Iron (Sodium Feredetate) + Folic Acid + Vitamin B12 Pharmacology

Iron (Sodium Feredetate) + Folic Acid + Vitamin B12

About Iron (Sodium Feredetate) + Folic Acid + Vitamin B12
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Mechanism of Action of Iron (Sodium Feredetate) + Folic Acid + Vitamin B12
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Pharmacokinets of Iron (Sodium Feredetate) + Folic Acid + Vitamin B12
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Onset of Action for Iron (Sodium Feredetate) + Folic Acid + Vitamin B12
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Duration of Action for Iron (Sodium Feredetate) + Folic Acid + Vitamin B12
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Half Life of Iron (Sodium Feredetate) + Folic Acid + Vitamin B12
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Side Effects of Iron (Sodium Feredetate) + Folic Acid + Vitamin B12
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Contra-indications of Iron (Sodium Feredetate) + Folic Acid + Vitamin B12
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Special Precautions while taking Iron (Sodium Feredetate) + Folic Acid + Vitamin B12
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Pregnancy Related Information
May be used
Old Age Related Information
May be used
Breast Feeding Related Information
May be used
Children Related Information
Use with caution
Indications for Iron (Sodium Feredetate) + Folic Acid + Vitamin B12
Iron Deficiency Anemia due to:

1.Pregnancy
2.Chronic blood loss
3.Surgery
4.Worm infestation
5.Blood loss due to menstruation
Interactions for Iron (Sodium Feredetate) + Folic Acid + Vitamin B12
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Typical Dosage for Iron (Sodium Feredetate) + Folic Acid + Vitamin B12
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Schedule of Iron (Sodium Feredetate) + Folic Acid + Vitamin B12
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Storage Requirements for Iron (Sodium Feredetate) + Folic Acid + Vitamin B12
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Effects of Missed Dosage of Iron (Sodium Feredetate) + Folic Acid + Vitamin B12
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Effects of Overdose of Iron (Sodium Feredetate) + Folic Acid + Vitamin B12
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Iron (Sodium Feredetate)

About Iron (Sodium Feredetate)
Oral iron preparation, Antianemic,hematinic
Mechanism of Action of Iron (Sodium Feredetate)
The iron preparation Sodium feredate (sodium iron edetate) is not an iron salt. It is an unionised form. It is not astringent and does not discolour teeth. Sodium feredetate breaks down within the gastrointestinal tract and release elemental iron, which is then absorbed.
Iron formulations exert haematinic action by being an essential constituent of haemoglobin. It is necessary for the oxidative process of living tissues.
Pharmacokinets of Iron (Sodium Feredetate)
Absorption: Absorbed orally in ferrous form and poorly absorbed in healthy individuals (about 10%) but in patients suffering from iron deficiency anaemia up to 60% dose is absorbed. Distribution: Transported in a transferrin bound form in to bone marrow for incorporation in to haemoglobin. Metabolism: Iron liberated by destruction of haemoglobin is reused by the body. Excretion: Excretion of iron is minimal. Loss usually occurs in nails, faeces, urine, hair, sweat, and bile.
Onset of Action for Iron (Sodium Feredetate)
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Duration of Action for Iron (Sodium Feredetate)
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Half Life of Iron (Sodium Feredetate)
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Side Effects of Iron (Sodium Feredetate)
1.Nausea
2.Epigasttric distress
3.Vomiting
4.Constipation
5.Diarrhoea
6.Black stools
Contra-indications of Iron (Sodium Feredetate)
1.Haemolytic anaemia unless iron deficiency anaemia is also present
2.Haemochromatosis
3.Haemosiderosis
4.Peptic ulcer
5.Regional enteritis
6.Ulcerative colitis
7.Those receiving repeated blood transfusions.
Special Precautions while taking Iron (Sodium Feredetate)
1. Prolonged use
2. Minimise gastrointestinal discomfort by taking along with meals and gradually increasing the recommended dosage
3. Discontinue if intolerance occurs
4. Higher doses are required for geriatric patients
Pregnancy Related Information
May be used
Old Age Related Information
Use with caution
Breast Feeding Related Information
May be used
Children Related Information
Use with caution
Indications for Iron (Sodium Feredetate)
1. Iron deficiency
2. Iron deficiency anaemia
Interactions for Iron (Sodium Feredetate)
N/A
Typical Dosage for Iron (Sodium Feredetate)
Oral: Dose up to 1.42 g daily (equivalent to up to about 205 mg of iron daily).
Schedule of Iron (Sodium Feredetate)
H
Storage Requirements for Iron (Sodium Feredetate)
Store in a well closed container in a cool dry place. Protect from light.
Effects of Missed Dosage of Iron (Sodium Feredetate)
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Iron (Sodium Feredetate)
Treatment includes immediate support of airway, respiration, and circulation. In conscious patients induce emesis with ipecac; if not empty stomach by gastric lavage. Follow emesis with lavage, using a 1% sodium bicarbonate solution to convert iron to less irritating poorly absorbed form. Take abdominal X-ray to determine presence of excess iron. Deferoxamine may be used for systemic chelation if serum levels of iron exceed 350mg/dl.

