This preparation is indicated for the prophylaxis of iron deficiency, especially when an inadequate diet calls for supplementary zinc and iron during pregnancy and anemia.

Ferrous Ascorbate, Folic Acid & Zinc is a combination of three nutritional supplements. Ferrous Ascorbate is a combination of iron and vitamin C. Iron replenishes the iron stores in your body and corrects iron deficiency anemia. Vitamin C (ascorbate) is added to enhance the absorption of iron in the body. Folic Acid is a form of vitamin B. It plays a vital role in the formation of red blood cells, which carry oxygen throughout the body. It is also essential in pregnancy due to its role in the development of the unborn baby's brain and spinal cord. Zinc is a micromineral that provides nutrition.

Adult & Elderly: One tablet a day before or after a meal (food-independent absorption) or as directed by the physician. In more severe cases, two tablets a day may be required as prescribed by the physician.

Pediatric patients: Safety and effectiveness in pediatric patients have not been established.

Iron chelates with tetracycline. Since oral iron products interfere with absorption of oral tetracycline antibiotics, this product should not be taken within two hours of each other. Occasional gastrointestinal discomfort may be minimized by taking with meals. Absorption of iron may be impaired by concurrent administration of penicillamine and antacids. In patients with renal failure, a risk of zinc accumulation may exist.

It is contraindicated in patients with haemolytic anaemia and in conditions with increased hypersensitivity to any of its components and increased body iron content.

Side effects of iron, folic acid, and zinc supplementation are mild and transient. These include epigastric pain, nausea, constipation, vomiting, diarrhoea, heartburn, etc. Allergic sensitization has been reported following both oral and parenteral administration of folic acid.

If pregnant, or planning to become pregnant, or are currently breastfeeding, please contact your physician before taking or continuing the drug. Administration in the first trimester of pregnancy should be avoided unless definite evidence of iron deficiency is observed. Prophylaxis of iron deficiency is justified during the remainder of pregnancy, specifically when zinc supplementation is required.

Care should be taken in patients who may develop iron overload, such as those with haemochromatosis, haemolytic anemia, or red cell aplasia. Failure to respond to treatment may indicate other causes of anemia and should be further investigated.

Iron overdosage is dangerous, particularly in children, and requires immediate attention. Gastric lavage should be carried out in the early stages, or if this is not possible, vomiting should be induced. These procedures should not be undertaken where signs of the corrosive effects of zinc are present. Give oral desferrioxamine (2 g for a child or 5 g for an adult) and demulcent. If serum iron levels at 4 hours or more post-ingestion are over 5 mg/L in a child or 8 mg/L in an adult, or if the patient is in shock or coma, intravenous desferrioxamine should be used. Zinc sulfate in gross overdosage is corrosive. Symptoms are those of gastrointestinal irritation leading in severe cases to haemorrhage, corrosion of the mucosa, and possible later stricture formation. Gastric lavage or emesis should be avoided. Demulcents such as milk should be given. Chelating agents such as dimercaprol, penicillamine, or edetic acid have been recommended.

Symptomatic and supportive measures should be given as required. The timed-release capsule presentation may delay excessive absorption of iron and zinc and allow more time for the initiation of appropriate countermeasures.

Iron, Vitamin & Mineral Combined preparation

Keep below 30°C temperature, away from light & moisture. Keep out of the reach of children.