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Introduction About FEMINA XT TABLET
FEMINA XT TABLET contains Ferrous ascorbate and Folic acid, which belong to the group of medicines called Hematinics. It is used to manage nutritional deficiency anaemia associated with iron and folic acid.
FEMINA XT TABLET can also be used to manage anaemia occurring during pregnancy and breast feeding. Anemia is when your body can't produce enough hemoglobin (a substance in red blood cells that enables them to carry oxygen) due to insufficient iron.
FEMINA XT TABLET is not recommended to be taken if you have any kidney or liver diseases, porphyria cutanea tarda, conditions affecting the iron level of your body, cobalamin deficiency, any malignant disease, inflammatory bowel disease, galactose intolerance, lapp lactase deficiency, or glucose-galactose malabsorption.
It is not recommended to take FEMINA XT TABLET if you are receiving frequent blood transfusions and parenteral iron therapy. FEMINA XT TABLET is safe to take in pregnancy and breastfeeding; however, consult your doctor before taking it. Safety and efficacy of FEMINA XT TABLET in children have not been established.
The most common side effects of taking FEMINA XT TABLET are nausea, vomiting, constipation, diarrhea, and dark stools. It is recommended to consult the doctor if any of the symptoms worsen or persist for a longer duration.
Uses Of FEMINA XT TABLET
Manages and manages anaemia occurring:
- Due to deficiency of iron and folic acid
- During pregnancy and breastfeeding
How FEMINA XT TABLET Works
FEMINA XT TABLET helps increase haemoglobin levels where ferrous ascorbate facilitates oxygen delivery and consumption, promotes cell growth and multiplication, and thus boosts red blood cells and haemoglobin synthesis and Folic acid plays an essential role in the production of red blood cells (which transport oxygen throughout the body) and during pregnancy, owing to its function in the development of the brain and spinal cord of the developing baby.
How to use FEMINA XT TABLET
Take FEMINA XT TABLET as advised by your physician. Swallow it with a glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration of FEMINA XT TABLET management depending upon your age, body weight, and disease condition.
Side Effects Of FEMINA XT TABLET
Common
- Nausea, vomiting
- Constipation, diarrhea
- Dark stools
Rare
- Loss of appetite, flatulence, swollen abdomen
- Allergic reactions (redness, rash, itching, hives, breathlessness, or shock)
How To Manage Side Effects
Constipation
Consume enough fiber-rich foods like fresh fruits, vegetables, and cereals, and drink ample amounts of water. Exercise more regularly. If the constipation persists, contact your doctor.
Diarrhea
Drink lots of liquids like water or fruit juice to maintain hydration. Call your doctor before taking any medicine for diarrhea. If diarrhea persists, contact your doctor.
Loss Of Appetite
Eat when you are hungry. Eat smaller meals more often than usual. Snack only when you're hungry. Eat a protein-rich or other healthy snack such as dried fruit and nuts. If appetite does not get better, contact your doctor.
Nausea And Vomiting
Stay hydrated with small sips of clear fluids like water, ginger ale, or electrolyte solutions. Avoid consuming large meals; instead, opt for bland, easy-to-digest foods. Ginger, peppermint, or chamomile tea may help soothe the stomach. Rest in a comfortable position, preferably with your head elevated, to ease symptoms. Consult your doctor if nausea and vomiting persist.
Warning & Precautions
Pregnancy
Monitoring requiredFEMINA XT TABLET should be taken by pregnant women only if necessary. Consult your doctor before taking it.
Breastfeeding
Monitoring requiredFEMINA XT TABLET should be taken during breastfeeding only if the potential benefits outweigh the potential risks to the baby. Consult your doctor before taking it.
Alcohol
Use with CautionFEMINA XT TABLET should be used with caution in patients who consume alcohol in large amounts. Consult your doctor for advice.
Kidney
Use with CautionFEMINA XT TABLET should be used with caution in patients with a history of kidney disease. Consult your doctor before taking it.
Liver
Use with CautionFEMINA XT TABLET should be used with caution in patients with hepatitis (inflammation of liver). Consult your doctor before taking it.
Allergy
ContraindicatedDo not take FEMINA XT TABLET if you are allergic to ferrous ascorbate, folic acid, or any of the other ingredients of this medicine.
Heart Disease
Use with CautionFEMINA XT TABLET should be used with caution in patients with a family history of heart diseases. Consult your doctor before taking it.
Use In Pediatrics
Consult your doctorSafety and efficacy of FEMINA XT TABLET in children have not been established. Consult your child’s doctor for advice.
