wofer s 20mg injection - Elemental Iron (20mg/ml) medicine

Eldefol 20mg Injection: Complete Medicine Guide

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🏭 Wockhardt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 24, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for iron deficiency anemia.
Reviewed by
SaathiMed Expert Panel | Oct 24, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Difficulty breathing or wheezing
  • Swelling of face, lips, or throat
  • Severe chest pain
  • Rapid heartbeat
  • Severe dizziness or fainting
  • High fever with chills
  • Yellowing of skin or eyes

If experiencing severe symptoms, call emergency services immediately.

What is wofer s 20mg injection used for?

This medicine is an injectable iron supplement used to treat iron deficiency anemia when oral iron is not effective or not tolerated. It is given by a healthcare professional and works by replenishing iron stores to help the body produce healthy red blood cells.

  • Generic Name: Elemental Iron (20mg/ml)
  • Manufacturer: Wockhardt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 wofer s 20mg injection के बारे में (Hindi Summary)

उपयोग: यह दवा आयरन की कमी से होने वाले एनीमिया के इलाज के लिए दी जाती है। जब मुँह से ली जाने वाली आयरन की गोलियाँ काम नहीं करतीं या पेट में परेशानी करती हैं, तब डॉक्टर इस इंजेक्शन का सुझाव देते हैं। यह शरीर में आयरन की कमी को पूरा करके खून की मात्रा बढ़ाने में मदद करती है। यह गुर्दे की बीमारी, भारी मासिक धर्म, या सर्जरी के बाद भी दी जा सकती है। यह इंजेक्शन केवल डॉक्टर या नर्स द्वारा ही लगाया जाता है।

साइड इफेक्ट्स: आम दुष्प्रभावों में जी मिचलाना, सिरदर्द, चक्कर आना, और इंजेक्शन की जगह पर दर्द या सूजन शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी, सांस लेने में कठिनाई, या सीने में दर्द हो सकता है। कोई भी असामान्य लक्षण दिखने पर तुरंत डॉक्टर को बताएं।

सुरक्षा सलाह: यह दवा केवल अस्पताल या क्लिनिक में प्रशिक्षित स्वास्थ्यकर्मी द्वारा ही दी जानी चाहिए। इंजेक्शन से पहले अपनी सभी दवाओं, एलर्जी और बीमारियों के बारे में डॉक्टर को बताएं। इंजेक्शन के बाद चक्कर आने पर वाहन न चलाएं। नियमित रक्त जांच कराते रहें।

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

💊 wofer s 20mg injection Uses & Benefits

[{"condition":"Iron deficiency anemia","description":"Used to treat low hemoglobin due to iron deficiency when oral iron is inadequate or not tolerated.","evidence":"Well-established"},{"condition":"Anemia of chronic kidney disease","description":"Helps maintain iron stores in patients with kidney disease receiving dialysis or erythropoietin therapy.","evidence":"Well-established"},{"condition":"Perioperative anemia","description":"May be used before or after surgery to correct iron deficiency and reduce need for blood transfusion.","evidence":"Established"},{"condition":"Anemia in inflammatory bowel disease","description":"Provides iron replacement when oral iron causes gastrointestinal intolerance.","evidence":"Established"}]

Off-label uses: [{"condition":"Restless legs syndrome with iron deficiency","description":"Sometimes used off-label when iron deficiency is documented and oral therapy fails.","evidence":"Limited"}]

Primary treatment for: Iron deficiency anemia

Also treats: Anemia of chronic kidney disease, Perioperative anemia, Anemia in inflammatory bowel disease

