Consists of Ferrous Ascorbate, Folic Acid, Iron
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Ferrous Ascorbate/Folic Acid/Iron Uses |
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Consists of Ferrous Ascorbate, Folic Acid, Iron
iron-deficiency anaemia
Ferrous ascorbate is used to prevent and treat iron deficiency anemia (low levels of hemoglobin in blood) that may occur due to inadequate diet, pregnancy, excessive bleeding or other medical conditions.
Nausea, Abdominal pain, Black/dark colored stools, Constipation, Heartburn
Vitamins are compounds that you must have for growth and health. They are needed in small amounts only and are usually available in the foods that you eat. Folic acid (vitamin B 9) is necessary for strong blood.
Lack of folic acid may lead to anemia (weak blood). Your health care professional may treat this by prescribing folic acid for you.
Some conditions may increase your need for folic acid. These include:
In addition, infants smaller than normal, breast-fed infants, or those receiving unfortified formulas (such as evaporated milk or goat's milk) may need additional folic acid.
Increased need for folic acid should be determined by your health care professional.
Some studies have found that folic acid taken by women before they become pregnant and during early pregnancy may reduce the chances of certain birth defects (neural tube defects).
Claims that folic acid and other B vitamins are effective for preventing mental problems have not been proven. Many of these treatments involve large and expensive amounts of vitamins.
Injectable folic acid is given by or under the direction of your health care professional. Another form of folic acid is available without a prescription.
Folic acid is used in the treatment and prevention of the folate deficiency state. It does not correct folate deficiency due to dihydrofolate reductase inhibitors. Folic acid is also used in women of child-bearing potential and pregnant women to protect against neural tube defects in their offspring. It is also used for the treatment of folate-deficient megaloblastic anaemia, chronic haemolytic states such as thalassaemia major or sickle-cell anaemia.
Use folic acid as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Ask your health care provider any questions you may have about how to use folic acid.
Folic acid is the man-made form of folate. Folate is a B-vitamin naturally found in some foods. It is needed to form healthy cells, especially red blood cells.
Folic acid supplements may come in different forms (such as L-methylfolate, levomefolate, methyltetrahydrofolate). They are used to treat or prevent low folate levels. Low folate levels can lead to certain types of anemia. Conditions that can cause low folate levels include poor diet, pregnancy, alcoholism, liver disease, certain stomach/intestinal problems, kidney dialysis, among others. Women of childbearing age should receive adequate amounts of folic acid either through their diet or supplements to prevent infant spinal cord birth defects.
Take this product by mouth with or without food as directed by your doctor, usually once daily. If you are taking the over-the-counter product, follow all directions on the product package. If you have any questions, ask your doctor or pharmacist.
Dosage is based on your medical condition and response to treatment. Do not increase your dose or take this product more often than directed.
Take this product regularly to get the most benefit from it. To help you remember, take it at the same time each day. Follow the diet plan recommended by your doctor or dietician. See also Notes section.
If your condition persists or worsens, or if you think you may have a serious medical problem, get medical help right away.
A member of the vitamin B family that stimulates the hematopoietic system. It is present in the liver and kidney and is found in mushrooms, spinach, yeast, green leaves, and grasses (poaceae). Folic acid is used in the treatment and prevention of folate deficiencies and megaloblastic anemia. [PubChem]
Applies to the following strength(s): 1 mg; 0.4 mg; 5 mg/mL; 0.8 mg
The information at Drugs.com is not a substitute for medical advice. Always consult your doctor or pharmacist.
1 mg orally, intramuscularly, subcutaneously or IV once a day. May continue until clinical symptoms of folate deficiency and the hematological profile have normalized.
400 to 800 mcg orally, intramuscularly, subcutaneously or IV once a day.
Women of childbearing age, pregnant, and lactating women: 800 mcg orally, intramuscularly, subcutaneously or IV once a day.
Infant:
0.1 mg orally, intramuscularly, subcutaneously or IV once a day.
Child:
Less than 4 years: up to 0.3 mg orally, intramuscularly, subcutaneously or IV once a day.
4 years or older: 0.4 mg orally, intramuscularly, subcutaneously or IV once a day.