Use In Geriatrics
Use with CautionFEMINA XT TABLET should be used with caution in elderly patients (over 55 years of age). Consult your doctor before taking it.
Others
FEMINA XT TABLET is not recommended for use if you:
- Have porphyria cutanea tarda (a rare disease characterized by painful blister-like skin lesions that develop on the skin exposed to sun)
- Have conditions characterized by an increased amount of iron level in the body (Ex. haemochromatosis and hemosiderosis)
- Have haemolytic anaemia (increased rate of destruction of red blood cells as compared to the rate of formation of red blood cells)
- Have unmanaged cobalamin deficiency
- Have Addisonian pernicious anaemia (drop in red blood cells when the body can't absorb enough vitamin B12)
- Have any malignant diseases
- Are receiving repeated blood transfusions
- Have anaemias not produced by iron deficiency
- Are receiving parenteral iron therapy
- Have gastrointestinal diseases (Ex. inflammatory bowel disease, intestinal strictures, and diverticula)
- Have galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption (rare hereditary problems)
Before taking FEMINA XT TABLET, inform your doctor if you:
- Have folate-dependent tumours
- Have intestinal disease
- Have peptic ulcers
- Have inflammation of the intestine, colon, or pancreas
- Are undergoing angioplasty (surgery to stretch open a narrowed or blocked artery)
Interactions
A. Drug-Drug Interactions:
Before taking FEMINA XT TABLET, inform your doctor if you are taking any of the following medicines:
- Medicines used to manage acidity (Ex. magnesium hydroxide, sodium bicarbonate, aluminium carbonate)
- Calcium, zinc, and vanadium (used as mineral supplements)
- Medicines used to manage bacterial infections (Ex. ciprofloxacin, methacycline, minocycline, cefdinir, ciprofloxacin, moxifloxacin, ofloxacin, acetohydroxamic acid, demeclocycline, and co-trimoxazole)
- Levothyroxine (used in thyroid conditions)
- Trientine, penicillamine (used to manage Wilson’s disease)
- Medicines used to manage stomach ulcers (Ex. esomeprazole, lansoprazole, omeprazole, pantoprazole, rabeprazole)
- Medicines used to control cholesterol levels (Ex. cholestyramine, colestipol)
- Pancrelipase (used to improve food digestion)
- Medicines used in bone problems (Ex. risedronate, alendronate, ibandronate)
- Medicines used in Parkinson’s disease (Ex. entacapone, levodopa, methyldopa)
- Mycophenolate mofetil (used to suppress the immune system)
- Ascorbic acid and citric acid (used as antioxidants)
- Dimercaprol (used to manage arsenic or mercury toxicity)
- Medicines used to manage fits (Ex. phenytoin, phenobarbital, primidone)
- Sulfasalazine (used to manage inflammatory bowel diseases)
- Methotrexate (used in cancer management)
B. Drug-Food Interactions:
Avoid consuming foods containing soybean or soy protein with FEMINA XT TABLET, as they can reduce iron absorption.
Overdosage:
If you or anyone else accidentally takes too much of FEMINA XT TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose are stomach pain, nausea, vomiting, diarrhea, dark sticky stools, blood in vomit, low blood pressure, fast heartbeat, dehydration, drowsiness, paleness, bluish discoloration, tiredness, and fits.
Synopsis
| Drug | : | Ferrous ascorbate, Folic acid |
| Pharmacological Category | : | Vitamins and Minerals |
| Therapeutic Indication | : | Anemia |
| Dosage Forms | : | Tablet, capsule, oral drops, syrup, suspension, syringe |
More Information
Storage
- Keep FEMINA XT TABLET out of reach of children
- Store FEMINA XT TABLET below 25°C
FAQs About FEMINA XT TABLET
Q: What is FEMINA XT TABLET used for?
A: FEMINA XT TABLET is used to manage nutritional deficiency anaemia associated with iron and folic acid. It can also be used to manage anaemia occurring during pregnancy and breast feeding.
Q: Can FEMINA XT TABLET be given to children?
A: Safety and efficacy of FEMINA XT TABLET in children have not been established. Consult your child’s doctor for advice. The doctor will determine an appropriate dose or select a suitable alternative management for your child.
Q: What if I forget to take a dose of FEMINA XT TABLET?
A: If you forget to take a dose of FEMINA XT TABLET, take it as soon as you remember. However, skip the missed dose if it's almost time for the next one. Do not take FEMINA XT TABLET two times to make up for the missed dose.
