Each film-coated tablet contains: Ferrous Fumarate 320 mg (equivalent to elemental iron, 105 mg), dl-alpha Tocopheryl Acetate (Vitamin E) 30 IU, Thiamine Mononitrate (Vitamin B1) 10 mg, Riboflavin (Vitamin B2) 10 mg, Pyridoxine (Vitamin B6) 5 mg, Cyanocobalamin (Vitamin B12) 50 mcg, Nicotinamide (Vitamin B3) 30 mg, Sodium Ascorbate (Vitamin C) 500 mg.
Hemarate contains iron, vitamins B6 and B12. These nutrients are necessary for healthy blood, synthesis of hemoglobin (an oxygen containing protein which gives blood its red color) and to prevent iron-deficiency anemia (IDA). IDA is one of the most prevalent nutritional problems in developing countries including the Philippines.
Hemarate also provides other B-complex vitamins (vitamins B1, B2, and Nicotinamide) which help in the conversion of food to energy. It has vitamins C and E. Vitamin C is a water-soluble vitamin which enhances iron absorption. Vitamin E is a fat-soluble vitamin which acts as the first defense against free radicals in the lipid (fat) phase of cells. Together, vitamins C and E help protect the body against the harmful effect of free radicals. Free radicals are highly reactive and unstable chemicals generated during normal body activities that require oxygen and from exogenous sources such as environmental pollutants, smoking, exposure to UV light, etc.
A nutritional supplement for the prevention and treatment of iron deficiency anemia and vitamin B-complex deficiencies.
Orally, one tablet daily or, as directed by a doctor.
Missed Dose: If the patient misses a dose, just take the next dose and the subsequent doses at the usual recommended schedule, i.e., once a day.
Do not double the dose unless recommended by a doctor.
Iron: Symptoms of acute iron overdosage can be divided into four stages.
Stage I: occurs up to six hours after ingestion, the principal symptoms are vomiting and diarrhea. Other symptoms include hypotension (low blood pressure), tachycardia (rapid heartbeat) and central nervous system (CNS) depression ranging from lethargy (sleepiness) to coma (state of unconsciousness).
Stage II: may occur 6 to 24 hours after ingestion and is characterized by a temporary remission or signs of overdosage are decreased.
Stage III: gastrointestinal symptoms recur accompanied by shock, metabolic acidosis (increased acid in the blood), coma, hepatic necrosis (death of liver tissue), jaundice (yellowish color of the skin, eyes and other tissues), hypoglycemia (low blood sugar), kidney failure, and pulmonary edema (fluid in the lungs).
Stage IV: occur several weeks after ingestion and is characterized by gastrointestinal obstruction (blockage) and liver damage.
Pyridoxine (Vitamin B6): Although vitamin B6 has generally been considered relatively nontoxic, long term (two months or longer) administration of large (megadose) dosages (usually 2 grams or more daily) of vitamin B6 can cause neurological symptoms manifested as paresthesia (more noticeable at night and limited to the extremities), bone pains (described as lightning, stabbing or shooting like a knitting needle or electric shocks), hyperesthesia (described as burning, pricking, stinging, or itching), muscle weakness (difficulty in running, lifting, climbing stairs and loss of manual dexterity), fasciculation (described as twitching, restlessness or fidgeting), and numbness on the limbs and face.
Vitamin B12: Use of doses greater than 10 micrograms daily may produce a haematological response in patients with folate deficiency; indiscriminate use may mask the precise diagnosis.
Nicotinamide: Dosages of nicotinamide in excess of 100 mg daily may cause flushing of the face, arms, and chest, itching and nausea.
If the patient has taken more than the recommended dosage, consult a doctor or contact a Poison Control Center right away.
If the patient is allergic to any component of the product.
If the patient has primary hemochromatosis (a genetic condition characterized by excessive iron absorption), peptic ulcer (stomach sores), regional enteritis (inflammation of the intestines such as Crohn's disease), or ulcerative colitis (colon sores).
Do not use more than the recommended dose unless recommended by a doctor.
Consult a doctor: If the patient has symptoms of anemia (e.g., fatigue, pale skin, fast heartbeat, shortness of breath, chest pain, dizziness, etc.) consult a doctor before taking this medicine.
If any undesirable effect occurs.
Iron: Gastrointestinal side effects such as nausea, vomiting, bloating, and upper abdominal discomfort are seen with high iron doses. Other undesirable effects may include either diarrhea or constipation.
May cause temporary staining of teeth.
Stools may appear darker in color.
Vitamin C: Prolonged intake of ascorbic acid (vitamin C) in excess of 2 grams per day may lead to nausea, abdominal cramps, diarrhea, and nose bleeds.
Do not use together with antacids and tetracyclines since they may result in reduced iron absorption.
Do not use together with chloramphenicol since it may cause delayed response to iron therapy.
Store at temperatures not exceeding 30° C.
Protect from light.
B03AE10 - various combinations ; Belongs to the class of iron in other combinations. Used in the treatment of anemia.
Hemarate tab
100's (P28.5/tab)
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