Uses of PymeFeron B9

Manufacturer: Pymepharco Joint Stock Company.
Packing: Box of 10 blisters x 10 tablets.
Dosage form: Hard capsule.
Ingredients
Iron (II) sulfate equivalent to 50mg Iron. Folic Acid 350 mcg. Excipients 1 capsule.

Effects of ingredients
Iron :
+ Is a trace element that is important to the hematopoietic process.
+ As an essential component of the body, necessary for the formation of hemoglobin and for the functioning of living tissues that require oxygen.
+ Helps to overcome abnormalities in red blood cell formation due to iron deficiency. Doesn't work if the cause is not iron deficiency.
Folic acid:
+ Necessary in nucleoprotein synthesis and maintenance of normal erythropoiesis.
+ Helps limit digestive disorders caused by oral iron preparations.
+ Prophylaxis of megaloblastic anemia caused by folate deficiency. In the body, folic acid is converted to tetrahydrofolate which acts as a coenzyme in metabolic processes such as the synthesis of purine and thymidylate of nucleic acids. Damage to the synthesis of thymidylate in people with folic acid deficiency adversely affects DNA synthesis, causing megaloblastic formation and leading to megaloblastic anemia and macrocytic anemia.
Indications
The drug is used for the prevention of iron and folic acid deficiency in pregnant women.
How to use - Dosage
How to use:
Take orally. When to use: Before or between meals. Do not take medicine while lying down. Dosage:
As prescribed by the doctor. Refer to the dose as follows: 1 tablet / day. How to deal with missed dose, overdose
Missed dose:
+ Take that dose as soon as you remember.
+ Skip the missed dose if it is almost time for your next dose, take your next dose as scheduled.
+ Do not take twice the indicated dose.
Overdose:
+ Full phase (about 6 hours after taking): gastrointestinal toxicity, especially vomiting and diarrhea. Other symptoms: cardiovascular disorders (hypotension) and tachycardia, metabolic disturbances (acidosis) and hyperglycemia, depression ranging from lethargy to coma. Patients with mild to moderate poisoning mainly experience this first stage.
+ Second phase (6 - 24 hours after oral administration): There is temporary remission or clinically stable symptoms.
+ Third stage: Recurrent gastrointestinal toxicity with shock, metabolic acidosis, convulsions, coma, jaundice, hepatic necrosis, hypoglycemia, pulmonary edema, coagulopathy, oliguria or kidney failure.
+ Fourth stage (several weeks after taking): Gastrointestinal obstruction and risk of late liver damage,
+ If overdose and serious side effects appear, seek medical attention immediately. medical care for prompt treatment.

Side effects may occur in the gastrointestinal tract such as: abdominal pain, diarrhea, nausea, vomiting, constipation, abnormal stools that are black or dark gray. Rarely, iron overload disorder causing hemosiderin accumulation due to excessive use of iron; Allergies and gastrointestinal disorders due to folic acid. If you see any side effects, immediately notify a qualified doctor or pharmacist for timely treatment.

Contraindications
PymeFeron B9 should not be used in the following cases:
Hypersensitivity to any ingredient in the formula. Iron overload. In combination with iron-containing preparations for parenteral administration, hemolytic anemia. Narrowing of the esophagus, sac along the digestive tract. Megaloblastic anemia caused by vitamin B deficiency, pernicious anemia. Children under 12 years old and the elderly. Note when using the drug PymeFeron B9
Use on pregnant women and nursing mothers
Pregnant women: Safe for pregnant women. Nursing Mothers: Can be used by nursing mothers. People who drive and operate machines
Does not affect the ability to drive and use machines.
Other special precautions
Keep out of sight and reach of children because iron overdose can be fatal in children. Do not use iron to treat hemolytic anemia except for iron deficiency. Should not be used for more than 6 months. Folic acid should be used with caution in patients with undiagnosed anemia because it may mask the symptoms of pernicious anemia and cause neurological complications. Use with caution in people with suspected ileitis, peptic ulcer, chronic ulcerative colitis. As the excipients contain sucrose, it should be used with caution in patients with sugar intolerance or diabetes.

Several interactions have been reported, including:
Avoid co-administration of iron with ofloxacin, ciprofloxacin, norfloxacin. Iron can chelate with tetracyclines, leading to decreased absorption of both drugs. Cholestyramine reduces iron absorption. Penicilamine, Carbidopa/Levodopa, thyroid hormones, quinolones and zinc salts: Iron may reduce the absorption of these drugs. Should be taken at least 2 hours apart. The absorption of iron salts is enhanced by ascorbic acid. Antacids, mineral supplements containing calcium, magnesium, bicarbonate, carbonate, oxalate or phosphate: reduce iron absorption. Need to drink more than 2 hours apart. Foods such as tea (tea), cereals, coffee, milk, eggs... reduce iron absorption. Should be taken at least 2 hours apart. Methyldopa: Oral iron antagonizes the antihypertensive effect of this drug. To ensure safety and effectiveness, tell your doctor about all medications, health foods you are taking, and other illnesses you have. Storage
Temperature below 30 degrees Celsius. Protect from light. Do not use after the expiry date printed on the package.