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INTRODUCTION
HEMOTAG TABLET is a combination of Cyanocobalamin, Folic acid and Sodium feredetate which belongs to the group of medicines called Haematinics. It is used for the treatment of anaemia caused by iron deficiency. Iron deficiency anaemia is when your body can't produce enough haemoglobin (a substance in red blood cells that enables them to carry oxygen), due to insufficient iron.
HEMOTAG TABLET is not recommended for use in patients with hemochromatosis, hemosiderosis or in patients receiving repeated blood transfusions or parenteral iron therapy. HEMOTAG TABLET should be given to children only after consulting your doctor about it. Before taking HEMOTAG TABLET, inform your doctor if you have hemolytic anaemia, iron-storage or iron-absorption diseases, gastrointestinal diseases or folate-dependent tumours.
HEMOTAG TABLET should only be used in pregnant or breastfeeding women if your doctor believes it is necessary. The most common side effects of taking HEMOTAG TABLET are hypersensitivity, mild diarrhoea, swollen stomach, gas, loss of appetite and nausea. Consult your doctor if any of your symptoms get worse.
USES OF HEMOTAG TABLET
- Treats iron deficiency anaemia
HOW HEMOTAG TABLET WORKS
HEMOTAG TABLET increases haemoglobin, where cyanocobalamin and folic acid are essential for the synthesis and repair of DNA and they act as cofactors in biological reactions, which are required to make fresh RBCs, prevent anaemia and for the regular working of the brain and nervous system. Sodium fedetate is an important component of haemoglobin and myoglobin (a pigment that stores oxygen in muscle).
DIRECTIONS FOR USE
Take HEMOTAG 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 for you based on your age, body weight and disease condition.
SIDE EFFECTS OF HEMOTAG TABLET
COMMON
- hypersensitivity
- mild diarrhoea, swollen stomach, gas
- loss of appetite, nausea
HOW TO MANAGE SIDE EFFECTS
Bloating
Eat smaller and more frequent meals. Eat and drink slowly and exercise regularly. If flatulence does not improve, 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 nutritious snack rich in calories and protein, such as dried fruit and nuts. If your appetite does not improve, contact your doctor.
Diarrhea
Drink lots of fluids, like water or fruit juice to keep yourself hydrated. Check with your doctor before taking any medicine for diarrhoea. If diarrhoea does not get better, contact your doctor.
Nausea And Vomiting
Take HEMOTAG TABLET with or just after meals. Stick to simple meals. Avoid eating oily or spicy foods. If you still feel nauseous, contact your doctor.
WARNING & PRECAUTIONS
PREGNANCY
HEMOTAG TABLET should be used in pregnant women only if considered necessary. Consult your doctor before taking it.
BREASTFEEDING
HEMOTAG TABLET should be used in breastfeeding women only if considered necessary. Consult your doctor before taking it.
DRIVING AND USING MACHINES
Consult your doctor if you feel any side effects during treatment with HEMOTAG TABLET that may stop you from driving or using machines.
ALLERGY
Do not take HEMOTAG TABLET if you are allergic to Cyanocobalamin, Folic acid, Sodium feredetate or any of the other ingredients of this medicine.
OTHERS
HEMOTAG TABLET is not recommended for use if you:
- have haemochromatosis (body takes up and stores more iron than required)
- have hemosiderosis (excessive accumulation of iron deposits in tissues)
- are receiving repeated blood transfusions or parenteral iron therapy
Before taking HEMOTAG TABLET, inform your doctor if you:
- have hemolytic anaemia (red blood cells are destroyed faster than they can be replaced)
- have iron-storage or iron-absorption diseases
- have gastrointestinal diseases
- have any folate-dependent tumours
Use in Pediatrics:
HEMOTAG TABLET should be given to children only after consulting your doctor about it.
Use in Geriatrics:
Your doctor will prescribe the right dose of HEMOTAG TABLET depending on your age, body weight and health condition. Consult your doctor before taking it.
INTERACTIONS
A. Drug-Drug interactions:
Before taking HEMOTAG TABLET, inform your doctor if you are taking any of the following medicines:
- dimercaprol (used to treat arsenic, mercury, gold and lead toxicity)
- penicillamine (used to treat arthritis)
- medicines used to treat bacterial infections (Ex. neomycin, para-aminosalicylic acid, ofloxacin, levofloxacin, doxycycline)
- mycophenolate (used to treat certain kidney and skin diseases)
- medicines used to treat Parkinson’s disease (Ex. levodopa, carbidopa)
- thyroxine (used in thyroid hormone deficiency)
- medicines used to treat bone problems (Ex. disodium pamidronate, ibandronate)
- methyldopa (used to reduce blood pressure)
- colchicine (used to treat gout)
- metformin and similar medicines (used to treat diabetes)
- cholestyramine (used to reduce blood cholesterol)
- potassium chloride (used to treat and prevent potassium deficiency)
- cimetidine (used to prevent stomach ulcers)
Overdosage:
If you or anyone else accidentally take too much of HEMOTAG TABLET, consult your doctor immediately or visit the nearby hospital.
