Wednesday, May 7, 2014

Carbonyl Iron + Folic Acid + Zinc.



Indication


Treatment and prophylaxis of Iron, Folic Acid and Zinc deficiencyespecially during pregnancy and lactation.


Dosage & Administration

Adult : one capsule daily before food or as directed by the physician.


Contraindication & Precaution

Known hypersensitivity to any of its component or those with Iron overload. Special care with generalized weakness due to vitamins and minerals deficiency.

Dosage & Administration

Adult: One Capsule daily before food or as directed by the physician.


Contraindication & Precaution

It is contraindicated in patients with known hypersensitivity to any of its component
or those with Iron overload. Special care should be taken in patients with Iron overload states, such as haemochromatosis, haemolytic anaemia or red blood cell aplasia. Failure to response to the treatment requires further investigations to exclude other causes of anaemia. In patients with renal failure there may be the risk of Zinc accumulation.


Side Effect


Gastrointestinal irritations such as nausea, anorexia, vomiting, discomfort, constipation and diarrhea may occur. Patients may complain of dark stool. Carbonyl Iron pellets incorporated into the capsules to reduce the possibility of gastrointestinal irritations. Rarely there may be allergic reactions.


Use in Pregnancy & Lactation

Use of any drug during first trimester of pregnancy should be avoided if possible Thus administration of Iron during the first trimester requires definite evidence of Iron deficiency. Prophylaxis of Irondeficiency where inadequate diet calls for supplementary Zinc and Folic acid is justified during the remainder of pregnancy.


Drug Interaction

Carbonyl Iron decreases the absorption of tetracyclineantibiotics, quinolone antibiotics, levodopa, levothyroxine, methyldopa andpenicillamine. Folic Acid interacts with antiepileptics, so plasma concentrations of phenobarbital, phenytoin and primidone Polymaltose Complex, Folic Acid and Zinc


Indication

Prevention and treatment of Iron, Folic Acid and Zinc deficiencies.


Dosage & Administration



One tablet daily. Two tablets may be required a day in severe cases or as recommended by the physician.


Contraindication and Precaution

In patients with a known hypersensitivity to any of the ingredients of this product. Dark coloration of stool may occur which is without clinical significance.


Side Effect

Occasionally gastrointestinal irritation such as sensation of repletion,pressure in the epigastric region, nausea, constipation or diarrhoea may occur.


Drug Interaction

No interaction has been observed.


Use in Pregnancy and Lactation

Use of any drug during the first trimester of pregnancy should be avoided if possible.Thus administration of Iron in the first trimester requires definite evidence of Iron deficiency. Prophylaxis of Iron deficiency where inadequate diet calls for supplementary Zinc and Folic Acid is justified during the remainder of
pregnancy.



Preparation

Each film coated tablet contains Iron (III) Hydroxide Polymaltose Complex 188 mg equivalent to 47 mg elemental Iron, Folic Acid 0.50 mg and Zinc Sulphate Monohydrate 61.80 mg equivalent to 22.50 mg elemental Zinc.

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