r.b tone 50mg injection - Iron (50mg) medicine

Anofer S 50mg Injection: Complete Medicine Guide

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🏭 Medley Pharmaceuticals 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for iron deficiency anaemia.
Reviewed by
SaathiMed Expert Panel | Sep 23, 2026

When to Call Your Doctor IMMEDIATELY

  • Difficulty breathing or wheezing
  • Swelling of face, lips, or throat
  • Severe rash or hives
  • Chest pain or palpitations
  • Severe dizziness or fainting
  • High fever with joint pain
  • Yellowing of skin or eyes

If experiencing severe symptoms, call emergency services immediately.

What is r.b tone 50mg injection used for?

This medicine is an injectable iron supplement used to treat iron deficiency anaemia when oral iron is not effective or tolerated. It is given by a healthcare professional.

  • Generic Name: Iron (50mg)
  • Manufacturer: Medley Pharmaceuticals
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 r.b tone 50mg injection के बारे में (Hindi Summary)

उपयोग: यह दवा आयरन की कमी से होने वाले एनीमिया के इलाज के लिए दी जाती है, खासकर जब मुँह से ली जाने वाली आयरन दवाएँ काम नहीं करतीं या बर्दाश्त नहीं होतीं। यह शरीर में आयरन के भंडार को बढ़ाकर हीमोग्लोबिन बनाने में मदद करती है। यह इंजेक्शन के रूप में डॉक्टर या नर्स द्वारा दी जाती है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में इंजेक्शन की जगह पर दर्द, सूजन, सिरदर्द, चक्कर आना, जी मिचलाना और मुँह में धातु जैसा स्वाद शामिल हैं। गंभीर दुष्प्रभावों में एलर्जी, साँस लेने में कठिनाई, त्वचा पर चकत्ते और निम्न रक्तचाप हो सकते हैं। किसी भी असामान्य लक्षण पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: यह दवा केवल योग्य डॉक्टर या नर्स द्वारा ही दी जानी चाहिए। इसे स्वयं न लगाएँ। यदि आपको एलर्जी, अस्थमा या आयरन ओवरलोड की समस्या है तो डॉक्टर को बताएं। इंजेक्शन के बाद कम से कम 30 मिनट तक निगरानी में रहें। गर्भावस्था में इसका उपयोग डॉक्टर की सलाह से ही करें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 r.b tone 50mg injection Uses & Benefits

[{"condition":"Iron deficiency anaemia","description":"Used to treat iron deficiency anaemia when oral iron is ineffective, not tolerated, or contraindicated, or when rapid replenishment is required.","evidence":"Well-established"},{"condition":"Anaemia of chronic kidney disease","description":"Helps maintain iron stores in patients with chronic kidney disease, especially those on dialysis.","evidence":"Well-established"},{"condition":"Chemotherapy-induced anaemia","description":"May be used to correct iron deficiency in cancer patients receiving chemotherapy.","evidence":"Moderate"},{"condition":"Post-bariatric surgery iron deficiency","description":"Used when oral iron absorption is impaired after bariatric surgery.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Restless legs syndrome with iron deficiency","description":"Sometimes used off-label for restless legs syndrome when iron deficiency is documented.","evidence":"Limited"},{"condition":"Preoperative iron optimization","description":"May be used off-label to optimize iron stores before major surgery to reduce transfusion needs.","evidence":"Limited"}]

Primary treatment for: Iron deficiency anaemia

Also treats: Anaemia of chronic kidney disease, Chemotherapy-induced anaemia, Post-bariatric surgery iron deficiency

