Ferro Capsule nasal spray contains Cyanocobalamin, a man-made form of vitamin B12. Vitamin B12 is important for growth, cell reproduction, blood formation, and protein and tissue synthesis.
Ferro Capsule nasal spray is used to treat vitamin B12 deficiency in people with pernicious anemia and other conditions.
Ferro Capsule nasal spray is usually given after treatment with an injection form of this medicine.
Ferro Capsule may also be used for purposes not listed in this medication guide.
Ferro Capsule indications
An indication is a term used for the list of condition or symptom or illness for which the medicine is prescribed or used by the patient. For example, acetaminophen or paracetamol is used for fever by the patient, or the doctor prescribes it for a headache or body pains. Now fever, headache and body pains are the indications of paracetamol. A patient should be aware of the indications of medications used for common conditions because they can be taken over the counter in the pharmacy meaning without prescription by the Physician.
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Vitamin B12 Maintenance Therapy
Ferro Capsule is indicated for maintenance of vitamin B12 concentrations after normalization with intramuscular vitamin B12 therapy in patients with vitamin B12 deficiency who have no nervous system involvement.
Important Limitations of Use
Ferro Capsule has not been evaluated for the treatment of newly diagnosed vitamin B12 deficiency.
Ferro Capsule is not suitable for use in the vitamin B12 absorption test (Schilling Test).
The effectiveness of Ferro Capsule in patients with nasal pathology (e.g., nasal congestion, allergic rhinitis, upper respiratory infections) has not been determined. Treatment with Ferro Capsule should be deferred until nasal symptoms have subsided.
How should I use Ferro Capsule?
Use Ferro Capsule (b12) spray as directed by your doctor. Check the label on the medicine for exact dosing instructions.
An extra patient leaflet is available with Ferro Capsule (b12) spray. Talk to your pharmacist if you have questions about this information.
Ferro Capsule (b12) spray is used in the nose.
Follow the directions provided by your doctor or other health care provider. If you are unsure how to use Ferro Capsule (b12) spray, contact your doctor or other health care provider.
Do not use Ferro Capsule (b12) spray within 1 hour before or after eating or drinking hot foods or liquids.
Prime the pump before the first use. Place the nozzle between the first and second finger with the thumb on the bottom. Point the nozzle away from yourself and others. Pump the unit firmly and quickly until the medicine sprays out, then spray two more times.
Re-prime the pump before each dose. Point the nozzle away from yourself and others, then spray once.
Use Ferro Capsule (b12) spray in only 1 nostril each week.
To use Ferro Capsule (b12) spray, sit down and tilt your head back slightly. Place the tip of the spray container into the nose. Using a finger from your other hand, press against the opposite nostril to close it off. Breath gently through the open nostril and spray a dose of medicine from the container. After using the medicine, rinse the tip of the spray unit in hot water and dry with a clean tissue to prevent contamination.
Ferro Capsule (b12) spray is usually used 1 time per week. Do not use it more often than 1 time per week without checking with your doctor.
This bottle contains 8 doses. Do not continue to use this bottle after 8 doses have been used. It may not give the correct amount of medicine.
Continue to use Ferro Capsule (b12) spray even if you feel well. Do not miss any doses.
If you miss a dose of Ferro Capsule (b12) spray, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.
Ask your health care provider any questions you may have about how to use Ferro Capsule (b12) spray.
Uses of Ferro Capsule in details
There are specific as well as general uses of a drug or medicine. A medicine can be used to prevent a disease, treat a disease over a period or cure a disease. It can also be used to treat the particular symptom of the disease. The drug use depends on the form the patient takes it. It may be more useful in injection form or sometimes in tablet form. The drug can be used for a single troubling symptom or a life-threatening condition. While some medications can be stopped after few days, some drugs need to be continued for prolonged period to get the benefit from it.
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How to use Ferro Capsule nasal
Ferro Capsule description
Ferro Capsule (commonly known as Vitamin B12) is the most chemically complex of all the vitamins. Ferro Capsule's structure is based on a corrin ring, which, although similar to the porphyrin ring found in heme, chlorophyll, and cytochrome, has two of the pyrrole rings directly bonded. The central metal ion is Co (cobalt). Ferro Capsule cannot be made by plants or by animals, as the only type of organisms that have the enzymes required for the synthesis of Ferro Capsule are bacteria and archaea. Higher plants do not concentrate Ferro Capsule from the soil and so are a poor source of the substance as compared with animal tissues. Ferro Capsule is naturally found in foods including meat (especially liver and shellfish), eggs, and milk products. [HMDB]
Ferro Capsule dosage
Ferro Capsule Dosage
Generic name: Ferro Capsule 25ug in 0.1mL
Dosage form: nasal spray, metered
The information at Drugs.com is not a substitute for medical advice. Always consult your doctor or pharmacist.
