Carbonyl Iron + Folic Acid + Zinc

Indications

Carbonyl Iron + Folic Acid + Zinc is used for: Iron,Folic acid and zinc deficiency during pregnancy and lactation

Adult Dose

One capsule daily. In more severe cases, 2 capsules a day may be required

Child Dose

Renal Dose

Administration

For maximum absorption take on empty stomach, but may take with or after meals to minimize GI irritation

Contra Indications

This product is contraindicated in patients with a known hypersensitivity to any of the ingredients.

Precautions

Care should be taken in patients who may develop iron overload, such as those with haemochromatosis, haemolytic anemia or red cell aplasia. Iron chelates with tetracycline and absorption may be impaired. Lactation: Present in breast milk, use caution

Pregnancy-Lactation

Interactions

Carbonyl iron: Antacids may decrease the absorption of carbonyl iron. Folic acid: Antiepileptics, oral contraceptives, anti-TB drugs, alcohol, aminopterin, methotrexate, pyrimethamine, trimethoprim and sulphonamides may result to decrease in serum folate contrations. Decreases serum phenytoin concentrations.

Adverse Effects

Side effects of Carbonyl Iron + Folic Acid + Zinc : Iron >10% Constipation, Diarrhea, Nausea, Epigastric pain, Dark stools, Vomiting Frequency Not Defined Hemosiderosis (during long-term administration of large amounts), Urine discoloration, Dental stain by some formulations, Heartburn Folic acid Bronchospasm, Erythema, Malaise, Pruritus, Rash, Slight flushing Zinc Nausea/vomiting, Gastric irritation, Elevations of serum alkaline phosphatase, amylase, and lipase that may return to high normal within 1-2 years of therapy, Neurologic deterioration

Mechanism of Action

Iron: Essential component in the formation of hemoglobin; adequate amounts of iron are necessary for effective erythropoiesis; also serves as a cofactor of several essential enzymes, including cytochromes that are involved in electron transport. Replacement of iron stores found in hemoglobin, myoglobin, and enzymes; works to transport oxygen via hemoglobin. Folic acid: Required for nucleoprotein synthesis and the maintenance of normal erythropoiesis; folic acid is converted in the liver and plasma to its metabolically active form, tetrahydrofolic acid, by dihydrofolate reductase; prevents neural tube defects in women of childbearing potential and higher doses required during pregnancy. Zinc: Cofactor in over 100 enzymes; plays a role in DNA synthesis; supports a healthy immune system; helps maintain a sense of smell and taste; may assist in porper function of insulin.