📋 Drug Information

Generic Name(s)Iron (50mg)
Brand Namer.b tone 50mg injection
ManufacturerMedley Pharmaceuticals
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGYNAECOLOGICAL
Action ClassHaemopoetic agents
Route of AdministrationParenteral (intramuscular or intravenous)
StorageStore at room temperature (15-30°C). Protect from light. Do not freeze.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Always administer this medicine in a setting with resuscitation facilities.
2
Monitor the patient for at least 30 minutes after injection for any signs of allergic reaction.
3
Calculate the total iron deficit based on the patient's haemoglobin and body weight before prescribing.
4
Avoid concomitant oral iron supplements to prevent iron overload.
5
Regularly monitor serum ferritin and transferrin saturation to assess response and prevent toxicity.
6
Use with caution in patients with a history of asthma or allergies.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Fatigue and weakness
This medicine is used to treat fatigue caused by iron deficiency anaemia.
Likely Use
Pallor
This medicine helps improve haemoglobin levels, reducing pallor.
Likely Use
Shortness of breath
This medicine can improve oxygen-carrying capacity, relieving breathlessness due to anaemia.
Likely Use
Fever
This medicine is not used to treat fever.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is administered parenterally, so absorption from the gastrointestinal tract is bypassed. The iron complex is absorbed from the injection site into the bloodstream.
DistributionIron is distributed to the bone marrow, liver, spleen, and other tissues. It is transported in plasma bound to transferrin.
Protein BindingIron in plasma is bound to transferrin. The iron complex itself may have some protein binding, but this is not clinically significant.
MetabolismIron is not metabolized in the conventional sense. It is stored in the body as ferritin and haemosiderin, and recycled from senescent red blood cells.
Half-LifeThe elimination half-life of the iron complex is not well established. Iron itself is conserved and recycled in the body.
ExcretionIron is primarily excreted in faeces, urine, and sweat, but the amount excreted is very small as the body conserves iron. The carrier molecule is metabolized and excreted.
BioavailabilityBioavailability is 100% relative to oral iron because it is injected directly into the bloodstream or muscle.
Onset of ActionImprovement in anaemia symptoms may begin within a few days, but significant increases in haemoglobin are typically seen after 1-2 weeks.
Peak Plasma TimePeak plasma iron levels occur within a few hours after intramuscular injection, and sooner after intravenous administration.
Duration of ActionThe effect on haemoglobin levels is sustained as long as iron stores are replenished. The duration of action depends on the dose and the patient's iron requirements.

How It Works

This medicine provides elemental iron, which is essential for the synthesis of haemoglobin, myoglobin, and certain enzymes. Iron is incorporated into the haem moiety of haemoglobin, enabling oxygen transport from the lungs to tissues. It also plays a key role in electron transport and DNA synthesis. By replenishing iron stores, this medicine corrects iron deficiency anaemia and improves oxygen-carrying capacity of the blood.

Mechanism Steps

1
Administration: This medicine is injected intramuscularly or intravenously, bypassing the gastrointestinal tract.
2
Release of iron: The iron complex is taken up by the reticuloendothelial system, where iron is released from the carrier molecule.
3
Transport: Released iron binds to transferrin in the plasma and is transported to the bone marrow and other tissues.
4
Haemoglobin synthesis: In erythroid precursor cells, iron is incorporated into haem, which combines with globin chains to form haemoglobin.
5
Increased erythropoiesis: The availability of iron supports increased production of red blood cells, correcting anaemia.

💡 How to Take r.b tone 50mg injection

Strength: Injection: 50mg

1This medicine is administered by a healthcare professional.
2It is given as an intramuscular or intravenous injection.
3Do not self-administer.
4Report any discomfort or unusual symptoms immediately.

Dosage Information

Adult DosageThe dose of this medicine is individualized by a qualified clinician based on the patient's iron deficit, body weight, and clinical condition. It is typically administered as a single dose or a series of doses, either intramuscularly or intravenously. The total dose is calculated using the patient's haemoglobin level and body weight. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may require dose adjustment based on renal and hepatic function. Monitor closely for adverse effects.
Renal ImpairmentDose adjustment may be needed in patients with severe renal impairment. Consult a nephrologist.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose adjustment may be necessary.
Maximum Daily DoseThe maximum daily dose is determined by the clinician based on the patient's iron requirements and tolerance. Do not exceed the prescribed dose.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

No specific food restrictions
Maintain a normal diet
This medicine is given by injection, so food does not affect its absorption.