Recommended Dose
The recommended initial dose of Ferro Capsule is one spray in each nostril once daily (25 mcg per nostril, total daily dose 50 mcg). The dose should be increased to one spray in each nostril twice daily (total daily dose 100 mcg) for patients with an inadequate response to once daily dosing.
The dosing of Ferro Capsule and other intranasal medications should be separated by several hours, and these patients should have more frequent monitoring of vitamin B12 concentrations because of the potential for erratic absorption.
Priming (Activation) of Pump
The pump must be primed before the bottle is used for the first time. To prime the pump, place the nozzle between the first and second finger with the thumb on the bottom of the bottle. Pump the unit firmly and quickly then repeat this priming an additional 6 times for a total of 7 priming sprays. Now the nasal spray is ready for first-time use. If 5 or more days elapse since last use, the pump must be re-primed with two re-priming sprays.
Additional instructions are provided in the patient instruction sheet.
More about Ferro Capsule (Ferro Capsule)
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The effects of some drugs can change if you take other drugs or herbal products at the same time. This can increase your risk for serious side effects or may cause your medications not to work correctly. These drug interactions are possible, but do not always occur. Your doctor or pharmacist can often prevent or manage interactions by changing how you use your medications or by close monitoring.
To help your doctor and pharmacist give you the best care, be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products) before starting treatment with this product. While using this product, do not start, stop, or change the dosage of any other medicines you are using without your doctor's approval.
Some products that may interact with this drug include: drugs that affect the bone marrow (such as chloramphenicol), vitamins/supplements that contain intrinsic factor.
Certain medications can decrease the absorption of vitamin B12, including: colchicine, metformin, extended-release potassium products, antibiotics (such as gentamicin, neomycin, tobramycin), anti-seizure medications (such as phenobarbital, phenytoin, primidone), medications to treat heartburn (such as H2 blockers including cimetidine/famotidine, proton pump inhibitors such as omeprazole/lansoprazole).
Vitamin B12 is an ingredient found in many combination vitamin and nutritional products. Tell your doctor or pharmacist if you are taking other products that contain Ferro Capsule, vitamin B12, or hydroxocobalamin.
Ferro Capsule may interfere with certain laboratory tests (including intrinsic factor, blood tests for other types of anemia), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.
Certain drugs may interfere with laboratory tests for vitamin B12 levels, possibly causing false results. Tell laboratory personnel and all your doctors if you take any of the following: antibiotics (such as amoxicillin, erythromycin), methotrexate, pyrimethamine.
This document does not contain all possible drug interactions. Keep a list of all the products you use. Share this list with your doctor and pharmacist to lessen your risk for serious medication problems.
In addition to its needed effects, some unwanted effects may be caused by Ferro Capsule (the active ingredient contained in Ferro Capsule). In the event that any of these side effects do occur, they may require medical attention.
If any of the following side effects occur while taking Ferro Capsule, check with your doctor or nurse immediately:
Incidence not known:
Abdominal or stomach pain
bleeding from the gums or nose
blue lips and fingernails
chest pain
cough
coughing that sometimes produces a pink frothy sputum
decreased urine output
difficult, fast, noisy breathing, sometimes with wheezing
difficulty with swallowing
dilated neck veins
dizziness
extreme fatigue
eye pain
fast heartbeat
headache
hives, itching, or skin rash
increased sweating
irregular breathing
irregular heartbeat
pale skin
puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
ringing in the ears
swelling of the face, fingers, feet, or lower legs
tightness in the chest
unusual tiredness or weakness
weight gain
Minor Side Effects
Some of the side effects that can occur with Ferro Capsule may not need medical attention. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. If any of the following side effects continue, are bothersome or if you have any questions about them, check with your health care professional:
You should not use this medication if you are allergic to cobalt, or if you have Leber's disease. Ferro Capsule can lead to optic nerve damage (and possibly blindness) in people with Leber's disease.
To treat pernicious anemia, you will have to use this medication on a regular basis for the rest of your life. Not using the medication can lead to irreversible nerve damage in your spinal cord.
Pernicious anemia is also treated with folic acid to help maintain red blood cells. However, folic acid will not treat Vitamin B12 deficiency and will not prevent possible damage to the spinal cord. Take all of your medications as directed.
Your dose needs may change if you become pregnant, if you breast-feed, or if you eat a vegetarian diet. Tell your doctor about any changes in your diet or medical condition.
The results of a survey conducted on ndrugs.com for Ferro Capsule are given in detail below. The results of the survey conducted are based on the impressions and views of the website users and consumers taking Ferro Capsule. We implore you to kindly base your medical condition or therapeutic choices on the result or test conducted by a physician or licensed medical practitioners.
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