Each filmtab contains ferrous sulfate 525 mg (equivalent to elemental iron 105 mg), vitamin C 500 mg, niacinamide 30 mg, calcium pantothenate 10 mg, vitamins B1 6 mg, B2 6 mg, B6 5 mg, B12 25 mcg and folic acid 800 mcg.
Iron is needed to produce hemoglobin (Hb). In the case of iron deficiency, smaller red blood cell with lower Hb content is formed, which may lead to hypochromic microcytic anemia.
Vitamin C helps body metabolism.
Vitamin B-complex play an important role as co-enzyme in protein metabolism.
Folic Acid: Deficiency in folic acid as well as in vitamin B12 will affect hematopoiesis.
Iron deficiency anemia, megaloblastic anemia with vitamin C and vitamin B-complex deficiency, particularly during pregnancy.
Adults and Pregnant Women with Iron and Folic Acid Deficiency: 1 filmtab daily or as recommended by doctor.
Administration: The filmtabs should be taken orally and can be given in an empty stomach.
Administer emetics immediately. If necessary, abdominal lavage followed by administration of cathartic salt for rapid cleaning from the system should also be instituted. X-ray should be taken to locate the left-over Gradumet (excipient) in the abdomen.
Hypersensitivity to one of the components of Iberet Folic-500, pernicious anemia.
Where anemia exists, its nature should be established and the underlying cause determined.
Folic acid is not indicated for pernicious anemia or megaloblastic anemia with vitamin B12 deficiency. The cause of anemia must be established before treating patients with anemia. Folic acid with dosage >1 mg/day may mask the symptoms of pernicious anemia, where hematological picture looks better but not neurologically. Patients with vitamin B12 deficiency may need concomitant therapy with parenteral treatment of vitamin B12.
Pernicious anemia rarely occurs in female during fertility period. This lower incidence is due to fertility disturbance associated with vitamin B12 deficiency, eg during pregnancy.
Do not exceed the recommended dose. Iberet Folic-500 may discolor faeces (darken). Do not give to patients with history of repeated blood transfusion or anemia not due to iron deficiency.
Prolonged use of Iberet Folic-500 may cause the accumulation of iron.
Use in the elderly: Elderly people who have tendency of vitamin B12 deficiency must have regular monitoring of vitamin B12 serum concentration while taking Iberet Folic-500.
Nausea, vomiting, constipation or diarrhoea, abdominal pain.
Magnesium trisilicate and antacid which contains carbonate will inhibit the absorption of iron. Ferrous sulfate affects tetracycline absorption. Levodopa (antiparkinson) may produce reversed effect due to pyridoxine. Administration with milk or egg may inhibit the absorption of iron.
B03AE02 - iron, multivitamins and folic acid ; Belongs to the class of iron in other combinations. Used in the treatment of anemia.