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|Ferrous Fumarate/Docusate

Ferrous Fumarate/Docusate

Ferrous Fumarate/Docusate is used for:

Treating and preventing low levels of iron in the blood. It also may be used for other conditions as determined by your doctor.

Ferrous Fumarate/Docusate is a combination essential body mineral and stool softener. It works by replacing iron in your body if your body does not produce enough on its own. The stool softener helps to decrease the constipation associated with iron products.

Do NOT use Ferrous Fumarate/Docusate if:

• you are allergic to any ingredient in Ferrous Fumarate/Docusate
• you have high levels of iron in your blood
• you have appendicitis

Contact your doctor or health care provider right away if any of these apply to you.

Before using Ferrous Fumarate/Docusate :

Some medical conditions may interact with Ferrous Fumarate/Docusate . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have inflammation of the intestines, Crohn disease, digestive problems, ulcers, anemia, a blood disease (eg, porphyria, thalassemia), or a history of bowel blockage
• if you have had multiple blood transfusions
• if you have stomach pain, nausea, or vomiting

Some MEDICINES MAY INTERACT with Ferrous Fumarate/Docusate . Tell your health care provider if you are taking any other medicines, especially any of the following:

• Doxycycline, mycophenolate, penicillamine, or thyroid hormones (eg, levothyroxine) because their effectiveness may be decreased by Ferrous Fumarate/Docusate
• Mineral oil because its absorption may be increased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Ferrous Fumarate/Docusate may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Ferrous Fumarate/Docusate :

Use Ferrous Fumarate/Docusate as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Ferrous Fumarate/Docusate by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
• If you take a bisphosphonate (eg, alendronate), cephalosporin (eg, cephalexin), penicillamine, quinolone (eg, ciprofloxacin), or tetracycline (eg, minocycline), ask your doctor or pharmacist how to take it with Ferrous Fumarate/Docusate .
• Do not take an antacid within 1 hour before or 2 hours after you take Ferrous Fumarate/Docusate .
• Avoid eggs, whole grain breads or cereal, milk, milk products, coffee, or tea within 2 hours before or after taking Ferrous Fumarate/Docusate . These foods may reduce absorption of Ferrous Fumarate/Docusate .
• Take Ferrous Fumarate/Docusate with a full glass of water (8 oz/240 mL). Do not lie down for 30 minutes after taking Ferrous Fumarate/Docusate .
• If you miss a dose of Ferrous Fumarate/Docusate , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Ferrous Fumarate/Docusate .

Important safety information:

• Do not take large doses of vitamins while you use Ferrous Fumarate/Docusate unless your doctor tells you to.
• Do NOT take more than the recommended dose or use for longer than 6 months without checking with your doctor.
• Ferrous Fumarate/Docusate may darken the stools. This is normal and not a cause for concern.
• Ferrous Fumarate/Docusate contains a stool softener. Do not take any other laxative or stool softener products without first checking with your doctor or pharmacist.
• Lab tests, including blood cell counts and iron levels, may be performed while you use Ferrous Fumarate/Docusate . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
• Ferrous Fumarate/Docusate should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Ferrous Fumarate/Docusate while you are pregnant. Ferrous Fumarate/Docusate is found in breast milk. If you are or will be breast-feeding while you use Ferrous Fumarate/Docusate , check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Ferrous Fumarate/Docusate :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Bitter taste; constipation; darkened or green stools; diarrhea; nausea; stomach upset; throat irritation.

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); black, tarry stools; blood or streaks of blood in the stool; fever; vomiting with continuing sharp stomach pain.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include loss of consciousness; difficulty breathing; seizures; severe nausea; stomach pain; tarry stools; unusual tiredness; vomiting; weak, fast heartbeat.

Store Ferrous Fumarate/Docusate at room temperature between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Ferrous Fumarate/Docusate out of the reach of children and away from pets.

General information:

• If you have any questions about Ferrous Fumarate/Docusate , please talk with your doctor, pharmacist, or other health care provider.
• Ferrous Fumarate/Docusate is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Ferrous Fumarate/Docusate . If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.