Iron (III) hydroxide polymaltose complex, folic acid.
1 Maltofer Fol chewable tablet contains 100 mg of iron in the form of an iron (III) hydroxide polymaltose complex and 0.35 mg folic acid, cyclamate, vanillin, flavourings and other ingredients.
Iron is an essential component of haemoglobin, myoglobin and of the iron-containing enzymes. Folic acid is an important vitamin for the development of the unborn child. A deficiency of folic acid in the first few weeks of pregnancy can lead to malformations in the child.
Maltofer Fol chewable tablets are a combination preparation containing iron and folic acid. They are used for the treatment and prevention of iron deficiency with increased need for folic acid during pregnancy and lactation.
Maltofer Fol chewable tablets can be chewed or swallowed whole and should be taken during or directly after a meal.
For the prevention and treatment of iron deficiency and treatment of iron deficiency without anaemia (latent iron deficiency) as well as to meet an increased need for folic acid: 1 chewable tablet once daily.
For the treatment of iron deficiency with anaemia (manifest iron deficiency) as well as to meet an increased need for folic acid: 1 chewable tablet 2-3 times daily. Once the haemoglobin blood values have returned to normal, treatment with 1 chewable tablet daily will be continued until the end of the pregnancy in order to meet the increased need for iron and to replenish the iron stores.
The dose and duration of treatment depend on the extent of the iron deficiency. The exact duration of treatment is determined by the doctor in each case.
If taking Maltofer Fol is forgotten, just take the next dose at the usual time. Do not take a double dose to compensate for the forgotten dose.
Keep to the dosage stated or as prescribed by the doctor. If thinking that the effect of this medicine is too strong or too weak, talk to the doctor or pharmacist.
If Maltofer Fol is taken more than it should have been, talk to the doctor or pharmacist. A too high dose of folic acid can cause changes in mental state, changes to the sleep pattern, irritability and hyperactivity, nausea, abdominal distension and flatulence.
In the case of known hypersensitivity or intolerance to the active substances iron (III) hydroxide polymaltose complex and folic acid or to any of the other ingredients (see Description).
In the case of iron overload in the body (for example caused by rare iron storage diseases which can lead to iron accumulations in the tissues).
In the case of so-called iron utilisation disorders (for example when the anaemia is due to insufficient utilisation of the iron).
In the case of anaemia which is not caused by iron deficiency (e.g. caused by increased haemoglobin breakdown or vitamin B12 deficiency).
Before taking Maltofer Fol chewable tablets is started, a doctor should confirm the blood's iron and haemoglobin levels using appropriate tests. If the symptoms are not caused by iron deficiency, Maltofer Fol chewable tablets will not be effective. The doctor will want to monitor the progress of the treatment with periodic follow-up examinations and may even carry out blood tests. This is normal and should not be alarming. If symptoms do not improve within three weeks, see the doctor.
Tell the doctor or pharmacist before taking Maltofer Fol if the following is present: An infection or a tumour; A vitamin B12 deficiency (The folic acid contained in Maltofer Fol can mask a vitamin B12 deficiency).
Tell the doctor or pharmacist if being treated with one of the following medicines: Iron preparations for injection (Using such iron preparations at the same time as Maltofer Fol is not recommended); Medicines for the treatment of epilepsy, in particular phenytoin; Chloramphenicol, a medicine for the treatment of bacterial infections (The doctor will monitor carefully if taking both medicines).
Also tell the doctor if blood transfusions have been received as there is a risk of iron overload as a result of the additional administration of iron.
Tell the doctor or pharmacist if: suffering from any other illnesses; having any allergies; taking any other medicines (including over-the-counter medicines) or using any other medicines externally.
If pregnant, trying to become pregnant or breastfeeding, only take Maltofer Fol after consultation with the doctor.
The following side effects may occur while taking Maltofer Fol chewable tablets: A very common side effect is a stool discolouration caused by the excretion of iron, but this is harmless. Other frequent side effects are diarrhoea, nausea, and indigestion.
Occasionally there may be vomiting, constipation, abdominal pain, tooth discolouration or headache as well as local skin reactions (itching, rash). These side effects are usually temporary.
In very rare cases, patients may experience allergic reactions. These may be, for example, skin reactions, swelling (oedema) or shortness of breath. In such cases, stop taking the medicine and consult a doctor.
If any side effects not described are noticed, tell the doctor or pharmacist.
B03BB51 - folic acid, combinations ; Belongs to the class of folic acid and derivatives. Used in the treatment of anemia.
Maltofer Fol chewable tab