Folic Acid

About Folic Acid
Dietary supplement, Folate derivative( B9 ), Water Soluble Vitamin.
Mechanism of Action of Folic Acid
Folic acid reduced by enzymes folate reductase and dihydrofolate reductase and forms dihydrofolic acid tetrahydrofolic acid respectively. Tetrahydrofolic acid acts as a coenzyme which mediates a number of one carbon transfer reactions by carrying a methyl group as an adduct. It involves a number of reactions such as 1).conversion of homocysteine to methionine. 2).synthesis of thymidylate which is an essential constituent of DNA from methylene-tetrahydrofolic acid. 3). Conversion of serine to glycine by tetrahydrofolic acid and forms methylene-tetrahydrofolic acid. 4).to introduce carbon units at position 2 and 8 during de novo purine synthesis requires formyl-tetrahydrofolic acid and methenyl-tetrahydrofolic acid.5).generation and utilization of "formate pool". 6).For mediating formino group transfer in histidine metabolism. Folic acid is required to maintain normal erythropoiesis and nucleoprotein synthesis.
Pharmacokinets of Folic Acid
Absorption: Well absorbed orally
Distribution: Widely distributed in the body and highest concentration is seen in liver. It appears in the CSF and breast milk
Metabolism: Metabolized in to N-methyl tetrahydrofolic acid in liver
Excretion: Extra drug is excreted unchanged in urine. A small portion of folate is lost by a combination of urinary and fecal excretion and oxidative cleavage of molecule.
Onset of Action for Folic Acid
Oral: 20 to 30minutes
I.V.: 5 minutes
I.M.:10 to 20minutes
Duration of Action for Folic Acid
Oral: 3 to 6 hours
I.V.:3 to 6minutes
I.M.:3 to 6hours
Half Life of Folic Acid
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Side Effects of Folic Acid
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Contra-indications of Folic Acid
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Special Precautions while taking Folic Acid
1. In patients with undiagnosed anaemia; because it may mask pernicious anaemia
2. In pernicious anaemia and other megaloblastic where vitamin B12 is deficient
Pregnancy Related Information
May be used
Old Age Related Information
May be used
Breast Feeding Related Information
May be used
Children Related Information
May be used
Indications for Folic Acid
1. Megaloblastic anaemia
2. Folic acid deficiency
3. Anaemias of pregnancy
4. Nutritional anaemia
5. Alcoholism
6. Tropical sprue
7. Non tropical sprue
Interactions for Folic Acid
1. Hypersensitivity reactions with injection form
2. Bronchospasm
Typical Dosage for Folic Acid
Oral: 5mg 1 to 4 times daily; depending up on the severity of deficiency.
Maintenance dosage: Half of the therapeutic dosage.
Children: 2.5 to 5mg 1 to 2 times daily.
Schedule of Folic Acid
C1 (Oral)
C (Parenteral)
Storage Requirements for Folic Acid
Store at controlled room temperature at a range of 15 to 25 degree C in a well closed container. Protect from excess heat, light and moisture.
Effects of Missed Dosage of Folic Acid
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Folic Acid
Relatively non toxic. Provide symptomatic treatment and supportive measures.

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