📋 Drug Information

Generic Name(s)Elemental Iron (20mg/ml)
Brand Namewofer s 20mg injection
ManufacturerWockhardt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassOPHTHAL
Action ClassHaemopoetic agents
Route of AdministrationParenteral
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 equipment.
2
Monitor the patient for at least 30 minutes after injection for any allergic reactions.
3
Check hemoglobin and ferritin levels before and after treatment.
4
Avoid concomitant oral iron to prevent iron overload.
5
Use with caution in patients with liver or kidney disease.
6
Instruct patients to report any signs of allergic reaction immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Fatigue and weakness
This medicine is used to treat anemia which causes fatigue.
Likely Use
✅
Shortness of breath
Anemia can cause shortness of breath; this medicine helps correct it.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionNot applicable for injectable iron; it is directly introduced into the bloodstream.
DistributionIron is distributed to the bone marrow, liver, spleen, and other tissues via transferrin. It is stored as ferritin and hemosiderin.
Protein BindingIron binds to transferrin in plasma. The degree of binding depends on transferrin saturation.
MetabolismIron is not metabolized; it is recycled and stored in the body.
Half-LifeNot established from the available information.
ExcretionSmall amounts of iron are lost through shedding of skin cells, sweat, and urine. Most iron is recycled.
Bioavailability100% bioavailable because it is injected directly into the bloodstream.
Onset of ActionImprovement in hemoglobin may be noticed within 2 to 4 weeks after starting therapy.
Peak Plasma TimePeak plasma iron levels occur shortly after injection, typically within a few hours.
Duration of ActionThe effect on hemoglobin lasts for weeks to months as iron stores are rebuilt.

How It Works

This medicine works by delivering elemental iron directly into the bloodstream. Iron is essential for the production of hemoglobin, the protein in red blood cells that carries oxygen. By replenishing iron stores, it supports the bone marrow in making new red blood cells and corrects anemia.

Mechanism Steps

1
Iron delivery: The injected iron is released into the bloodstream, where it binds to transferrin, a transport protein.
2
Transport to bone marrow: Transferrin carries iron to the bone marrow, where it is taken up by developing red blood cells.
3
Hemoglobin synthesis: Inside the red blood cell precursors, iron is incorporated into heme, which combines with globin to form hemoglobin.
4
Red blood cell production: With adequate iron, the bone marrow increases production of healthy red blood cells, raising hemoglobin levels.

💡 How to Take wofer s 20mg injection

Strength: 20 mg/ml elemental iron injection

1This medicine is given by a healthcare professional as an injection.
2It is administered slowly into a vein or muscle.
3You will be monitored for any reactions during and after the injection.
4Do not self-administer this medicine.

Dosage Information

Adult DosageThe dose is individualized by a qualified clinician based on the patient's iron deficit, body weight, and clinical condition. It is given as a slow injection or infusion by a healthcare professional. The usual frequency may be once or twice weekly, but the exact regimen must be determined by the doctor.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may require lower doses and closer monitoring due to reduced organ function. Dose must be individualized by a clinician.
Renal ImpairmentUse with caution in patients with kidney disease. Dose adjustment may be needed based on kidney function. Consult a nephrologist.
Hepatic ImpairmentUse with caution in patients with liver disease. Monitor liver function closely. Dose adjustment may be necessary.
Maximum Daily DoseNot established from the available information. The maximum dose is determined by the treating clinician based on individual needs.

Dosage Timeline

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

⏰ 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 wofer s 20mg injection

✅ Common Side Effects

Nausea (Common (1-10%))
Usually resolves on its own. Inform your doctor if it persists.
Headache (Common (1-10%))
Rest and stay hydrated. Consult doctor if severe.
Dizziness (Common (1-10%))
Sit or lie down until it passes. Avoid driving if affected.
Injection site pain (Common (1-10%))
Apply a cold compress. Report if redness or swelling worsens.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience difficulty breathing, swelling of face or throat, or a severe rash.
Iron overload (Rare)
Requires regular monitoring. Report symptoms like fatigue, joint pain, or skin discoloration.
Chest pain (Rare)
Seek emergency care immediately.

⚠️ Rare Side Effects

Phlebitis at injection site
Report to your doctor; may require symptomatic treatment.
Fever
Monitor temperature and inform your doctor if it persists.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Oral iron Major
Dimercaprol Moderate

🚨 Major Interactions

  • Oral iron supplements

⚡ Moderate Interactions

  • Dimercaprol

🍷 Alcohol Interaction

Alcohol may increase the risk of stomach irritation and should be avoided around the time of injection.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to iron products","Iron overload (hemochromatosis)","Active severe infections","Anemia not caused by iron deficiency"]

⚠️ Warnings & Precautions

["Administer only in a setting with emergency resuscitation equipment.","Avoid in patients with a history of severe allergic reactions to iron.","Use with caution in patients with liver or kidney disease.","Do not use if the solution is discolored or contains particles."]

🤱 Lactation Safety

Iron is excreted in breast milk in small amounts. Consult your doctor before receiving this medicine while breastfeeding.

