iron-vitamin c-vitamin b12-folic acid-oral (cont.)
PRECAUTIONS: Before taking this medication, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: certain metabolic disorders (hemochromatosis, hemosiderosis). Before using this medication, tell your doctor or pharmacist your medical history, especially of: certain blood disorders (hemolytic anemia, pernicious anemia), intestinal conditions (e.g., stomach or intestinal ulcers, Crohn's disease, ulcerative colitis), alcohol use, liver disease. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known whether this drug passes into breast milk. While there have been no reports of harm to nursing infants, consult your doctor before breast-feeding.
DRUG INTERACTIONS: Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: levodopa, methyldopa, penicillamine, magnesium-containing products (e.g., vitamin supplements), thyroid medications, quinolone antibiotics (e.g., ciprofloxacin, norfloxacin), tetracycline antibiotics, certain anti-seizure drugs (e.g., phenytoin, fosphenytoin), pyrimethamine, bisphosphonates (e.g., alendronate, risedronate). Tell your doctor or laboratory personnel you take this drug because products that contain iron can cause false results with certain tests that check for blood in the stools. Do not start or stop any medicine without doctor or pharmacist approval.
OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. Symptoms of overdose may include unconsciousness, paleness, weak-rapid heartbeat, stomach pain, nausea, vomiting, or green diarrhea/tarry stools.
NOTES: Do not share this medication with others. Laboratory and/or medical tests (e.g., complete blood counts-CBC, vitamin B12 levels) should be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details. There are many iron supplement products available. Some can be purchased without a prescription. Consult your doctor or pharmacist on the choice of a product best for you. This medication is not a substitute for a proper diet. It is important to maintain a well-balanced diet. Foods rich in iron include beans, nuts, asparagus, oatmeal, red meat, and dried peaches.
MISSED DOSE: If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
STORAGE: Store at room temperature between 59-86 degrees F (15-30 degrees C) away from light and moisture. Do not store in the bathroom. Keep all medicines away from children and pets.
Last Editorial Review: 3/2/2005
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