osudhkosh

Generic

Ferrous Ascorbate

2 brands available in the market

At a glance

Ferrous Ascorbate is an iron replacement product used for the treatment of iron deficiency anemia and anemia due to chronic kidney disease.

Description

Ferrous Ascorbate is an iron replacement product. It is used to treat a type of anemia where you have too few red blood cells because you have too little iron in your body (iron-deficiency anaemia). Iron is needed to produce the red blood cells that carry oxygen around your body.

Ferrous Ascorbate is a combination of iron and vitamin C. Iron works by replenishing the iron stores in your body and corrects iron deficiency anemia. Vitamin C (ascorbate) is added to enhance the absorption of iron in the body.

Indications
  • Iron Deficiency Anemia: Used for treatment and prophylaxis of iron deficiency anemia.
  • Anemia due to Chronic Kidney Disease: Used for treatment of anemia associated with CKD.
Therapeutic class

Iron, Vitamin & Mineral Combined preparation

Pharmacological class

Iron Replacement + Vitamin C

Pharmacology

Ferrous ascorbate is a synthetic molecule of ascorbic acid and iron. Ferrous ascorbate is a stable complex of iron and ascorbic acid. Ascorbic acid plays an important role in movement of plasma iron to storage depots in tissues. Ascorbate is a reducing agent and prevents oxidation. Thus maintains iron in highly soluble ferrous form.

Mechanism of action

Ferrous ascorbate is a stable complex of iron and ascorbic acid. Ascorbic acid helps in movement of iron to tissues and ascorbate prevents oxidation to maintain iron in soluble ferrous form.

Dosage

Adult Dose: One capsule daily; in more severe cases, 2 capsules a day may be required.

Administration

Your doctor or nurse will give you this medicine; do not self administer. For maximum absorption take on empty stomach, but may take with or after meals to minimize GI irritation.

Missed dose

If you miss a dose of Ferrous Ascorbate, please consult your doctor.

Side effects

Common Side Effects:

  • Vomiting
  • Dark colored stool
  • Nausea
  • Constipation
  • Diarrhea
  • Injection site reactions (pain, swelling, redness)
Precautions & warnings

Precautions:

  • It is not known whether Ferrous Ascorbate alters the ability to drive; do not drive if you experience any symptoms.
  • Take with meals to reduce gastric discomfort.
  • Inform your doctor about any medications for infections (antibiotics).
  • Tell your doctor if you have peptic ulcer or long-term inflammation of the intestine.
  • Seek immediate medical attention if you experience abdominal pain, nausea, vomiting, diarrhea, blood in stools, black stools, vomiting of blood, low blood pressure, increased heart rate, dehydration, drowsiness, pale appearance, cyanosis, lack of vigor or fits.
Contraindications

Contraindications:

  • Hypersensitivity
  • Hemochromatosis
  • Hemolytic anemia
Drug interactions

Drug Interactions:

  • Antacids/H2 antagonists: May reduce absorption of iron.
  • Chloramphenicol: May delay response to iron.
  • Levodopa, Methyldopa, Penicillamine: May reduce absorption.
  • Quinolones or Tetracyclines: May reduce absorption.
Food interactions

Food Interactions: It is unsafe to consume alcohol with Ferrous Ascorbate.

Use in pregnancy

Use in Pregnancy: Ferrous Ascorbate is generally considered safe during pregnancy; animal studies have shown low or no adverse effects.

Pregnancy Category: A — always consult a doctor before taking during pregnancy.

Use in lactation

Use in Lactation: Ferrous Ascorbate is safe during breastfeeding; does not pass into breastmilk in significant amount.

Pediatric use

Pediatric Use: Consult your doctor regarding use in children.

Geriatric use

Geriatric Use: No specific dosage adjustment is necessary for elderly patients.

Renal / hepatic impairment

Renal Impairment: Use with caution; dose adjustment may be needed.

Hepatic Impairment: Use with caution; dose adjustment may be needed.

Overdose effects

Overdose: Symptoms of acute iron overdosage: abdominal pain, nausea, vomiting, diarrhea, tarry stools, melena, hematemesis, hypotension, tachycardia, metabolic acidosis, hyperglycemia, dehydration, drowsiness, pallor, cyanosis, lassitude, seizures, shock and coma.

Storage conditions

Storage: Keep below 30 degree C, away from light and moisture. Keep out of reach of children.

Chemical structure

Ferrous Ascorbate

Common questions

Q1: Iron deficiency anemia, hemoglobin 6.5, what to do?
Send your lab reports; doctor will take detail history and may ask for blood tests.
Q2: Hemoglobin 7 gram, iron not working, what to do?
Consult doctor; there can be various types of anemia (iron-refractory, thalassemia, etc.).
Q3: How to increase hemoglobin percentage?
Have diet rich in green leafy vegetables, fruits, jaggery, spinach; get iron profile test done.
Q4: Mother has anemia (Hb-9), migraine and vitamin D3 deficiency, what to do?
Get MRI brain; treat anemia and B12 deficiency.
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.