💊 Overdose Management

Overdose can cause severe iron toxicity. Treatment includes supportive care and possibly chelation therapy. Seek immediate medical attention.

⏰ Missed Dose

This medicine is given by a healthcare professional. If you miss an appointment, contact your doctor to reschedule as soon as possible.

Additional Safety Advice

General Safety

This medicine must only be given by a trained healthcare professional in a setting where emergency equipment is available. Tell your doctor about all your medicines, allergies, and medical conditions before receiving this injection. Do not drive or operate heavy machinery immediately after the injection if you feel dizzy. Regular blood tests are needed to monitor your response and iron levels.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more prone to side effects and should be monitored closely. Dose adjustment may be needed based on kidney and liver function.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor. Iron deficiency should be corrected before conception. Use this medicine only if prescribed.

🏥 Post-Surgery Considerations

This medicine may be used before or after surgery to correct anemia. Follow your surgeon's instructions.

🦷 Dental Procedures

Inform your dentist if you are receiving this medicine. No specific precautions are usually needed.

💚 Lifestyle Tips for Better Results

🏃
Eat a balanced diet rich in iron and vitamin C.
🥗
Stay hydrated.
😴
Get adequate rest.
💧
Avoid alcohol.
🧘
Follow up regularly with your doctor.

🏋️ Exercise Considerations

Avoid strenuous exercise immediately after the injection if you feel dizzy or weak. Gradually resume normal activities as you feel better.

🥗 Diet Recommendations

Include iron-rich foods like leafy greens, beans, and lean meat.
Pair iron-rich foods with vitamin C to enhance absorption.
Avoid tea or coffee with meals as they reduce iron absorption.

💼 Impact on Daily Work & Life

You may feel dizzy or tired after the injection. Avoid driving or operating heavy machinery until you feel alert. Most people can resume normal activities the same day.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. Your doctor will decide when to stop based on your blood test results and clinical condition.

📅 Long-Term Use Effects

Long-term use may lead to iron overload if not monitored properly. Regular blood tests are needed to check iron levels and organ function. Your doctor will adjust the dose based on your response.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Oral iron therapy

First-line treatment for iron deficiency anemia if tolerated.

Evidence: Well-established
Dietary iron supplementation

Increasing iron-rich foods can help but may not be sufficient for severe deficiency.

Evidence: Established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are known. Consult your doctor for personalized advice.

📦 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

Carry this medicine in its original packaging with a copy of your prescription. Store it at room temperature and protect it from light. If traveling across time zones, consult your doctor about scheduling. Keep it in your carry-on luggage if flying. Check customs regulations for injectable medicines before traveling internationally.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 52-year-old woman with heavy menstrual bleeding and severe anemia
She had been on oral iron for months but her hemoglobin remained low. Her doctor prescribed this medicine as an injection. After a few weeks, her energy levels improved significantly and her blood tests showed better iron stores.
💡 Lesson: Injectable iron can be effective when oral iron fails, but it must be given under medical supervision.
👤 A 65-year-old man with chronic kidney disease on dialysis
He received this medicine regularly to maintain his iron levels. He experienced mild nausea after some injections but no serious side effects. His hemoglobin remained stable with treatment.
💡 Lesson: Regular monitoring and adherence to the prescribed schedule are key to managing anemia in kidney disease.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Improvement in hemoglobin levels may be seen within 2 to 4 weeks after starting treatment.

Q: Can I take this medicine at home?

A: No, this medicine must be given by a healthcare professional in a clinical setting.

Q: What should I avoid while receiving this medicine?

A: Avoid oral iron supplements and alcohol unless approved by your doctor.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for wofer s 20mg 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 always better than oral iron.
    Fact: Iron injections are reserved for cases where oral iron is ineffective or not tolerated. Oral iron is usually the first choice.
  • Myth: You can take iron injections at home without supervision.
    Fact: Iron injections must be given by a healthcare professional due to the risk of severe allergic reactions.

📊 Comparison with Similar Medicines

[{"medicine":"Elemental iron injection","class":"Iron replacement","route":"Parenteral","common_use":"Iron deficiency anemia"},{"medicine":"Oral iron tablets","class":"Iron replacement","route":"Oral","common_use":"Iron deficiency anemia"}]

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