sign of sensitivity)

What Are the Serious Side Effects of Ferrous Sulphate Tablets?

Serious side effects from ferrous sulphate are rare when taken at the recommended dose in adults. However, iron overdose — particularly in young children — is a medical emergency. Symptoms of iron overdose include severe abdominal pain, vomiting, bloody diarrhoea, drowsiness, and collapse. If you suspect an overdose, call 999 or go to your nearest A&E immediately.

In adults, signs of a serious allergic reaction (anaphylaxis) are very rare but require urgent attention. These include difficulty breathing, swelling of the face, lips, or throat, and a sudden drop in blood pressure. Stop taking the tablets immediately and seek emergency medical help if these occur.

What Should You Do If You Experience Side Effects?

For mild gastrointestinal side effects such as nausea or constipation, try taking your tablet with a small amount of food rather than on an empty stomach. Increasing your fluid and fibre intake can help manage constipation. If side effects persist or are significantly affecting your daily life, speak to your pharmacist or GP — they may recommend a lower dose, a different iron salt, or an alternate-day dosing schedule.

Never stop taking your iron tablets without speaking to your doctor first, as untreated iron deficiency anaemia can worsen and lead to more serious health complications over time.

Can Ferrous Sulphate Interact With Other Medicines?

Yes — ferrous sulphate has several clinically significant interactions. It can reduce the absorption of tetracycline and quinolone antibiotics, levothyroxine, levodopa, and penicillamine if taken at the same time. Antacids and calcium supplements can also reduce iron absorption. To avoid these interactions, take ferrous sulphate at least two hours before or after these medicines. Always inform your pharmacist of all medicines and supplements you are currently taking.

If you are concerned about any side effects, contact your pharmacist or GP immediately.

Patient Information Leaflet

Important - Before taking any medication, it is always important to read the Patient Information Leaflet (PIL)

Written and reviewed by our qualified team

GPhC Number: 2233073
Tarun Kumar

Reviewed by:

Tarun Kumar

Superintendent/ Clinical Lead

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Content last updated: 31 Mar 2025

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