What is the milligram amount of elemental iron in a 325mg ferrous sulfate (iron supplement)?

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Elemental Iron Content in 325mg Ferrous Sulfate

A 325mg ferrous sulfate tablet contains 65mg of elemental iron. 1

Standard Conversion Formula

  • Ferrous sulfate 325mg (also listed as 324mg in some formulations) provides 65mg of elemental iron, which represents approximately 32.5% elemental iron content by weight 2, 1
  • This is the standard immediate-release formulation used in clinical practice 3

Important Prescribing Distinction

You must specify whether you are prescribing standard or modified-release ferrous sulfate, as the elemental iron content differs dramatically:

  • Standard ferrous sulfate 325mg = 65mg elemental iron 2, 3, 1
  • Modified-release ferrous sulfate 325mg = 105mg elemental iron 3

This discrepancy can lead to significant dosing errors if the formulation type is not clearly specified on the prescription 4, 3

Comparison with Other Iron Salts (All 325mg Tablets)

  • Ferrous fumarate 325mg = 108mg elemental iron 2, 3
  • Ferrous gluconate 325mg = 35mg elemental iron 2, 3
  • Ferrous sulfate 325mg = 65mg elemental iron 2, 1

Clinical Dosing Context

  • The recommended therapeutic dose for iron deficiency anemia is 50-100mg elemental iron once daily 4, 3
  • A single 325mg ferrous sulfate tablet (65mg elemental iron) falls within this optimal range and is appropriate for once-daily dosing 4
  • Doses ≥60mg elemental iron stimulate hepcidin elevation that persists 24 hours and blocks absorption of subsequent doses, making multiple daily doses counterproductive 4, 3

Common Pitfall to Avoid

Never assume all "325mg" iron tablets contain the same amount of elemental iron—the salt form (sulfate vs. fumarate vs. gluconate) and formulation type (standard vs. modified-release) dramatically affect elemental iron content 4, 3

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Elemental Iron Content in Ferrous Sulfate Formulations

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Elemental Iron Content in Ferrous Sulfate

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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