Toddlers Health & Safety Iron Intake and Multivitamins for Toddlers By Vincent Iannelli, MD Vincent Iannelli, MD Facebook Vincent Iannelli, MD, is a board-certified pediatrician and fellow of the American Academy of Pediatrics. Dr. Iannelli has cared for children for more than 20 years. Learn about our editorial process Updated on February 04, 2021 Medically reviewed by Vanessa Nzeh, MD Medically reviewed by Vanessa Nzeh, MD Facebook Twitter Vanessa Nzeh, MD, is an internal medicine and pediatrics physician who is passionate about patient advocacy, the integration of maternal and child health, as well as increasing diversity and inclusion in medical education. Learn about our Medical Review Board Print Hero Images / Getty Images In general, toddlers don't need to take a multivitamin with iron. Even though they aren't drinking an iron-fortified infant formula anymore, they should be able to get enough iron from all of the other things that they are eating — most toddlers need about 15 mg of iron per day from their food. How to Ensure Sufficient Iron Intake in Toddlers Eating iron-rich, healthy foods is the number one way to prevent and treat iron deficiency. Foods that are usually considered to be good sources of iron include: Red meats, fish, and poultry Iron-fortified cereal Oatmeal Beans (black, kidney, lima, navy, pinto, soy beans) Tofu Greens (collard, kale, mustard, spinach, kale, turnip green) Iron-fortified breads Egg yolks Dried fruits (raisins, prunes, apricots) Natural peanut butter Does your toddler refuse to eat many of these iron-rich foods? If not, then he may very well need some extra iron. In this case, while a vitamin can be helpful, you might also consider giving him a toddler formula instead of whole cow's milk. These toddler formulas include: Enfamil Next Step LipilSimilac 2 Iron Deficiency Anemia in Children When the body does not have enough healthy red blood cells, a condition called anemia develops. Iron helps make red blood cells, which bring oxygen to body tissues, so a lack of iron in the body can mean the following symptoms: IrritabilityShortness of breathUnusual food cravingsLoss of appetiteFatigue and weaknessA sore tongueHeadaches or dizzinessIn more severe cases, brittle nails, blue-tinged or very pale whites of the eyes Often, toddlers who drink too much cow's milk and don't ingest enough iron-rich healthy foods may become anemic. Other causes may be because the body is not able to absorb iron well (even with an iron-rich diet) or there is slow blood loss over a long period of time, i.e. due to bleeding in the digestive tract. Lead poisoning may also be a culprit in iron deficiency in children. The medical name of this problem is iron deficiency anemia and if your child was tested and already has iron deficiency anemia, then in addition to eating more foods with iron, he will likely need an iron supplement. These iron supplements, like Feosol, Niferex, and Icar, have much more iron than a simple multivitamin. Your child's doctor will have to be the one to prescribe the right kind of supplement for your child, so if the first supplement they suggested was not a good fit, then be sure to let them know and ask for other solutions. Be careful not to give your child iron supplements or vitamins with iron without first checking with your pediatrician. Too much iron can cause poisoning. Multivitamins With Iron If you did need to give your toddler a multivitamin with iron, good choices at this age might include: Poly-Vi-Sol with Iron dropsTri-Vi-Sol Drops With Iron Keep in mind that most chewable vitamins aren't suitable for toddlers under age 2 years of age. 1 Source Verywell Family uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. American Academy of Pediatrics. Dietary supplements for toddlers. Additional Reading Brotanek JM, Halterman JS, Auinger P, et al. Iron Deficiency, Prolonged Bottle-Feeding, and Racial/Ethnic Disparities in Young Children. Arch Pediatr Adolesc Med. 2005;159(11):1038-1042. Oski FA. Iron Deficiency in Infancy and Childhood. N Engl J Med. 1993;329(3):190-193. By Vincent Iannelli, MD Vincent Iannelli, MD, is a board-certified pediatrician and fellow of the American Academy of Pediatrics. Dr. Iannelli has cared for children for more than 20 years. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit