It is indicated for the treatment & prophylaxis of Iron, Folic Acid, Vitamin B-Complex, Vitamin C & Zinc deficiency especially during pregnancy & lactation. It is also indicated for the geriatric patients with generalized weakness due to vitamins & minerals deficiency.
Carbonyl Iron is more effective and safer choice of Iron supplementation as it has higher bioavailability, low toxicity and better Gl tolerance.
Folic acid is required to maintain normal healthy development of the neural tube and is vital for cell division from a single cell to a fully developed baby.
Vitamin B Complex is required for the growth and development of unborn babies.
Vitamin C plays a role In the structure of collagen in the fetal membrane.
Zinc is a critical nutrient for fetal growth & development, central nervous system development & function and ensures better maternal & infant health
Adult: One Capsule daily before food or as directed by the physician.
Carbonyl Iron decreases the absorption of tetracycline antibiotics, quinolone antibiotics, levodopa, levothyroxine, methyldopa and penicillamine. Folic Acid interacts with antiepileptics, so plasma concentrations of phenobarbital, phenytoin and primidone are possibly reduced.
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.
Gastrointestinal irritations such as nausea, anorexia, vomiting, discomfort, constipation & 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.
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 & Folic Acid is justified during the remainder of pregnancy.
Symptoms of Carbonyl Iron include decreased energy, nausea, abdominal pain, tarry stool, weak, rapid pulse, fever, coma, seizures.
Store at temperature not exceeding 30°C in a dry place. Protect from moisture.
Each capsule contains
Elemental Iron [as Carbonyl iron] INN 50 mg
Zinc Sulphate Monohydrate BP 61.80 mg equivalent to Zinc 22.50 mg
Folic Acid BP 0.5mg
Nicotinamide BP 10 mg
Riboflavin BP 2 mg
Pyridoxine Hydrochloride BP 1 mg
Ascorbic Acid USP 50 mg
Thiamine Mononitrate BP 2 mg.
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