Recommended daily allowance (RDA):
Premature neonates: 50 mcg/day (15 mcg/kg/day).
Full-term neonates and infants 1 to 6 months: 25 to 35 mcg/day.
Children:
1 to 3 years: 150 mcg/day.
4 to 8 years: 200 mcg/day.
9 to 13 years: 300 mcg/day.
14 years and older: 400 mcg/day.
Data not available
Data not available
Rarely, a dosage of 2 mg/day may be required, particularly in patients with malabsorption, alcoholism, chronic hemolysis, chronic exfoliative skin disease or who are on concomitant anticonvulsant therapy.
Folic acid is removed by both hemodialysis and peritoneal dialysis. The amount removed varies with type equipment used.
Because folate may accumulate in patients with end-stage renal disease, side effects may be more likely in this patient who is undergoing dialysis. Once this patient's body stores of folate are replete, three times a week dosing may be just as beneficial as once daily dosing but should portend a lower risk of side effects.
The recommended daily allowance of folic acid for adult males and females ranges from 150 to 200 and 150 to 180 mcg/day, respectively.
There is a potential danger in administering folic acid to patients with undiagnosed anemia, since folic acid may obscure the diagnosis of pernicious anemia by alleviating the hematologic manifestations of the disease while allowing the neurologic complications to progress.
Severe megaloblastic anemia may require therapy for 4 to 5 weeks. Once stabilized, if dietary intake is inadequate, maintenance therapy can be started.
See also:
What other drugs will affect Folic Acid?
Medications that interfere with your bodys ability to use folate may also increase the need for this vitamin. Medications can interfere with folate utilization, including: anticonvulsant medications (such as phenytoin, and primidone) metformin (sometimes prescribed to control blood sugar in type 2 diabetes) sulfasalazine (used to control inflammation associated with Crohns disease and ulcerative colitis) triamterene (a diuretic) Methotrexate There has been concern about the interaction between vitamin B12 and folic acid. Folic acid supplements can correct the anemia associated with vitamin B12 deficiency. Unfortunately, folic acid will not correct changes in the nervous system that result from vitamin B12 deficiency. Permanent nerve damage could theoretically occur if vitamin B12 deficiency is not treated. Therefore, intake of supplemental folic acid should not exceed 1000 micrograms (g, sometimes mcg) per day to prevent folic acid from masking symptoms of vitamin B12 deficiency. It is important for older adults to be aware of the relationship between folic acid and vitamin B12 because they are at greater risk of having a vitamin B12 deficiency. If you are 50 years of age or older, ask your physician to check your B12 status before you take a supplement that contains folic acid.
See also:
What are the possible side effects of Folic Acid?
Allergic sensitization has been reported following both oral and parenteral administration of Folic Acid.
Folic Acid is relatively nontoxic in man. Rare instances of allergic responses to Folic Acid preparations have been reported and have included erythema, skin rash, itching, general malaise, and respiratory difficulty due to bronchospasm. One patient experienced symptoms suggesting anaphylaxis following injection of the drug. Gastrointestinal side effects, including anorexia, nausea, abdominal distention, flatulence, and a bitter or bad taste, have been reported in patients receiving 15 mg Folic Acid daily for 1 month. Other side effects reported in patients receiving 15 mg daily include altered sleep patterns, difficulty in concentrating, irritability, overactivity, excitement, mental depression, confusion, and impaired judgment. Decreased vitamin B12 serum levels may occur in patients receiving prolonged Folic Acid therapy.
In an uncontrolled study, orally administered Folic Acid was reported to increase the incidence of seizures in some epileptic patients receiving phenobarbital, primidone, or diphenylhydantoin. Another investigator reported decreased diphenylhydantoin serum levels in folate-deficient patients receiving diphenylhydantoin who were treated with 5 mg or 15 mg of Folic Acid daily.
CALL YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECTS. YOU MAY REPORT SIDE EFFECTS TO THE FDA AT 1-800-FDA-1088 OR LEADING PHARMA, LLC AT 844-740-7500.
See also:
What is the most important information I should know about Folic Acid?
