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Niferex-150, |ascorbic acid and iron polysaccharide

ascorbic acid and iron polysaccharide

Generic Name: ascorbic acid and iron polysaccharide (a score bick a sid and I ron polly sack a ride)
Brand Names: Niferex-150

What is ascorbic acid and iron polysaccharide?

Ascorbic acid is found in citrus fruit, tomatoes, potatoes, and leafy vegetables. Ascorbic acid is important for the skin and connective tissues, for normal chemical and hormonal production, and for the immune system.

Iron polysaccharide is a form of the mineral iron. Iron is important for many functions in the body, especially for the transport of oxygen in the blood.

Ascorbic acid is used to treat and prevent vitamin C deficiency.

Iron polysaccharide is used as a dietary supplement, and to prevent and to treat iron deficiencies and iron deficiency anemia.

Ascorbic acid and iron polysaccharide may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about ascorbic acid and iron polysaccharide?

Ascorbic acid and iron polysaccharide may decrease the absorption of other medicines. Talk to your doctor and pharmacist before taking ascorbic acid and iron polysaccharide if you take any other prescription or over-the-counter medicines.

What should I discuss with my healthcare provider before taking ascorbic acid and iron polysaccharide?

Before taking ascorbic acid and iron polysaccharide, tell your doctor or talk to your pharmacist if you:

• have diabetes;

• hemosiderosis;

• hemolytic anemia;

• hemochromatosis;

• have kidney disease or an increased risk of kidney stone formation;

• have a tartrazine sensitivity;

• have a sulfite sensitivity;

• are on a sodium restricted diet;

• are undergoing testing of the stool for blood, or

• are taking warfarin (Coumadin).

You may not be able to take ascorbic acid and iron polysaccharide, or you may require special monitoring if you have any of the conditions or are taking any of the medicines listed above.

If you do not have an iron deficiency, talk to your doctor about the use of ascorbic acid and iron polysaccharide. Generally, ascorbic acid and iron polysaccharide should not be taken chronically by individuals with a normal iron balance.

How should I take ascorbic acid and iron polysaccharide?

Take ascorbic acid and iron polysaccharide exactly as directed by your doctor or as directed on the package. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Ascorbic acid and iron polysaccharide may decrease the absorption of other medicines. Talk to your doctor and pharmacist before taking ascorbic acid and iron polysaccharide if you take any other prescription or over-the-counter medicines.

What happens if I miss a dose?

Take the missed dose as soon as you remember. However, if it is almost time to take the next dose, skip the dose you missed and take the next regularly scheduled dose as directed. Do not take a double dose.

What happens if I overdose?

Symptoms of a ascorbic acid and iron polysaccharide overdose include decreased energy; nausea; vomiting; abdominal pain; tarry stools; a weak, rapid pulse; fever; coma; seizures; and death.

What should I avoid while taking ascorbic acid and iron polysaccharide?

Iron polysaccharide may decrease the absorption of other medicines. Talk to your doctor and pharmacist before taking ascorbic acid and iron polysaccharide if you take any other prescription or over-the-counter medicines.

Ascorbic acid and iron polysaccharide side effects

Other less serious side effects are more likely to occur. Continue taking ascorbic acid and iron polysaccharide and talk to your doctor or pharmacist if you experience

• stomach upset,

• nausea or vomiting;

• diarrhea;

• kidney stones;

• constipation;

• black or darker than normal appearing stools, or

• temporary staining of the teeth.

Side effects other than those listed here may also occur with ascorbic acid and iron polysaccharide. Talk to your doctor or pharmacist about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect ascorbic acid and iron polysaccharide?

Talk to your doctor before taking ascorbic acid and iron polysaccharide if you are taking any of the following medicines

• an estrogen such as Premarin, Ogen, Estratest, Vivelle, Climara, Estring, Estrace, and others;

• an oral birth control pill such as Alesse, Levlen, Ovral, Triphasil, Tri-Levlen, Lo-Ovral, and others; or

• warfarin (Coumadin).

You may not be able to take ascorbic acid and iron polysaccharide, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.

• a tetracycline antibiotic such as tetracycline (Achromycin, Sumycin), minocycline (Minocin, Dynacin), doxycycline (Vibramycin, Monodox), demeclocycline (Declomycin), oxytetracycline (Terramycin), or troleandomycin (TAO);

• a fluoroquinolone antibiotic such as ciprofloxacin (Cipro), enoxacin (Penetrex) ofloxacin (Floxin), norfloxacin (Noroxin), levofloxacin (Levaquin), lomefloxacin (Maxaquin), grepafloxacin (Raxar), sparfloxacin (Zagam), or trovafloxacin (Trovan);

• levodopa (Larodopa, Dopar, Sinemet);

• levothyroxine (Synthroid, Levoxyl, others);

• methyldopa (Aldomet); or

• penicillamine (Cuprimine).

Ascorbic acid and iron polysaccharide may decrease the absorption of the drugs listed above.

Do not take antacids within 2 hours of a dose of ascorbic acid and iron polysaccharide. Antacids may decrease the absorption of ascorbic acid and iron polysaccharide.

Drugs other than those listed here may also interact with ascorbic acid and iron polysaccharide. Talk to your doctor and pharmacist before taking any other prescription or over-the-counter medicines including vitamins, minerals, and herbal products while taking ascorbic acid and iron polysaccharide.

Where can I get more information?

• Your pharmacist has additional information about ascorbic acid and iron polysaccharide written for health professionals that you may read.

What does my medication look like?

Iron polysaccharide is available generically and under several brand names. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

• Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
• Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ("Multum") is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum"s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum"s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.