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HEMARATE Multivitamins / Iron Film-Coated Tablet 1's

NONRXDRUG-DR-XY36884-1pc
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Features

Brand
Hemarate
Full Details
Drug Ingredients
  • Iron
  • Multivitamins
Drug Packaging
Film-Coated Tablet 1's
Generic Name
Multivitamins / Iron
Dosage Form
Film-Coated Tablet
Registration Number
DR-XY36884
Drug Classification
Over-The-Counter (OTC)
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Description

Indications/Uses

A nutritional supplement for the prevention and treatment of iron deficiency anemia and vitamin B-complex deficiencies.
 

Dosage/Direction for Use

Orally, one tablet daily or, as directed by a doctor.
Missed Dose: If the patient misses a dose, just take the next dose and the subsequent doses at the usual recommended schedule, i.e., once a day.
Do not double the dose unless recommended by a doctor.
 

Overdosage

Iron: Symptoms of acute iron overdosage can be divided into four stages.
Stage I: occurs up to six hours after ingestion, the principal symptoms are vomiting and diarrhea. Other symptoms include hypotension (low blood pressure), tachycardia (rapid heartbeat) and central nervous system (CNS) depression ranging from lethargy (sleepiness) to coma (state of unconsciousness).
Stage II: may occur 6 to 24 hours after ingestion and is characterized by a temporary remission or signs of overdosage are decreased.
Stage III: gastrointestinal symptoms recur accompanied by shock, metabolic acidosis (increased acid in the blood), coma, hepatic necrosis (death of liver tissue), jaundice (yellowish color of the skin, eyes and other tissues), hypoglycemia (low blood sugar), kidney failure, and pulmonary edema (fluid in the lungs).
Stage IV: occur several weeks after ingestion and is characterized by gastrointestinal obstruction (blockage) and liver damage.
Pyridoxine (Vitamin B6): Although vitamin B6 has generally been considered relatively nontoxic, long term (two months or longer) administration of large (megadose) dosages (usually 2 grams or more daily) of vitamin B6 can cause neurological symptoms manifested as paresthesia (more noticeable at night and limited to the extremities), bone pains (described as lightning, stabbing or shooting like a knitting needle or electric shocks), hyperesthesia (described as burning, pricking, stinging, or itching), muscle weakness (difficulty in running, lifting, climbing stairs and loss of manual dexterity), fasciculation (described as twitching, restlessness or fidgeting), and numbness on the limbs and face.
Vitamin B12: Use of doses greater than 10 micrograms daily may produce a haematological response in patients with folate deficiency; indiscriminate use may mask the precise diagnosis.
Nicotinamide: Dosages of nicotinamide in excess of 100 mg daily may cause flushing of the face, arms, and chest, itching and nausea.
If the patient has taken more than the recommended dosage, consult a doctor or contact a Poison Control Center right away.
 

Administration

Should be taken on an empty stomach: Best taken between meals. May be taken w/ meals to reduce GI discomfort.
 

Contraindications

If the patient is allergic to any component of the product.
If the patient has primary hemochromatosis (a genetic condition characterized by excessive iron absorption), peptic ulcer (stomach sores), regional enteritis (inflammation of the intestines such as Crohn's disease), or ulcerative colitis (colon sores).
 

Adverse Reactions

Iron: Gastrointestinal side effects such as nausea, vomiting, bloating, and upper abdominal discomfort are seen with high iron doses. Other undesirable effects may include either diarrhea or constipation.
May cause temporary staining of teeth.
Stools may appear darker in color.
Vitamin C: Prolonged intake of ascorbic acid (vitamin C) in excess of 2 grams per day may lead to nausea, abdominal cramps, diarrhea, and nose bleeds.
 

Drug Interactions

Do not use together with antacids and tetracyclines since they may result in reduced iron absorption.
Do not use together with chloramphenicol since it may cause delayed response to iron therapy.
 

Storage

Store at temperatures not exceeding 30° C.
Protect from light.
 
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