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IREA Tablet 10's
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INTRODUCTION
IREA TABLET is a combination of Ferrous ascorbate, Folic acid and Zinc sulphate 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.
IREA TABLET is not recommended for use in patients with untreated cobalamin deficiency, Addisonian pernicious anaemia or malignant disease (except megaloblastic anaemia). Before taking IREA TABLET, inform your doctor if you have hemochromatosis, hemoglobinopathies, any gastrointestinal diseases or anaemias other than those due to iron deficiency or if you are receiving repeated blood transfusions.
IREA TABLET is safe to use during pregnancy and breastfeeding, but consult your doctor before taking it. The most common side effects of taking IREA TABLET are digestive tract problems like abdominal pain, vomiting, diarrhoea, constipation, black stools, indigestion, etc. Consult your doctor if any of your symptoms get worse.
USES OF IREA TABLET
- Treats iron deficiency anaemia
HOW IREA TABLET WORKS
IREA TABLET treats anaemia where ferrous ascorbate acts as an iron supplement to prevent iron deficiency anaemia, folic acid helps the body make healthy new cells, especially in pregnant women and zinc sulphate stimulates the activity of many enzymes in the body, supports a healthy immune system to make DNA and plays an important role in proper body development during childhood, adolescence and pregnancy.
DIRECTIONS FOR USE
Take IREA 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 IREA TABLET for you based on your age, body weight and disease condition.
SIDE EFFECTS OF IREA TABLET
COMMON
- stomach pain, vomiting, diarrhoea, constipation, black stools, indigestion
- gastric irritation, gastritis
RARE
- loss of appetite, nausea, abdominal swelling, wind
- allergic reactions like redness, rash, itching, hives, breathlessness and anaphylactic reactions (including shock)
HOW TO MANAGE SIDE EFFECTS
Stomach pain:
Try to rest and relax. Eat and drink slowly or try to eat smaller meals more frequently. Keep a heating pad on your stomach. If your stomach still aches, contact your doctor.
Vomiting:
Get adequate rest. Drink lots of fluids, especially water. Have small sips if you feel sick. Eat when you feel like eating; you don't have to eat or avoid any specific foods. Do not take any medicine for vomiting without your doctor's consultation. If vomiting does not get better, 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 the diarrhoea does not get better, contact your doctor.
Constipation:
Eat plenty of fibre-rich foods, like fresh fruits and vegetables and cereals and drink plenty of water. Exercise more regularly. If you still feel constipated, contact your doctor.
Indigestion:
Raise your head and shoulders while sleeping—this can prevent stomach acid from coming up. Do not eat for 3 to 4 hours before going to bed and avoid tea, coffee, cola and alcohol. If your indigestion does not improve, contact your doctor.
WARNING & PRECAUTIONS
PREGNANCY
IREA TABLET is safe to use in pregnancy but consult your doctor before taking it.
BREASTFEEDING
IREA TABLET is safe to use in breastfeeding but consult your doctor before taking it.
DRIVING AND USING MACHINES
Consult your doctor if you feel any side effects during treatment with IREA TABLET that may stop you from driving or using machines.
ALLERGY
Do not take IREA TABLET if you are allergic to Ferrous ascorbate, Folic acid and Zinc sulphate or any of the other ingredients of this medicine.
OTHERS
IREA TABLET is not recommended for use if you:
- have untreated cobalamin deficiency
- have Addisonian pernicious anaemia (decrease in red blood cells due to the body’s inability to absorb enough vitamin B12)
- have any malignant disease (except megaloblastic anaemia)
- are galactose intolerant, Lapp lactase deficient
- have glucose-galactose malabsorption
Before taking IREA TABLET, inform your doctor if you:
- have haemochromatosis (body takes up and stores more iron than required)
- have haemoglobinopathies (abnormal haemoglobin production)
- have any gastrointestinal diseases like inflammatory bowel disease, intestinal strictures, diverticula (small bulging pouch in the digestive tract)
- have anaemias other than that due to iron deficiency
- are receiving repeated blood transfusions
- are non-deficient
- have folate-dependent tumours
Use in Pediatrics:
There is no proper information about the use of IREA TABLET in paediatric patients. Consult your doctor before taking it.
Use in Geriatrics:
Your doctor will prescribe the right dose of IREA TABLET depending on your age, body weight and health condition. Consult your doctor before taking it.
