FERI Tablet 10's

Introduction About FERI TABLET

FERI 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 management 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.

FERI TABLET is not recommended for use in patients with hemochromatosis, hemosiderosis or in patients receiving repeated blood transfusions or parenteral iron therapy. FERI TABLET should be given to children only after consulting your doctor about it. Before taking FERI TABLET, inform your doctor if you have hemolytic anaemia, iron-storage or iron-absorption diseases, gastrointestinal diseases or folate-dependent tumours.

FERI TABLET should only be used in pregnant or breastfeeding women if your doctor believes it is necessary. The most common side effects of taking FERI 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 FERI TABLET

• Manage iron deficiency anaemia

How FERI TABLET Works

FERI 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, manage 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).

How to use FERI TABLET

Take FERI 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 FERI TABLET

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.

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.

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.

Nausea And Vomiting

Take FERI 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

Monitoring required

FERI TABLET should be used in pregnant women only if considered necessary. Consult your doctor before taking it.

Breastfeeding

Monitoring required

FERI TABLET should be used in breastfeeding women only if considered necessary. Consult your doctor before taking it.

Driving and Using Machines

Consult your doctor

Consult your doctor if you feel any side effects during management with FERI TABLET that may stop you from driving or using machines.

Allergy

Contraindicated

Do not take FERI TABLET if you are allergic to Cyanocobalamin, Folic acid, Sodium feredetate or any of the other ingredients of this medicine.

Interactions

A. Drug-Drug interactions:

Before taking FERI TABLET, inform your doctor if you are taking any of the following medicines:

• dimercaprol (used to manage arsenic, mercury, gold and lead toxicity)
• penicillamine (used to manage arthritis)
• medicines used to manage bacterial infections (Ex. neomycin, para-aminosalicylic acid, ofloxacin, levofloxacin, doxycycline)
• mycophenolate (used to manage certain kidney and skin diseases)
• medicines used to manage Parkinson’s disease (Ex. levodopa, carbidopa)
• thyroxine (used in thyroid hormone deficiency)
• medicines used to manage bone problems (Ex. disodium pamidronate, ibandronate)
• methyldopa (used to reduce blood pressure)
• colchicine (used to manage gout)
• metformin and similar medicines (used to manage diabetes)
• cholestyramine (used to reduce blood cholesterol)
• potassium chloride (used to manage potassium deficiency)
• cimetidine (used to manage stomach ulcers)

Overdosage:

If you or anyone else accidentally take too much of FERI TABLET, consult your doctor immediately or visit the nearby hospital.

Synopsis

More Information

• Keep FERI TABLET out of reach from children
• Store in a cool place far from light

FAQs About FERI TABLET

Q: Can FERI TABLET be used on infants?

A: Ask your doctor before giving FERI TABLET to your child. Your doctor will decide on the correct dose or select a suitable alternative management for your child.

Q: What if I forget to take a dose of FERI TABLET?

A: If you forget to take a dose of FERI 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 FERI TABLET on my own?

A: Continue taking FERI 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 FERI TABLET be taken? Can it be crushed?

A: No. Do not break, crush or chew FERI 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 FERI TABLET used for?

A: FERI TABLET is used to manage 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 FERI TABLET cause anorexia?

A: Anorexia is a common side effect of FERI 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 FERI TABLET?

A: Patients taking FERI 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 FERI TABLET be taken during pregnancy?

A: Using FERI 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 management with FERI TABLET.

Q: Can I take other medicines with FERI TABLET?

A: Before taking FERI 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)

Author Details

Written By Dr. Dhivakaran R - BDS

Reviewed For Accuracy By Dr. Shruthi Raikar - BDS

Last updated on 27 Jan 2023 | 09:41 AM(IST)