Biofer (50mg/5ml) 60ml Suspension

Ferric Ammonium Citrate, when administered orally, acts as a source of ferric iron (Fe3+), which is essential for the formation of hemoglobin in red blood cells. The mechanism of action involves the reduction of ferric iron to its ferrous (Fe2+) state in the acidic environment of the stomach. This reduced form is more readily absorbed in the small intestine, primarily in the duodenum and upper jejunum. Once absorbed, iron binds to transferrin, a transport protein, and is carried to the bone marrow, where it is utilized for the synthesis of hemoglobin. This process helps in the treatment of iron deficiency anemia by replenishing the body's iron stores and promoting the production of healthy red blood cells.

Ferric Ammonium Citrate 50mg

Iron supplement

Suspension

The following are the uses of Ferric Ammonium Citrate 50mg Syrup/Suspension:

• Used for treating iron deficiency anemia, especially in pregnancy and infancy.
• Used to provide essential iron for proper growth and development.
• Used to improve iron levels and enhance red blood cell production.
• Used as a dietary supplement to support overall health and vitality.
• Used in managing anemia caused by chronic illnesses or blood loss.
• Used to prevent iron deficiency during periods of rapid growth.
• Used to replenish iron stores and combat fatigue.

In the case of an overdose of Ferric Ammonium Citrate 50mg Syrup/Suspension, the individual may experience symptoms such as nausea, vomiting, abdominal pain, and diarrhea. It is important to seek medical advice promptly and provide the necessary details regarding the amount ingested and the time of overdose. Treatment may involve supportive care and monitoring of vital signs to ensure the patient's well-being. Prompt action can help manage potential adverse effects effectively.

In the case of a missed dose of Ferric Ammonium Citrate 50mg Syrup/Suspension, it is generally recommended to take the missed dose as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose to make up for a missed one, as this may increase the risk of side effects. If you frequently miss doses, consider setting reminders or using a pill organizer to help you stay on track with your medication regimen.

To administer Ferric Ammonium Citrate 50mg Syrup/Suspension, shake the bottle vigorously, then measure the prescribed dose using an accurate measuring device like a dosing spoon or oral syringe, and administer it orally, following the dosage instructions provided by your healthcare professional, typically once or twice daily, either with or without food as directed.

Following are the conditions when Ferric Ammonium Citrate 50mg Syrup/Suspension should not be used:

• Avoid in patients with known hypersensitivity or allergy to any of the components in the syrup/suspension.
• Do not administer if the patient has a known iron overload disorder, such as hemochromatosis.
• Contraindicated in individuals with acute or chronic bleeding disorders until the condition is treated and controlled.
• Not suitable for patients with untreated or severe anemia; proper diagnosis and treatment are required first.
• Avoid use in patients with gastrointestinal disorders that affect iron absorption, such as inflammatory bowel disease.
• Do not use in patients with a history of gastrointestinal ulcers or gastrointestinal surgery.
• Should not be given to individuals with a history of repeated blood transfusions.

The side effects of Ferric Ammonium Citrate 50mg Syrup/Suspension may include:

• Darkening of stools
• Abdominal pain or discomfort
• Nausea and vomiting
• Constipation
• Diarrhea
• Blackening of teeth (when in contact with teeth)
• Temporary staining of the tongue or teeth
• Allergic reactions (such as rash, itching, or difficulty breathing)

Following are the precautions and warnings for Ferric Ammonium Citrate 50mg Syrup/Suspension:

• Do not use if you are allergic to any of the ingredients, including ferric ammonium citrate or related compounds.
• This medication may cause constipation, so ensure you drink plenty of fluids and maintain a high-fiber diet.
• Patients with a history of gastrointestinal issues, such as ulcers or gastrointestinal bleeding, should use this medication with caution.
• Ferric Ammonium Citrate may cause your stools to turn black, which is a harmless side effect, but consult a doctor if concerned.
• If you have a history of kidney disease, liver disease, or iron storage disorders, use this medication under medical supervision.
• Keep out of reach of children. Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6.
• Store in a cool, dry place, away from direct sunlight, and do not freeze.

Following are the drug interactions for Ferric Ammonium Citrate 50mg Syrup/Suspension:

• Antacids containing aluminum, calcium, or magnesium may decrease the absorption of ferric ammonium citrate, so it is best to take them at different times.
• Concomitant use with tetracycline antibiotics may reduce the absorption of both drugs, so separate administration by at least 2 hours.
• Ferric ammonium citrate can decrease the absorption of levodopa, so it should be taken at least 2 hours apart.
• It may reduce the effectiveness of levothyroxine, so thyroid function should be monitored regularly.
• The syrup/suspension may interact with ciprofloxacin, potentially reducing the absorption of ciprofloxacin and decreasing its effectiveness.
• Drugs that affect gastric pH, such as proton pump inhibitors, may alter the absorption of ferric ammonium citrate.
• It may also interact with iron supplements, potentially leading to iron overload, so caution is advised when used together.

Following are the food interactions for Ferric Ammonium Citrate 50mg Syrup/Suspension:

• Consuming foods rich in Vitamin C, like citrus fruits and broccoli, can enhance iron absorption from Ferric Ammonium Citrate, improving its effectiveness.
• Dairy products such as milk, cheese, and yogurt may hinder iron absorption. Avoid taking this medication with these foods to ensure optimal absorption.
• Coffee and tea contain polyphenols that can decrease iron absorption. Refrain from consuming these beverages with your medication.
• Avoid high-fiber foods like whole grains and legumes right after taking this medicine, as fiber can bind with iron and reduce its absorption.
• Alcohol may not directly interact with Ferric Ammonium Citrate, but it can negatively impact overall health and nutrient absorption, so it's best to limit alcohol consumption.
• Certain grains and legumes contain phytic acid, which can hinder iron absorption. Consider reducing these foods while taking this medication.
• Foods rich in calcium, such as dairy and calcium-fortified products, might interfere with iron absorption. Separate these foods from medication intake.
• While not a food interaction, it's crucial to maintain a balanced diet to support the effectiveness of Ferric Ammonium Citrate in treating iron deficiency.

Ferric Ammonium Citrate 50mg Syrup/Suspension should be stored in a secure location, preferably in a cool and dry area, away from direct sunlight and moisture. Ensure the bottle is tightly sealed to maintain its integrity and prevent contamination. It is crucial to adhere to the recommended storage conditions to preserve the medication's effectiveness. When disposing of the syrup, do not pour it down the drain or flush it; instead, follow local guidelines or consult your pharmacist for environmentally safe disposal methods. Keep the medication out of children's reach to prevent accidental consumption, and always exercise caution when handling and storing pharmaceutical products. Regularly check the expiration date, and properly discard any expired or unused portions as per the recommended procedures.

Following are the quick tips for Ferric Ammonium Citrate 50mg Syrup/Suspension:

• Consult your doctor for the prescribed dosage and duration of this medication.
• Before each use, shake the bottle thoroughly to ensure proper mixing.
• Administer the syrup with a clean measuring cup or spoon to ensure accurate dosage.
• Consume the syrup directly without mixing it with any other liquid for best absorption.
• Maintain a consistent schedule for taking the medication, preferably at the same time daily.
• Store the syrup at room temperature, away from direct sunlight and moisture.
• Always read the label and follow the instructions provided by the manufacturer.