This combination capsule is used for the treatment and prevention of iron, folic acid, and zinc deficiencies, particularly during pregnancy and lactation.

Each capsule contains elemental iron 50 mg (as carbonyl iron INN), folic acid BP 500 micrograms, and zinc sulphate monohydrate USP 61.80 mg (equivalent to 22.50 mg zinc).

This is a sustained-release formulation combining carbonyl iron, folic acid, and zinc sulphate monohydrate. It provides carbonyl iron with a high iron content (not less than 98%), ensuring high bioavailability and low toxicity, making it a safe and effective option for iron supplementation.

Adult: One Capsule daily before food or as directed by the physician.

Carbonyl iron may reduce the absorption of tetracycline antibiotics, quinolone antibiotics, levodopa, levothyroxine, methyldopa, and penicillamine. Folic acid may interact with antiepileptic drugs, potentially lowering plasma levels of phenobarbital, phenytoin, and primidone.

This medication is contraindicated in patients with known hypersensitivity to any of its components or in those with iron overload conditions.

Gastrointestinal disturbances such as nausea, loss of appetite, vomiting, abdominal discomfort, constipation, and diarrhea may occur. Some patients may notice dark-colored stools. The formulation includes carbonyl iron pellets to minimize gastric irritation, and allergic reactions are rare.

The use of medication during the first trimester of pregnancy should be avoided unless clearly necessary. Iron supplementation in early pregnancy should only be given when iron deficiency is confirmed. Preventive supplementation with iron, folic acid, and zinc may be appropriate during the later stages of pregnancy, especially in cases of inadequate dietary intake.

Caution is advised in patients with iron overload conditions such as hemochromatosis, hemolytic anemia, or red blood cell aplasia. If there is no response to treatment, further investigation is necessary to identify other causes of anemia. In patients with renal impairment, there may be a risk of zinc accumulation.

Symptoms of overdose may include fatigue, nausea, abdominal pain, tarry stools, weakness, rapid pulse, fever, coma, and seizures.

Iron, Vitamin & Mineral Combined preparation

Store below 30°C, protected from light and moisture. Keep all medicines out of the reach of children.