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- Pharmacology For Folic Acid + Zinc Ascorbate + Iron (Carbonyl Iron) + Adenosyl Cobalamin
Folic Acid + Zinc Ascorbate + Iron (Carbonyl Iron) + Adenosyl Cobalamin Pharmacology
Folic Acid + Zinc Ascorbate + Iron (Carbonyl Iron) + Adenosyl Cobalamin
About Folic Acid + Zinc Ascorbate + Iron (Carbonyl Iron) + Adenosyl CobalaminN/AMechanism of Action of Folic Acid + Zinc Ascorbate + Iron (Carbonyl Iron) + Adenosyl CobalaminN/APharmacokinets of Folic Acid + Zinc Ascorbate + Iron (Carbonyl Iron) + Adenosyl CobalaminN/AOnset of Action for Folic Acid + Zinc Ascorbate + Iron (Carbonyl Iron) + Adenosyl CobalaminN/ADuration of Action for Folic Acid + Zinc Ascorbate + Iron (Carbonyl Iron) + Adenosyl CobalaminN/AHalf Life of Folic Acid + Zinc Ascorbate + Iron (Carbonyl Iron) + Adenosyl CobalaminN/ASide Effects of Folic Acid + Zinc Ascorbate + Iron (Carbonyl Iron) + Adenosyl Cobalamin1.Constipation
2.Diarrhea
3.Upset stomach may occur
4.Black stools
5.Rarely allergic reaction include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing
Contra-indications of Folic Acid + Zinc Ascorbate + Iron (Carbonyl Iron) + Adenosyl CobalaminN/ASpecial Precautions while taking Folic Acid + Zinc Ascorbate + Iron (Carbonyl Iron) + Adenosyl Cobalamin1.Allergic to any of its ingredients
2.Certain metabolic disorders (e.g., hemochromatosis, hemosiderosis)
3.Stomach/intestinal problems (e.g., ulcers, colitis), vitamin B12 deficiency (pernicious anemia)
Pregnancy Related InformationUse with cutionOld Age Related InformationN/ABreast Feeding Related InformationUse with cutionChildren Related InformationN/AIndications for Folic Acid + Zinc Ascorbate + Iron (Carbonyl Iron) + Adenosyl Cobalamin1.It is used to treat or prevent a lack of these nutrients which may occur in certain health conditions (e.g., anemia, pregnancy, poor diet, surgery recovery)
2.Treatment of iron deficiency anaemia
Interactions for Folic Acid + Zinc Ascorbate + Iron (Carbonyl Iron) + Adenosyl CobalaminThis can decrease the absorption of other drugs such as bisphosphonates (for example, alendronate), levodopa, penicillamine, quinolone antibiotics (for example, ciprofloxacin, levofloxacin), thyroid medications (for example, levothyroxine), and tetracycline antibiotics (for example, doxycycline, minocycline)Typical Dosage for Folic Acid + Zinc Ascorbate + Iron (Carbonyl Iron) + Adenosyl CobalaminThis medication is best taken on an empty stomach 1 hour before or 2 hours after meals.Schedule of Folic Acid + Zinc Ascorbate + Iron (Carbonyl Iron) + Adenosyl CobalaminN/AStorage Requirements for Folic Acid + Zinc Ascorbate + Iron (Carbonyl Iron) + Adenosyl CobalaminStore at room temperature between 59-86 degrees F (15-30 degrees C) away from light and moisture. Properly discard this product when it is expired or no longer needed.Effects of Missed Dosage of Folic Acid + Zinc Ascorbate + Iron (Carbonyl Iron) + Adenosyl CobalaminIf you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.Effects of Overdose of Folic Acid + Zinc Ascorbate + Iron (Carbonyl Iron) + Adenosyl CobalaminAccidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6 years. Keep this product out of reach of children. If overdose does occur, seek immediate medical attention.Folic Acid
About Folic AcidDietary supplement, Folate derivative( B9 ), Water Soluble Vitamin.Mechanism of Action of Folic AcidFolic 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 AcidAbsorption: 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 AcidOral: 20 to 30minutes
I.V.: 5 minutes
I.M.:10 to 20minutes
Duration of Action for Folic AcidOral: 3 to 6 hours
I.V.:3 to 6minutes
I.M.:3 to 6hours
Half Life of Folic AcidN/ASide Effects of Folic AcidN/AContra-indications of Folic AcidN/ASpecial Precautions while taking Folic Acid1. 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 InformationMay be usedOld Age Related InformationMay be usedBreast Feeding Related InformationMay be usedChildren Related InformationMay be usedIndications for Folic Acid1. 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 Acid1. Hypersensitivity reactions with injection form
2. Bronchospasm
Typical Dosage for Folic AcidOral: 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 AcidC1 (Oral)
C (Parenteral)
Storage Requirements for Folic AcidStore 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 AcidTake 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 AcidRelatively non toxic. Provide symptomatic treatment and supportive measures.Zinc Ascorbate
About Zinc AscorbateZinc ascorbate is an antioxidant mineral and an immune booster.Mechanism of Action of Zinc AscorbateWhile the antioxidant activity of ascobic acid, also known as Vitamin C, is enhanced when zinc is present, zinc itself plays an important role in our immune system and other metabolic processes. Zinc ascorbate can also be better absorbed than the inorganic zinc salts. It also has greater tissue retention and is gentler on the system. Our body does contain a large number of zinc deposits in bones and muscles, but these are not readily available for use in cell growth. Under conditions where zinc is readily available, it is subject to high turnover rates, leading to deficiency if supply is not supplmented.Pharmacokinets of Zinc AscorbateN/AOnset of Action for Zinc AscorbateN/ADuration of Action for Zinc AscorbateN/AHalf Life of Zinc AscorbateN/ASide Effects of Zinc AscorbateN/AContra-indications of Zinc AscorbateN/ASpecial Precautions while taking Zinc AscorbateN/APregnancy Related InformationN/AOld Age Related InformationN/ABreast Feeding Related InformationN/AChildren Related InformationN/AIndications for Zinc AscorbateN/AInteractions for Zinc AscorbateN/ATypical Dosage for Zinc AscorbateN/ASchedule of Zinc AscorbateN/AStorage Requirements for Zinc AscorbateN/AEffects of Missed Dosage of Zinc AscorbateN/AEffects of Overdose of Zinc AscorbateN/AIron (Carbonyl Iron)
About Iron (Carbonyl Iron)A highly pure, nontoxic Iron(a minimum 98% iron content), Iron dietary supplement and to treat iron deficiency.Mechanism of Action of Iron (Carbonyl Iron)Iron formulations exerts haematinic action by being an essential constituent of haemoglobin. It is necessary for the oxidative process of living tissues.
