Ferric carboxymaltose (iron injection)

Iron given into a vein
PRESCRIPTION ONLY IN INDIA

Ferric carboxymaltose is a iron given into a vein found in 1 medicine sold in India, such as Orofer FCM. Below: what it is for, how it works, how to take it, side effects, interactions and pregnancy advice.

Also called: fcm, ferric carboxymaltose

What it is used for

Quickly refills iron stores in iron-deficiency anaemia when tablets do not work or are not tolerated, including in pregnancy.

How it works

An iron injection given into a vein to replace iron quickly when tablets do not work or are not tolerated.

How to take it

Given as a drip or slow injection in a clinic, usually 1 or 2 doses.

Common side effects

  • Headache
  • Nausea
  • Flushing
  • Skin staining if it leaks at the drip site

Get medical help straight away if

  • Allergic reaction during or soon after the infusion
  • Bone pain or weakness (low phosphate after repeated doses)

Be careful

Given in a clinic or hospital; can rarely cause allergic reactions and low phosphate.

Other medicines and interactions

Stop iron tablets while receiving it unless told otherwise.

Pregnancy and breastfeeding

Not used in the first three months of pregnancy; may be used later if needed. Acceptable while breastfeeding.

Brands of Ferric carboxymaltose (1)

Common questions

What is Ferric carboxymaltose used for?

Quickly refills iron stores in iron-deficiency anaemia when tablets do not work or are not tolerated, including in pregnancy.

How does Ferric carboxymaltose work?

An iron injection given into a vein to replace iron quickly when tablets do not work or are not tolerated.

How should I take Ferric carboxymaltose?

Given as a drip or slow injection in a clinic, usually 1 or 2 doses.

What are the side effects of Ferric carboxymaltose?

Common: Headache, nausea, flushing, skin staining if it leaks at the drip site. Get help straight away for: Allergic reaction during or soon after the infusion, bone pain or weakness (low phosphate after repeated doses).

Does Ferric carboxymaltose interact with other medicines?

Stop iron tablets while receiving it unless told otherwise.

Is Ferric carboxymaltose safe in pregnancy and breastfeeding?

Not used in the first three months of pregnancy; may be used later if needed. Acceptable while breastfeeding.

Does Ferric carboxymaltose need a prescription in India?

Yes. In India it is a prescription (Schedule H) medicine, so a pharmacist should sell it only with a doctor's prescription.

Which brands contain Ferric carboxymaltose?

Orofer FCM.

Sources and further reading

NHS (UK National Health Service) and MedlinePlus (US National Library of Medicine) are free, reviewed medicine guides. Brand names and doses there may differ from India.

Last reviewed 31 October 2026. Written by Satya Babu from standard prescribing information.

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For information only, not medical advice. This page is a plain-language summary written from standard prescribing information and the public guides linked below. Brands sometimes change their formula, so always check the composition printed on the pack. Doses here are typical adult doses; yours may differ. Do not start, stop or change a medicine without your doctor or pharmacist, and keep all medicines away from children. In an emergency, call 112 (India) or your local emergency number.