INTERACTIONS
A. Drug-Drug interactions:
Before taking IREA TABLET, inform your doctor if you are taking any of the following medicines:
- medicines used to treat acidity (Ex. calcium, magnesium, carbonates, bicarbonates)
- mineral supplements
- medicines used to treat bacterial infections (Ex. tetracyclines, chloramphenicol, cefdinir, ofloxacin, levofloxacin, co-trimoxazole)
- trientine (used to treat Wilson’s disease)
- acetohydroxamic acid (used in urinary tract infections)
- levothyroxine (used in thyroid disorders)
- medicines used to treat bone disorders (Ex. risedronate, alendronate)
- medicines used to treat Parkinson’s disease (Ex. entacapone, levodopa, methyldopa)
- mycophenolate mofetil (used to prevent organ transplant rejection)
- penicillamine (used in arthritis)
- dimercaprol (used to treat arsenic, mercury, gold and lead toxicity)
- medicines used to treat fits (Ex. phenytoin, phenobarbital, primidone)
- sulfasalazine (used to treat inflammatory bowel disease)
Overdosage:
If you or anyone else accidentally take too much of IREA TABLET, consult your doctor immediately or visit the nearby hospital.
SYNOPSIS
| Drug | : | Ferrous ascorbate, Folic acid and Zinc sulphate |
| Pharmacological Category | : | Haematinics |
| Therapeutic Indication | : | Iron deficiency anaemia |
| Dosage Forms | : | Tablet, Capsule, Syrup |
MORE INFORMATION
- Keep IREA TABLET out of reach from children
- Store below 25°C
FAQs ABOUT IREA TABLET
Q: Can IREA TABLET be given to children?
A: Ask your doctor before giving IREA TABLET to your child. Your doctor will determine the correct dose or select a suitable alternative treatment for your child.
Q: What if I forget to take a dose of IREA TABLET?
A: If you forget to take a dose of IREA 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 IREA TABLET twice to make up for the missed dose.
Q: Can I stop taking IREA TABLET on my own?
A: Continue taking IREA 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 IREA TABLET be taken? Can it be crushed?
A: No. Do not break, crush or chew IREA TABLET. Take it as advised by your physician. Swallow it with a glass of water. Your doctor will determine the correct dose and duration of IREA TABLET for you based on your age, body weight and disease condition.
Q: What is IREA TABLET used for?
A: IREA TABLET is used to treat iron deficiency anaemia. Iron deficiency anaemia occurs 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 IREA TABLET cause stomach pain?
A: Stomach pain is a common side effect of IREA TABLET. In such cases, try to rest and relax. Eat and drink slowly or try to eat smaller meals more frequently. Keep a heating pad on your stomach. If your stomach still aches, contact your doctor.
Q: What should I tell my doctor before taking IREA TABLET?
A: Patients taking IREA TABLET must notify their doctor if they have any pre-existing conditions, such as untreated cobalamin deficiency, Addisonian pernicious anaemia, malignant disease (except megaloblastic anaemia), haemochromatosis, hemoglobinopathies, any gastrointestinal diseases, anaemias other than those caused by iron deficiency or if they are receiving repeated blood transfusions. Patients should also inform their doctors if they are pregnant, nursing, allergic to anything, undergoing repeated blood transfusions or receiving parenteral iron therapy. Consult your doctor if you experience anything different.
Q: Can IREA TABLET be taken during pregnancy?
A: IREA TABLET is safe to use during pregnancy, but 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 IREA TABLET.
Q: Can I take other medicines with IREA TABLET?
A: Before taking IREA 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- 1938, 1940, 1999.
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. Narendra Malhotra, Alka Kriplani, Bhaskar Pal, Vidya Bhat, Onkar Swami. Ferrous Ascorbate: Current Clinical Place of Therapy in the Management of Iron Deficiency Anemia. Journal of South Asian Federation of Obstetrics and Gynaecology. 2021. [Accessed on 13th August 2022] https://www.jsafog.com/doi/JSAFOG/pdf/10.5005/jp-journals-10006-1896
4. Gülsan M, Malbora B, Avci Z, Bayraktar N, Bozkaya I, Ozbek N. Effects of Zinc Sulfate Supplementation in Treatment of Iron Deficiency Anemia. NIH National Library of Medicine, National center for biotechnology information. PubMed Central. June 2015. [Accessed on 13th August 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3878474/
5. Torrent Pharmaceuticals Ltd. Ferrous ascorbate + Folic Acid + Zinc sulphate. [Accessed on 13th August 2022] https://www.torrentian.com/pisheet/Upload/PI_Sheet/1517.pdf
6. Naranka Pharma. Ferrous ascorbate + Folic Acid + Zinc sulphate. [Accessed on 13th August 2022] https://www.narankaapharma.com/products.html
USEFUL DIAGNOSTIC TESTS
- Complete Blood Count (CBC)
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