Carbonyl Iron + Folic Acid + Zinc Sulfate
Composition
Each capsule contains
- Elemental iron 50 mg (As carbonyl iron INN)
- Folic acid BP 500 microgram
- Zinc sulphate monohydrate USP 61.80 mg (equivalent to 22.50 mg zinc)
Indications
It is indicated for the treatment and
prophylaxis of Iron, Folic Acid and Zinc deficiency especially during
pregnancy and lactation.
Pharmacology
This timed-release capsule is the combined
preparation of Carbonyl Iron, Folic Acid and Zinc Sulphate Monohydrate.
It contains Carbonyl Iron with not less than 98% Iron content. Carbinyl
Iron, having high bioavailability and low toxicity is safer and more
effective choice for iron supplementation.
Dosage & Administration
Adult: One Capsule daily before food or as directed by the physician.
Interaction
Carbonyl Iron decreases the absorption of
tetracycline antibiotics, quinolone antibiotics, levodopa,
levothyroxine, methyldopa and penecillamine. Folic Acid interacts with
antiepileptics, so plasma concentrations of phenobarbital, phenytoin and
primidone are possibly reduced.
Contraindications
It is contraindicated in patients with known hypersensitivity to any of its component or those with Iron overload.
Side Effects
Gastrointestinal irritations such as
nausea, anorexia, vomiting, discomfort, constipation and diarrhoea 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.
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 Iron deficiency where inadequate diet calls
for supplementary Zinc and Folic acid is justified during the remainder
of pregnancy.
Precautions & Warnings
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.
Overdose Effects
Symptoms of Carbonyl Iron include decreased
energy, nausea, abdominal pain, tarry stool, weak, rapid pulse, fever,
coma, seizures.
Therapeutic Class
Iron, Vitamin & Mineral Combined preparation
Storage Conditions
Store below 30°C. and keep away from light and moisture. Keep all medicines out of the reach of children.
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