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Introduction About LIVOGEN XT TABLET
LIVOGEN XT 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 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.
LIVOGEN XT TABLET is not recommended for use in patients with unmanaged cobalamin deficiency, Addisonian pernicious anemia, or malignant disease (except megaloblastic anaemia). Before taking LIVOGEN XT 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.
LIVOGEN XT TABLET is safe to use during pregnancy and breastfeeding but consult your doctor before taking it. The most common side effects of taking LIVOGEN XT TABLET are digestive tract problems like abdominal pain, vomiting, diarrhea, constipation, black stools, indigestion, etc. Consult your doctor if any of your symptoms get worse.
Uses Of LIVOGEN XT TABLET
- Manage iron deficiency anaemia
How LIVOGEN XT TABLET Works
LIVOGEN XT TABLET manages anaemia where ferrous ascorbate acts as an iron supplement to manage 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.
How to use LIVOGEN XT TABLET
Take LIVOGEN 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 LIVOGEN XT TABLET for you based on your age, body weight, and disease condition.
Side Effects Of LIVOGEN XT TABLET
Common
- Stomach pain, vomiting, diarrhea, 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

Constipation
Eat plenty of fiber-rich foods, like fresh fruits, vegetables, and cereals, and drink plenty of water. Exercise more regularly. If you still feel constipated, 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 diarrhea. If the diarrhea does not get better, contact your doctor.

Indigestion
Raise your head and shoulders while sleeping—this can manage 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 digestion does not improve, contact your doctor.

Nausea And 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.

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.
Warning & Precautions

Pregnancy
SafeLIVOGEN XT TABLET is safe to use in pregnancy but consult your doctor before taking it.

Breastfeeding
SafeLIVOGEN XT TABLET is safe to use in breastfeeding but consult your doctor before taking it.

Driving and Using Machines
Consult your doctorConsult your doctor if you feel any side effects during management with LIVOGEN XT TABLET that may stop you from driving or using machines.

Allergy
ContraindicatedDo not take LIVOGEN XT TABLET if you are allergic to ferrous ascorbate, folic acid, zinc sulphate, or any of the other ingredients of this medicine.

Use In Pediatrics
Consult your doctorThere is no proper information about the use of LIVOGEN XT TABLET in pediatric patients. Consult your doctor before taking it.

Use In Geriatrics
Consult your doctorYour doctor will prescribe the right dose of LIVOGEN XT TABLET depending on your age, body weight, and health condition. Consult your doctor before taking it.
Others
LIVOGEN XT TABLET is not recommended for use if you:
- Have unmanaged 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 LIVOGEN XT TABLET, inform your doctor if you:
- Have haemochromatosis (the body takes up and stores more iron than required)
- Have haemoglobinopathies (abnormal haemoglobin production)
- Have any gastrointestinal diseases like inflammatory bowel disease, intestinal strictures, or diverticula (a 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
Interactions
A. Drug-Drug interactions:
Before taking LIVOGEN XT TABLET, inform your doctor if you are taking any of the following medicines:
- Medicines used to manage acidity (Ex. calcium, magnesium, carbonates, bicarbonates)
- Mineral supplements
- Medicines used to manage bacterial infections (Ex. tetracyclines, chloramphenicol, cefdinir, ofloxacin, levofloxacin, co-trimoxazole)
- Trientine (used to manage Wilson’s disease)
- Acetohydroxamic acid (used in urinary tract infections)
- Levothyroxine (used in thyroid disorders)
- Medicines used to manage bone disorders (Ex. risedronate, alendronate)
- Medicines used to manage Parkinson’s disease (Ex. entacapone, levodopa, methyldopa)
- Mycophenolate mofetil (used to manage organ transplant rejection)
- Penicillamine (used in arthritis)
- Dimercaprol (used to manage arsenic, mercury, gold, and lead toxicity)
- Medicines used to manage fits (Ex. phenytoin, phenobarbital, primidone)
- Sulfasalazine (used to manage inflammatory bowel disease)
Overdosage:
If you or anyone else accidentally take too much of LIVOGEN XT 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
Storage
- Keep LIVOGEN XT TABLET out of reach from children
- Store below 25°C
FAQs About LIVOGEN XT TABLET
Q: Can LIVOGEN XT TABLET be given to children?
A: Ask your doctor before giving LIVOGEN XT TABLET to your child. Your doctor will determine the correct dose or select a suitable alternative management for your child.
Q: What if I forget to take a dose of LIVOGEN XT TABLET?
A: If you forget to take a dose of LIVOGEN 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 LIVOGEN XT TABLET twice to make up for the missed dose.
Q: Can I stop taking LIVOGEN XT TABLET on my own?
A: Continue taking LIVOGEN XT 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 LIVOGEN XT TABLET be taken? Can it be crushed?
A: No. Do not break, crush, or chew LIVOGEN XT 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 LIVOGEN XT TABLET for you based on your age, body weight, and disease condition.
Q: What is LIVOGEN XT TABLET used for?
A: LIVOGEN XT TABLET is used to manage 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 LIVOGEN XT TABLET cause stomach pain?
A: Stomach pain is a common side effect of LIVOGEN XT 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 LIVOGEN XT TABLET?
A: Before taking LIVOGEN XT TABLET, inform your doctor if you have haemochromatosis, haemoglobinopathies, gastrointestinal diseases like inflammatory bowel disease, intestinal strictures, diverticula, anaemias other than those due to iron deficiency, are receiving repeated blood transfusions, or have folate-dependent tumours.
Q: Can LIVOGEN XT TABLET be taken during pregnancy?
A: LIVOGEN XT 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 management with LIVOGEN XT TABLET.
Q: Can I take other medicines with LIVOGEN XT TABLET?
A: Before taking LIVOGEN XT 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.
Q: Who should not take LIVOGEN XT TABLET?
A: LIVOGEN XT TABLET is not recommended for use if you have unmanaged cobalamin deficiency, Addisonian pernicious anaemia, malignant disease (except megaloblastic anaemia), galactose intolerance, Lapp lactase deficiency, glucose-galactose malabsorption, or are allergic to ferrous ascorbate, folic acid, and zinc sulphate.
Q: What are the side effects of LIVOGEN XT TABLET?
A: The most common side effects of taking LIVOGEN XT TABLET are digestive tract problems like abdominal pain, vomiting, diarrhea, constipation, black stools, indigestion, etc. Consult your doctor if any of your symptoms get worse.
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 31st July 2024] 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 31st July 2024] 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 31st July 2024] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3878474/
5. Torrent Pharmaceuticals Ltd. Ferrous ascorbate + Folic Acid + Zinc sulphate. [Accessed on 31st July 2024] https://www.torrentian.com/pisheet/Upload/PI_Sheet/1517.pdf
6. Naranka Pharma. Ferrous ascorbate + Folic Acid + Zinc sulphate. [Accessed on 31st July 2024] https://www.narankaapharma.com/products.html
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