Because it may mask the hematologic abnormalities while neurological damage progresses, folic acid should not be used in the therapy of patients with vitamin B12 deficiency of any cause, unless there is associated folate deficiency. The folic acid content of one tablet a day however, is unlikely to mask pernicious anemia should this condition be present. Also, pregnancy during pernicious anemia is very rare.
Carbonyl iron is an iron replacement product. You normally get iron from the foods you eat. Iron helps your body produce red blood cells that carry oxygen through your blood to tissues and organs.
Carbonyl iron is used to treat or prevent iron deficiency and iron deficiency anemia.
Carbonyl iron may also be used for purposes not listed in this medication guide.
Film-Coated Tablet: Treatment of iron deficiency. Prevention of iron deficiency during pregnancy.
Syrup: All cases of iron deficiency and iron deficiency anaemia.
Drops: General: Hypochromic or masked iron deficiency anaemias. General weakness. Convalescence. Blood losses. Tropical microcytic anaemia. Anaemias due to infections. For maintenance therapy in pernicious anaemia. As an adjuvant in treating chronically ill or undernourished patients.
Women: Iron deficiency due to menstruation. During and after pregnancy and lactation. Menorrhagia.
Children: All types of hypochromic anaemias and masked iron deficiencies. Inappetence. Retarded growth. Weakness. Unsound dietary habits. To speed up restoration of depleted iron reserves.
Use Iron as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Ask your health care provider any questions you may have about how to use Iron.
Each 5 mL syrup contains: Diastase (1:50) 135 mg, pepsin 50 mg, papain BPC 50 mg, vitamin B1 5 mg, vitamin B2 2 mg, vitamin B6 2 mg, vitamin B12 5 mcg, calcium pantothenate 1 mg and nicotinamide 20 mg.
Iron is a pleasantly flavoured syrup, containing digestive enzymes and vitamins of the B-complex group. Abdominal cramps, flatulence, heartburn and nausea can occur as a result of indigestion. Iron is the ideal cure to facilitate digestion and to strengthen the GIT.
Iron's balanced formulation provides an ideal supplementation that meets the demands and replenishes vitamins stores in the body.
Film-Coated Tablet: Treatment of Iron Deficiency with Reduced Number of Red Blood Cells in Adults and Children over 12 Years: 1 to 3 tablets once daily or divided into separate doses for about 3 to 5 months.
After normalisation of the red blood pigment (haemoglobin) value, continue with 1 tablet once daily for several weeks. This will replenish the iron stores.
Treatment of Iron Deficiency with Reduced Number of Red Blood Cells in Pregnancy: 2 to 3 tablets once daily or divided into separate doses.
After normalisation of the red blood pigment value, continue with 1 tablet once daily until, at least, the end of pregnancy. This will replenish the iron stores and provide the increased amount of iron required during pregnancy.
Treatment of Iron Deficiency with Normal Number of Red Blood Cells in Adults, Pregnancy, and Children over 12 years, and Prevention of Iron Deficiency in Pregnancy: 1 tablet once daily for 1 to 2 months. Syrup:
Children: 5 mL 1 to 2 times daily before meals.
Infants: Begin with 2.5 mL daily and gradually increase to 5 mL daily.
Drops: Adults: 20 drops 2 to 3 times daily during or after a meal.
Children: 20 drops 1 to 2 times daily during or after a meal.
Infants: Begin with 6 drops daily and gradually increase to 20 drops daily.
Iron may be mixed with fruit, vegetable juices or other liquids if desired.
Best results are obtained by adequate dosage and regular administration. It is recommended that the therapy in conformity to the degree of iron deficiency should be continued for at least 1 to 2 months.
Administration: Take Iron during or immediately after meal.
Duration of use depends upon the degree of iron deficiency.
Do not discontinue sooner than recommended as this may reduce the success of therapy.
See also:
What other drugs will affect Iron?
Drug interactions were not noted and were not studied in clinical studies.
Feridex I.V. (ferumoxides injectable solution) administration provides elemental iron. In patients who are receiving supplemental iron orally or parenterally, the dose of supplemental iron may need to be decreased.
The effect of concomitant parenteral iron on Feridex I.V. dosing is not known.