⏰ What to Do If You Miss a Dose

📌 You miss your scheduled injection appointment
→ Contact your doctor or clinic to reschedule as soon as possible.
💡 Do not attempt to self-administer.

⚠️ Side Effects of r.b tone 50mg injection

✅ Common Side Effects

Injection site pain (Common (5-10%))
Apply a cold compress to the area. It usually resolves within a few days.
Headache (Common (5-10%))
Rest and stay hydrated. Consult your doctor if it persists.
Dizziness (Common (5-10%))
Sit or lie down until it passes. Avoid driving if affected.
Nausea (Common (5-10%))
Take small sips of water. Inform your doctor if it continues.
Metallic taste (Common (5-10%))
This is temporary and usually resolves on its own.

🚨 Serious Side Effects

Anaphylaxis (Rare (<0.1%))
Seek immediate medical attention if you experience difficulty breathing, swelling of face or throat, or a severe rash.
Severe allergic reaction (Rare (<0.1%))
Get emergency help if you develop hives, itching, or swelling.
Hypotension (Rare (<0.1%))
Lie down and call for medical assistance if you feel faint or have a sudden drop in blood pressure.
Iron overload (Rare (<0.1%))
Regular monitoring of iron stores is required. Report symptoms like joint pain, fatigue, or skin discoloration.

⚠️ Rare Side Effects

Delayed hypersensitivity reaction
Seek medical attention if you develop fever, joint pain, or rash days after injection.
Phlebitis at injection site
Apply warm compress and inform your doctor.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Oral iron supplements Major
Chloramphenicol Moderate
Antacids Minor
Tetracyclines Minor
Vitamin C Minor

🚨 Major Interactions

  • Oral iron supplements
  • Chloramphenicol

⚡ Moderate Interactions

  • Antacids
  • Tetracycline antibiotics

🍷 Alcohol Interaction

Alcohol may increase the risk of gastrointestinal bleeding and worsen anaemia. It is advisable to avoid alcohol while receiving treatment for iron deficiency anaemia.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to iron or any component of the formulation","Iron overload disorders such as haemochromatosis","Anaemia not caused by iron deficiency","Active infections","First trimester of pregnancy (unless clearly needed)"]

⚠️ Warnings & Precautions

["Administer only in a setting with resuscitation facilities.","Monitor for signs of anaphylaxis for at least 30 minutes after injection.","Avoid in patients with a history of asthma or allergies.","Do not use in patients with iron overload.","Use with caution in patients with liver or kidney disease.","Do not mix with other medications in the same syringe."]

🤱 Lactation Safety

Iron is excreted in breast milk in small amounts. This medicine is considered compatible with breastfeeding when used as prescribed. Consult your doctor for guidance.

💊 Overdose Management

Overdose of this medicine can lead to acute iron toxicity, which may cause nausea, vomiting, abdominal pain, shock, and liver failure. Treatment includes supportive care, chelation therapy with deferoxamine, and management of symptoms. Seek immediate medical attention.

⏰ Missed Dose

This medicine is usually given as a single dose or a series of doses by a healthcare professional. If you miss an appointment for your injection, contact your doctor to reschedule as soon as possible. Do not attempt to self-administer.

Additional Safety Advice

General Safety

This medicine must be administered only by a qualified healthcare professional in a setting equipped to manage anaphylaxis. Do not self-administer. Inform your doctor if you have a history of allergies, asthma, or iron overload disorders. Avoid taking oral iron supplements concurrently unless prescribed. Your doctor will monitor your haemoglobin, ferritin, and transferrin saturation levels during treatment. Do not receive this medicine if you have an active infection or if you are pregnant, unless clearly needed and prescribed by a specialist.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to iron overload and should be monitored closely. Dose adjustment may be needed based on renal and hepatic function.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy and have iron deficiency, consult your doctor. This medicine may be used if oral iron is not effective, but only under medical supervision.

🏥 Post-Surgery Considerations

After surgery, this medicine may be used to correct iron deficiency anaemia. It is important to monitor for signs of infection and iron overload.

