iron with ascorbic acid-oral tablets capsules, Ferralet Plus, Polytinic, Tolfrinic (cont.)

HOW TO USE: This medication is usually taken once a day as directed. Do not exceed recommended dosage. This medication is best taken on an empty stomach, but may be taken with meals if stomach upset occurs. Take with a full glass (8 oz or 240 ml) of water unless your doctor directs you otherwise. Do not lie down for 30 minutes after taking this medication.

SIDE EFFECTS: Most people can take this medication with minimal or no side effects. Stomach upset may occur. Stools may appear darker in color due to the iron. Do not be alarmed. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Do not take ferrous sulfate (iron) without consulting a doctor if you have: ulcers, colitis, intestinal disease. If your particular brand of iron supplement also contains folic acid, be sure to tell your doctor or pharmacist if you have a vitamin B12 deficiency (pernicious anemia) before taking it. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. This drug is excreted into breast milk. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Tell your doctor of all prescription and nonprescription drugs you may use, especially of: chloramphenicol, penicillamine, methyldopa, levodopa, cimetidine, quinolone antibiotics (e.g., ciprofloxacin, norfloxacin). Avoid taking iron at the same time as antacids or tetracycline antibiotics. Wait at least two hours between taking iron and an antacid or tetracycline. Eggs and milk decrease iron absorption. Coffee and tea that is drunk with a meal or 1 hour after a meal may also decrease iron absorption. Because ferrous sulfate can cause false results in tests for blood in the stools, tell the doctor or laboratory personnel that you take ferrous sulfate. Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE: Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6. 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.

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