Serum iron levels may be above the normal range following Feridex I.V. (ferumoxides injectable solution) administration. Transient increases in serum iron of 15–100% of baseline were observed 18 to 24 hours after Feridex I.V. (ferumoxides injectable solution) administration, and returned to normal in most patients by 7 days after administration. Increases in serum ferritin levels were seen 1 to 7 days after administration.
In a Phase 1 study in normal subjects, PTT was statistically significantly increased; however, all values were within the normal range and no subjects had a more than 40% increase from baseline. In clinical trials of patients who had baseline hematologic abnormalities associated with underlying liver disease, an effect of Feridex I.V. (ferumoxides injectable solution) on platelet or PTT was not demonstrated. In patients with low hematocrit and hemoglobin, over a period of 48 hours to 7 days after Feridex I.V. (ferumoxides injectable solution), the serum iron, the hematocrit and hemoglobin levels increase slightly.
See also:
What are the possible side effects of Iron?
Applies to carbonyl iron: suspension
Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Constipation; darkened or green stools; diarrhea; loss of appetite; nausea; stomach cramps, pain, or upset; vomiting.
Seek medical attention right away if any of these SEVERE side effects occur while taking carbonyl iron (the active ingredient contained in Iron)
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); black or tarry stools; blood or streaks of blood in the stool; fever; severe or persistent nausea, stomach pain, or vomiting; vomit that looks like blood or coffee grounds.
See also:
What is the most important information I should know about Iron?
All cases of iron overload and disturbances in utilization of iron.
Film-Coated Tablet: Allergy to iron (III)-hydroxide polymaltose complex or any of the other ingredients of Iron.
An iron overload in the body.
Disturbed use of iron by the body.
Reduced number of red blood cells (anaemia), not caused by iron deficiency, such as due to increased red blood cell breakdown, vitamin B12 deficiency.
Ferrous Ascorbate/Folic Acid/Iron
List of Ferrous Ascorbate/Folic Acid/Iron substitutes (brand and generic names) | Sort by popularity |
Unit description / dosage (Manufacturer) | Price, USD |
Fapic (India) | |
Fapic Ferrous ascorbate 30 mg, folicacid 550 mcg. SYR / 200ml (Edward) | $ 1.71 |
FAPIC syr 200ml (Edward) | $ 1.71 |
FERINOM (India) | |
10's (Acinom Healthcare) | $ 1.35 |
Ferinom Ferrous ascorbate 100 mg, folic acid 1.5 mg. CAP / 10 (Acinom Healthcare) | $ 1.35 |
FERINOM cap 10's (Acinom Healthcare) | $ 1.35 |
Ferinom Ferrous ascorbate 100 mg, folic acid 1.5 mg. CAP / 10 (Acinom Healthcare) | $ 1.35 |
Ferocom (India) | |
Ferocom Ferrous ascorbate 100 mg, Folic acid 1.5 mg. TAB / 10 (Commonwealth) | $ 0.99 |
FEROCOM tab 10's (Commonwealth) | $ 1.15 |
FIPPO-XT (India) | |
10's (Aden Healthcare) | $ 1.35 |
Fippo-XT Ferrous ascorbate 100 mg, folic acid 1.5 mg. CAP / 10 (Aden Healthcare) | $ 1.35 |
FIPP1O-XT cap 10's (Aden Healthcare) | $ 1.35 |
Fippo-XT Ferrous ascorbate 100 mg, folic acid 1.5 mg. CAP / 10 (Aden Healthcare) | $ 1.35 |
Fitrax (India) | |
Fitrax Ferrous ascorbate 30 mg, folicacid 550 mcg. SYR / 200ml (Pax Healthcare) | $ 1.71 |
FITRAX syr 200ml (Pax Healthcare) | $ 1.71 |
RIRONE-XT (India) | |
10's (Rishab (Orochem)) | $ 1.41 |
RIRONE-XT tab 10's (Rishab (Orochem)) | $ 1.57 |
Users | % | ||
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3 month | 1 | 100.0% |
Users | % | ||
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1-5 | 5 | 62.5% | |
16-29 | 1 | 12.5% | |
30-45 | 1 | 12.5% | |
< 1 | 1 | 12.5% |
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Information checked by Dr. Sachin Kumar, MD Pharmacology
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