Reviewed by clinical practice committee
March 2018
Dose and Pharmacology Newborn Drug Protocol Index Newborn Services Home Page

Management of Oral Ferrous Sulphate Administration



Administration of Oral Ferrous Sulphate

  1. Administer before feeds to maximise absorption. If not tolerated can be administered with a small amount of milk (milk decreases absorption of iron).

Nursing Considerations

  1. Observe for signs of adverse effects and/or toxicity. Keep in mind gastro-intestinal upset may be dose related.
  2. Observe stools. Check for constipation.



1 Pawlak RP and Herfert LA. Drug administration in the NICU. A handbook for Nurses, Neonatal Network 1990, 2nd Edition p100-1.
2 Royal Children's Hospital, Melbourne. Paediatric Pharmacopoeia 11th Edition, 1994 p74.
3 Young TE and Mangum OB Neofax. A manual of drugs used in neonatal care. 11th Edition 1998, p176.
4 Nursing 1997 Drug Handbook, Springhouse. 1997, p857-8.