SYNOPSIS
| Drug | : | Cyanocobalamin, Folic acid, Sodium feredetate |
| Pharmacological Category | : | Vitamins, Iron chelates |
| Therapeutic Indication | : | Iron deficiency anaemia |
| Dosage Forms | : | Tablet |
MORE INFORMATION
- Keep HEMOTAG TABLET out of reach from children
- Store in a cool place far from light
FAQs ABOUT HEMOTAG TABLET
Q: Can HEMOTAG TABLET be used on infants?
A: Ask your doctor before giving HEMOTAG TABLET to your child. Your doctor will decide on the correct dose or select a suitable alternative treatment for your child.
Q: What if I forget to take a dose of HEMOTAG TABLET?
A: If you forget to take a dose of HEMOTAG TABLET, take it as soon as you remember. However, omit the missed dose if it's almost time for the next one. Do not take the medicine twice to make up for the missed dose.
Q: Can I stop taking HEMOTAG TABLET on my own?
A: Continue taking HEMOTAG TABLET until your doctor tells you to stop, unless you experience any unwanted effects, a worsening of your condition or any new symptoms. Contact your doctor in such a case.
Q: How should HEMOTAG TABLET be taken? Can it be crushed?
A: No. Do not break, crush or chew HEMOTAG TABLET. Take it as advised by your physician. Swallow it with a glass of water. Your doctor will determine the correct dose and duration for you based on your age, body weight and disease condition.
Q: What is HEMOTAG TABLET used for?
A: HEMOTAG TABLET is used to treat iron deficiency anemia. Iron deficiency anaemia is when your body can't produce enough haemoglobin (a substance in red blood cells that enables them to carry oxygen) due to insufficient iron.
Q: Can HEMOTAG TABLET cause anorexia?
A: Anorexia is a common side effect of HEMOTAG TABLET. In such cases, eat when you are hungry. Eat smaller meals more often than usual. Snack only when you're hungry. Eat a nutritious snack rich in calories and protein, such as dried fruit and nuts. If your appetite does not improve, contact your doctor.
Q: What should I tell my doctor before taking HEMOTAG TABLET?
A: Patients taking HEMOTAG TABLET must inform their doctor about their pre-existing conditions like hemochromatosis, hemosiderosis, hemolytic anaemia, iron-storage or iron-absorption diseases, gastrointestinal diseases or if they have any folate-dependent tumours. Patients should also inform their doctor if they are pregnant, breastfeeding, allergic to anything, undergoing multiple blood transfusions or receiving parenteral iron therapy. Consult your doctor if you experience anything different.
Q: Can HEMOTAG TABLET be taken during pregnancy?
A: Using HEMOTAG TABLET during the first trimester of pregnancy requires a careful assessment of potential risks versus benefits. If you are pregnant, think you may be pregnant or are planning to get pregnant, consult your doctor before taking it. Inform your doctor immediately if you become pregnant during treatment with HEMOTAG TABLET.
Q: Can I take other medicines with HEMOTAG TABLET?
A: Before taking HEMOTAG TABLET, inform your doctor if you are taking, have taken or might take any other medicine, including prescription, over-the-counter or any herbal medicine, as these might interact with each other and cause serious side effects.
REFERENCES
1. Sean C Sweetman. Nutritional Agents and Vitamins. Martindale The Complete Drug Reference. 36th edition. Page- 1940, 1962, 1980.
2. Warner MJ, Kamran MT. Iron Deficiency Anemia. NIH National Library of Medicine, National center for biotechnology information. StatPearls [Internet]. August 2021. [Accessed on 9th August 2022] https://www.ncbi.nlm.nih.gov/books/NBK448065/
3. Dr K.Nedunchelian, Sudhir Vinod Sane. Newer iron preparations: Advantages and limitations. Indian Journal of Practical Pediatrics. Page no. 67. January-March 2011. [Accessed on 9th August 2022] https://www.ijpp.in/admin/uploadimage/Vol.13%20No.1.pdf#page=65
4. Finecure Pharmaceuticals Ltd. Managing anaemia: Focus on sodium feredetate + folic acid + vit. B12. [Accessed on 9th August 2022] https://www.finecurepharma.com/managing-anaemia-focus-on-sodium-feredetate-folic-acid-vit-b12/
5. Micro Labs Ltd. Cyanocobalamin + Folic Acid + Sodium Feredetate. [Accessed on 9th August 2022] https://www.microlabsltd.com/elibrary/node/1548
USEFUL DIAGNOSTIC TESTS
- Complete Blood Count (CBC)
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