🦷 Dental Procedures

Inform your dentist about this medicine before any dental procedure. There are no specific precautions, but good communication is essential.

💚 Lifestyle Tips for Better Results

🏃
Include iron-rich foods like leafy greens, beans, and red meat in your diet.
🥗
Take vitamin C-rich foods to enhance iron absorption if you are also on oral iron.
😴
Avoid tea and coffee with meals as they can inhibit iron absorption.
💧
Maintain a healthy lifestyle with regular exercise.
🧘
Get adequate rest to help your body recover from anaemia.

🏋️ Exercise Considerations

If you experience dizziness or fatigue, avoid strenuous exercise until your haemoglobin levels improve. Light activities like walking are generally safe.

🥗 Diet Recommendations

Eat iron-rich foods such as spinach, lentils, and fortified cereals.
Consume vitamin C-rich fruits like oranges and tomatoes to enhance iron absorption.
Avoid excessive tea or coffee with meals.
Include lean meats and poultry if non-vegetarian.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or fatigue in some people. Avoid driving or operating heavy machinery if you feel dizzy after the injection. Most people can resume normal activities shortly after.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. Your doctor will determine when to stop based on your haemoglobin and iron stores. Stopping prematurely may lead to recurrence of anaemia.

📅 Long-Term Use Effects

Long-term use of this medicine can lead to iron overload if not monitored properly. Regular monitoring of serum ferritin and transferrin saturation is essential. Iron overload can cause liver damage, heart problems, and diabetes. When used appropriately, this medicine is safe and effective for correcting iron deficiency.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Oral iron supplements

First-line treatment for iron deficiency anaemia if tolerated and effective.

Evidence: Well-established
Dietary iron

Increasing dietary iron intake can help maintain iron levels but may not be sufficient for severe deficiency.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between this medicine and vaccines. However, inform your healthcare provider about your treatment before receiving any vaccine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not freeze

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Protect from light

❌ DON'T

Do not store in direct sunlight

✈️ Traveling with This Medicine

This medicine is administered by a healthcare professional, so travel planning should include scheduling injections at a clinic or hospital. Carry a copy of your prescription and medical records. If traveling, ensure that the medicine is stored properly and that you have access to medical facilities for administration. Do not carry pre-filled syringes without proper documentation.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 52-year-old woman with chronic kidney disease and iron deficiency anaemia
She had been on oral iron for months but her haemoglobin remained low. Her doctor prescribed this medicine as an intravenous infusion. After a series of injections, her haemoglobin improved significantly, and she felt more energetic. She experienced mild nausea after the first dose, which subsided with subsequent doses.
💡 Lesson: Injectable iron can be effective when oral iron fails, but it must be given under medical supervision.
👤 A 35-year-old man with Crohn's disease and iron deficiency
He could not tolerate oral iron due to gastrointestinal side effects. He received this medicine intramuscularly. His iron stores improved, and his fatigue decreased. He reported some pain at the injection site, which was managed with cold compresses.
💡 Lesson: For patients with gastrointestinal conditions, injectable iron is a good alternative, but injection site reactions are common.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Improvement in symptoms may begin within a few days, but significant increases in haemoglobin are typically seen after 1-2 weeks.

Q: Can I take oral iron along with this injection?

A: No, you should avoid taking oral iron supplements concurrently unless prescribed by your doctor, as it may lead to iron overload.

Q: Is this injection painful?

A: You may experience pain, swelling, or discoloration at the injection site. This is usually mild and temporary.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine if I have kidney disease?
  • How often do I need to get this injection?
  • What are the signs of iron overload?
  • Can I drive after receiving this injection?
  • Is this medicine safe for long-term use?
  • What should I do if I miss a dose?

🔄 Substitutes for r.b tone 50mg injection

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Iron injections are painful and dangerous.
    Fact: When administered by a healthcare professional, this medicine is safe and effective. Pain at the injection site is common but temporary.
  • Myth: Iron injections can be self-administered.
    Fact: This medicine must only be given by a qualified healthcare professional due to the risk of allergic reactions.

📊 Comparison with Similar Medicines

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