Ferrous Sulfate + Folic Acid
Iron & Vitamin Combined preparations
Ferrous sulphate (iron): necessary for the formation of hemoglobin; enough iron needed for effective red blood cell production; Also serves as a cofactor for several essential enzymes, including cytochromes involved in electron transport. Replace iron stores in hemoglobin, myoglobin and enzymes; transport oxygen through hemoglobin.
Folic acid: Necessary for nucleoprotein synthesis and maintenance of normal erythropoiesis; folic acid is metabolized in the liver and plasma to the metabolically active form, tetrahydrofolic acid, by dihydrofolate reductase; prevent neural tube defects in women of childbearing age and higher doses are needed during pregnancy.
Take ferrous sulfate and folic acid on an empty stomach, at least 1 hour before or 2 hours after a meal. Avoid taking antacids or antibiotics within 2 hours of taking ferrous sulfate and folic acid. Ferrous sulfate and folic acid are only part of a complete treatment program which may also include a special diet. It is very important to follow the diet developed for you by your doctor or nutritionist. You need to know the list of foods that you should be eating to make sure that your diet and medications have enough iron and folic acid.
Do not crush, chew, break, or open the extended-release tablet. Swallow the pill whole. Breaking or opening a pill can cause too much medicine to be released at once.
Ferrous Sulfate: Oral absorption of iron may be increased when taken with ascorbic acid. May reduce absorption of quinolones and tetracyclines when administered orally. Concomitant use with antacids may reduce absorption of ferrous fumarate from the G1 pathway. May reduce intestinal absorption of penicillamine when used concomitantly.
Folic acid: Antiepileptic drugs, oral contraceptives, anti-tuberculosis drugs, alcohol, aminopterine, methotrexate, pyrimethamine, trimethoprim, and sulfonamides may decrease serum folate contractility. Decreased serum phenytoin concentrations.
Patients with hypersensitivity to any of the ingredients. Hemochromatosis, hemosiderosis, hemolytic anemia.
Blood sugar disorders include constipation, diarrhea, and dark stools. Dizziness, headache, nausea, heartburn and epigastric pain.
Pregnancy Category Not classified. The FDA has yet to classify the drug as being specifically for use in pregnant women.
Iron chelates with antacid and tetracycline and absorption of all these may be impaired.
Iron and folic acid deficiency in pregnancy
Do not store above 25°C temperature, keep away from light and wet place. Keep out of reach of children.
Square Pharmaceuticals Ltd.
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