At a glance
Ferrous Sulphate + Folic Acid is a combination used for the prophylaxis and treatment of iron deficiency anemia in pregnancy and prevention of megaloblastic anemia of pregnancy.
Indications
- Iron Deficiency Anemia in Pregnancy: Used for prophylaxis and treatment of iron deficiency in pregnancy.
- Prevention of Megaloblastic Anemia of Pregnancy: Used for prevention of megaloblastic anemia during pregnancy.
Pharmacology
Iron is an essential constituent of the body being necessary for haemoglobin formation and for the oxidative processes of living tissues. Iron deficiency anaemias are most often the result of chronic haemorrhage, nutritional deficiency, pregnancy or parasite infestation or malabsorption of iron. A deficiency of Folic acid typically during pregnancy has long been known to cause a megaloblastic anaemia.
Dosage
Adult Dose (Oral):
- 1 capsule/tablet 1-2 times daily.
- In pregnancy: recommended to start at first antenatal consolation and continue for 3 months after delivery.
Side effects
Common Side Effects:
- Constipation
- Diarrhea
- Dark stools
- Dizziness
- Headache
- Nausea
- Heartburn
- Epigastric pain
Use in pregnancy
Use in Pregnancy: Administration during first trimester may be undesirable; use if definite evidence of iron deficiency.
Pregnancy Category: A — always consult a doctor before taking during pregnancy.
Precautions & warnings
Precautions:
- Iron chelates with antacid and tetracycline and absorption of all these may be impaired.
- Administration during the first trimester of pregnancy may be undesirable.
- Care is needed when treating patients with peptic ulcer.
- Some post-gastrectomy patients show poor absorption of iron.
Overdose effects
Overdose: In case of overdose, perform gastric lavage within 4 hours; administer desferrioxamine; give milk and/or 5% sodium bicarbonate solution.
Storage conditions
Storage: Keep below 30 degree C, away from light and moisture. Keep out of reach of children.