Zdiplex ZI(25 mcg+100 mg+1 mg)/5 ml

Zdiplex ZI (25 mcg+100 mg+1 mg)/5 ml is a syrup manufactured by Edruc Limited in Bangladesh. Its active ingredient is Vitamin B12 + Elemental Iron + Folic Acid.

Indications

This is indicated for the prevention and treatment of Iron, vitamin B12 and Folic acid deficiency. Also indicated for the prevention of Iron deficiency during pregnancy and lactation and as prophylactic therapy of Iron deficiency to cover the recommended daily dietary allowance.

Contraindications

Contraindicated in patients with known hypersensivity to any of its ingredients.

Pharmacology

Vitamin B12 (cyanocobalamin):

Required for the maintenance of normal erthropoiesis, nucleprotein and myelin synthesis, cell reproduction and normal growth; Coenzyme; metabolic functions include protein synthesis and carbohydrate metabolism. Plays role in cell replication and hematopoiesis.

Iron:

Essential component in the formation of hemoglobin; adequate amounts of iron are necessary for effective erythropoiesis; also serves as a cofactor of several essential enzymes, including cytochromes that are involved in electron transport. Replacement of iron stores found in hemoglobin, myoglobin, and enzymes; works to transport oxygen via hemoglobin.

Folic acid:

Required for nucleoprotein synthesis and the maintenance of normal erythropoiesis; folic acid is converted in the liver and plasma to its metabolically active form, tetrahydrofolic acid, by dihydrofolate reductase; prevents neural tube defects in women of childbearing potential and higher doses required during pregnancy.

Dosage & Administration

• Adult:
• 1-2 capsules daily; as recommended by the physician.
• Children:
• 1 capsule daily; as recommended by the physician.
• Infant:
• As recommended by the physician.

Interaction

Generally no interactions have been observed. Iron may decrease the absorption of antacids, tetracycline, quinolone antibiotics, levodopa, levothyroxine, methyldopa and pencillamine. Folic acid interacts with antiepileptic drugs, no plasma concentrations of Phenobarbital, phenytoin possibly reduced.

Side Effects

Generally well tolerated. In individual cases, a few side-effects occur to oral Iron preparation, such as nausea, vomiting, constipation or diarrhoea.

Pregnancy & Lactation

This preparation can be used in pregnancy and lactation.

Precautions & Warnings

Caution should be applied where there is a risk of Iron overload, e.g. Haemochromatosis, Thalassaemia, Haemosiderosis or Haemolytic anaemia.

Overdose Effects

Initially epigastric pain, diarrhea and vomiting can occur of overdose. Metabolic acidosis, convulsions and coma can occur after recovery. In case of overdose an emetic should be given followed by gastric lavage and general supportive measures.

Therapeutic Class

Iron & Vitamin Combined preparations

Storage Conditions

Store in cool and dry place. Protect from light.

Disclaimer: This information is for reference only. Always consult a registered physician before taking any medicine.