Q: Can I stop taking FEMINA XT TABLET on my own?
A: Continue taking FEMINA XT TABLET until your doctor tells you to stop, unless you experience any unwanted effects, worsening of your condition or any new symptoms. Contact your doctor in such a case.
Q: How should FEMINA XT TABLET be taken? Can it be crushed?
A: No. Do not break, crush, or chew FEMINA XT TABLET. Take it as advised by your physician. Swallow it with a glass of water. Your doctor will decide the correct dose and duration of FEMINA XT TABLET for you based on your age, body weight, and disease condition.
Q: Can I take FEMINA XT TABLET if I recently received a coronary stent?
A: No, it is not recommended to take FEMINA XT TABLET if you got a surgery performed for coronary stenosis (angioplasty and coronary stents). Also, it is recommended to take FEMINA XT TABLET with caution if anyone in the family is diagnosed with a condition or disease affecting the heart. Consult your doctor for advice.
Q: Is FEMINA XT TABLET safe during pregnancy?
A: FEMINA XT TABLET should be taken by pregnant women only if necessary. Consult your doctor before taking it.
Q: How does FEMINA XT TABLET work?
A: FEMINA XT TABLET helps increase haemoglobin levels where ferrous ascorbate facilitates oxygen delivery and consumption, promotes cell growth and multiplication, and thus boosts red blood cells and haemoglobin synthesis and Folic acid plays an essential role in the production of red blood cells (which transport oxygen throughout the body) and during pregnancy, owing to its function in the development of the brain and spinal cord of the developing baby.
Q: What are the side effects of FEMINA XT TABLET?
A: The most common side effects of taking FEMINA XT TABLET are nausea, vomiting, constipation, diarrhea, and dark stools. It is recommended to consult the doctor if any of the symptoms worsen or persist for a longer duration.
Q: Who should not take FEMINA XT TABLET?
A: FEMINA XT TABLET is not recommended for use if you have porphyria cutanea tarda, increased amount of iron level in body (Ex. haemochromatosis and hemosiderosis), haemolytic anaemia, unmanaged cobalamin deficiency, Addisonian pernicious anaemia, any malignant diseases, or are receiving repeated blood transfusions, have anaemias not produced by iron deficiency, or are receiving parenteral iron therapy, or have gastrointestinal diseases (Ex. inflammatory bowel disease, intestinal strictures, and diverticula), galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption (rare hereditary problems), or are allergic to ferrous ascorbate, folic acid.
References
1. Sean C. Sweetman. Nutritional Agents and Vitamins. Martindale The Complete Drug Reference. 36th Edition. Page- 1938, 1940.
2. Malhotra N, Kriplani A, Pal B, et al. Ferrous Ascorbate: Current Clinical Place of Therapy in the Management of Iron Deficiency Anemia. J South Asian Feder Obst Gynae. 2021. [Accessed on 2nd August 2024] https://www.jsafog.com/doi/JSAFOG/pdf/10.5005/jp-journals-10006-1896
3. Yakoob, M.Y., Bhutta, Z.A. Effect of routine iron supplementation with or without folic acid on anemia during pregnancy. Journal of Rare Diseases. SpringerLink. April 2011. [Accessed on 2nd August 2024] https://link.springer.com/article/10.1186/1471-2458-11-S3-S21#citeas
4. Cipla Ltd. HB-Set (Ferrous ascorbate + Folic acid). [Revised in December 2015] [Accessed on 2nd August 2024] https://www.ciplamed.com/product-index/hb-set-tablets
5. Alkem Labortaries Ltd. HemFer-XT (Ferrous ascorbate + Folic acid). [Revised in June 2016] [Accessed on 2nd August 2024] https://www.alkemlabs.com/pdf/adverse/HEMFER%20XT.pdf
6. Micro Labs Ltd. Biofer-XT Tablets (Ferrous ascorbate + Folic acid). [Accessed on 2nd August 2024] https://www.microlabsltd.com/elibrary/node/1545
7. Neuracle Lifesciences. Irogud XT (Ferrous ascorbate + Folic acid). [Accessed on 2nd August 2024] https://www.neuraclelife.com/product/ferrous-ascorbate-folic-acid-tablet/
Useful Diagnostic Tests
- Complete Blood Count (CBC)/ Hemogram
- Ferritin /Iron, Serum
- Iron Studies
- Iron Deficiency Profile
- Total Iron Binding Capacity- Tibc
- Unsaturated Iron Binding Capacity (Uibc)
- Ferritin
- Iron Studies With Ferritin
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