Pharmacokinets of Iron (Carbonyl Iron)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 (Carbonyl Iron)4 daysDuration of Action for Iron (Carbonyl Iron)2 to 4 monthsHalf Life of Iron (Carbonyl Iron)N/ASide Effects of Iron (Carbonyl Iron)1. Nausea
2. Epigasttric distress
3. Vomiting
4. Constipation
5. Diarrhoea
6. Black stools
7. Temporary staining of teeth with liquid formulations
Contra-indications of Iron (Carbonyl Iron)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 (Carbonyl Iron)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 InformationMay be usedOld Age Related InformationUse with cautionBreast Feeding Related InformationMay be usedChildren Related InformationUse with cautionIndications for Iron (Carbonyl Iron)1. Iron deficiency
2. Iron deficiency during pregnancy and lactation
3. Iron deficiency in infants and children
Interactions for Iron (Carbonyl Iron)(Oral Iron): Antacids: GI absorption of iron reduced.
Ascorbic acid: GI absorption of iron enhanced.
Chloramphenicol: Serum iron levels may be increased.
Cimetidine: GI absorption may be reduced.
Levodopa: Decreased levodopa serum levels.
Methyldopa: May result in decreased efficacy of methyldopa.
Quinolones: GI absorption of quinolones decreased.
Penicillamine: Marked reduction in GI absorption of penicillamine.
Tetracyclines: Decrease in the absorption of both tetracyclines and iron salts.
Food: Eggs and milk inhibit iron absorption. Administration of calcium and iron supplementation with food reduces ferrous sulfate absorption by one-third. If combined iron and calcium supplementation required then calcium carbonate should be used and the supplementation taken between meals.
Typical Dosage for Iron (Carbonyl Iron)Oral:
Ferrous fumarate:
Adults: Starts with 50 to 100mg 2 to 3 times daily. Adjust the dosage based on patient`s response.
Children: 4 to 6mg/kg daily in three divided doses.
Ferrous sulphate:
Adults: 100 to 300mg; twice daily. Increases the dosage based on patient`s response if required up to 300mg 4 times daily.
Children (age 2 to 12): 3mg/kg/day in three to four divided doses
Children (age 6months to 2years): 3 to 6mg/kg/day in three to four divided doses
Infants: 10 to 25mg/day in three to four divided doses.
Ferrous gluconate:
300 to 1200mg daily in three to four divided doses.
Children (age 2 to 12): 3mg/kg/day in three to four divided doses
Children (age 6months to 2years): 3 to 6mg/kg/day in three to four divided doses
Infants: 10 to 25mg/day in three to four divided doses.
Schedule of Iron (Carbonyl Iron)HStorage Requirements for Iron (Carbonyl Iron)Store in a well closed container in a cool dry place. Protect from light.Effects of Missed Dosage of Iron (Carbonyl Iron)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 (Carbonyl Iron)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. About N/AMechanism of Action of N/APharmacokinets of N/AOnset of Action for N/ADuration of Action for N/AHalf Life of N/ASide Effects of N/AContra-indications of N/ASpecial Precautions while taking N/APregnancy Related InformationN/AOld Age Related InformationN/ABreast Feeding Related InformationN/AChildren Related InformationN/AIndications for N/AInteractions for N/ATypical Dosage for N/ASchedule of N/AStorage Requirements for N/AEffects of Missed Dosage of N/AEffects of Overdose of N/AHome Delivery for Folic Acid + Zinc Ascorbate + Iron (Carbonyl Iron) + Adenosyl Cobalamin in Your City
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Folic Acid + Zinc Ascorbate + Iron (Carbonyl Iron) + Adenosyl Cobalamin is a generic medicine name and there are several brands available for it. Some of the brands for folic acid + zinc ascorbate + iron (carbonyl iron) + adenosyl cobalamin might be better known than folic acid + zinc ascorbate + iron (carbonyl iron) + adenosyl cobalamin itself. If the pharmacy that's willing to deliver medicines to your home doesn't have folic acid + zinc ascorbate + iron (carbonyl iron) + adenosyl cobalamin in stock, you can ask for one of the branded alternatives for folic acid + zinc ascorbate + iron (carbonyl iron) + adenosyl cobalamin.