Ferrex 150

In the U.S.

• Auryxia
• Beef,Iron & Wine
• Bifera
• Elite Iron
• Femiron
• Feosol
• Fergon
• Ferrex 150
• Hemocyte

In Canada

• Fer-In-Sol
• Palafer
• Pms-Ferrous Sulfate

Available Dosage Forms:

• Tablet, Chewable
• Tablet
• Liquid
• Capsule
• Solution
• Tablet, Enteric Coated
• Powder
• Tablet, Extended Release
• Suspension
• Capsule, Liquid Filled
• Syrup
• Capsule, Extended Release
• Elixir

If you are taking a dietary supplement without a prescription, carefully read and follow any precautions on the label. For these supplements, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to medicines in this group or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Problems in children have not been reported with intake of normal daily recommended amounts. Iron supplements, when prescribed by your health care professional, are not expected to cause different side effects in children than they do in adults. However, it is important to follow the directions carefully, since iron overdose in children is especially dangerous.

Studies on sodium ferric gluconate have shown that this supplement is safe to use in children ages 6 to 15 years. The safety of sodium ferric gluconate has not been determined in patients who are younger than 6 years of age.

Geriatric

Problems in older adults have not been reported with intake of normal daily recommended amounts. Elderly people sometimes do not absorb iron as easily as younger adults and may need a larger dose. If you think you need to take an iron supplement, check with your health care professional first. Only your health care professional can decide if you need an iron supplement and how much you should take.

Pregnancy

It is especially important that you are receiving enough vitamins and minerals when you become pregnant and that you continue to receive the right amount of vitamins and minerals throughout your pregnancy. Healthy fetal growth and development depend on a steady supply of nutrients from mother to fetus. During the first 3 months of pregnancy, a proper diet usually provides enough iron. However, during the last 6 months, in order to meet the increased needs of the developing baby, an iron supplement may be recommended by your health care professional.

However, taking large amounts of a dietary supplement in pregnancy may be harmful to the mother and/or fetus and should be avoided.

Breast Feeding

It is especially important that you receive the right amounts of vitamins and minerals so that your baby will also get the vitamins and minerals needed to grow properly. Iron normally is present in breast milk in small amounts. When prescribed by a health care professional, iron preparations are not known to cause problems during breast-feeding. However, nursing mothers are advised to check with their health care professional before taking iron supplements or any other medication. Taking large amounts of a dietary supplement while breast-feeding may be harmful to the mother and/or infant and should be avoided.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking any of these dietary supplements, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using dietary supplements in this class with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Altretamine
• Amygdalin
• Dasabuvir
• Deferoxamine
• Digoxin
• Dimercaprol
• Eltrombopag
• Elvitegravir
• Gefitinib
• Ketoconazole
• Ledipasvir
• Mefenamic Acid
• Pazopanib
• Phenytoin
• Rilpivirine
• Vismodegib

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of dietary supplements in this class. Make sure you tell your doctor if you have any other medical problems, especially:

• Alcohol abuse (or history of) or
• Blood transfusions (with high red blood cell iron content) or
• Kidney infection or
• Liver disease or
• Porphyria cutaneous tarda—Higher blood levels of the iron supplement may occur, which may increase the chance of side effects.

• Arthritis (rheumatoid) or
• Asthma or allergies or
• Heart disease—The injected form of iron may make these conditions worse.

• Colitis or other intestinal problems or
• Iron overload conditions (e.g., hemochromatosis, hemosiderosis, hemoglobinopathies) or
• Stomach ulcer—Iron supplements may make these conditions worse.

• Other anemias—Iron supplements may increase iron to toxic levels in anemias not associated with iron deficiency.

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

• Backache , groin, side, or muscle pain
• chest pain
• chills
• dizziness
• fainting
• fast heartbeat
• fever with increased sweating
• flushing
• headache
• metallic taste
• nausea or vomiting
• numbness, pain, or tingling of hands or feet
• pain or redness at injection site
• redness of skin
• skin rash or hives
• swelling of mouth or throat
• troubled breathing

• Abdominal or stomach pain
• cramping (continuing) or soreness

• Double vision
• general unwell feeling
• weakness without feeling dizzy or faint

• Chest or throat pain, especially when swallowing
• stools with signs of blood (red or black color)

Symptoms of iron overdose may not occur for up to 60 minutes or more after the overdose was taken. By this time you should have had emergency room treatment. Do not delay going to emergency room while waiting for signs to appear.

• Diarrhea (may contain blood)
• fever
• nausea
• stomach pain or cramping (sharp)
• vomiting, severe (may contain blood)

• Bluish-colored lips, fingernails, and palms of hands
• convulsions (seizures)
• pale, clammy skin
• shallow and rapid breathing
• unusual tiredness or weakness
• weak and fast heartbeat

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

• Constipation
• diarrhea
• leg cramps
• nausea
• vomiting

Stools commonly become dark green or black when iron preparations are taken by mouth. This is caused by unabsorbed iron and is harmless. However, in rare cases, black stools of a sticky consistency may occur along with other side effects such as red streaks in the stool, cramping, soreness, or sharp pains in the stomach or abdominal area. Check with your health care professional immediately if these side effects appear.

If you have been receiving injections of iron, you may notice a brown discoloration of your skin. This color usually fades within several weeks or months.

• Darkened urine
• heartburn
• stained teeth

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

• It is used to help growth and good health.
• It may be given to you for other reasons. Talk with the doctor.

Use Ferrex 150 as ordered by your doctor. Read all information given to you. Follow all instructions closely.

• Take with or without food. Take with food if it causes an upset stomach.

What do I do if I miss a dose?

• Take a missed dose as soon as you think about it.
• If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
• Do not take 2 doses at the same time or extra doses.

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:

• Upset stomach or throwing up.
• Hard stools (constipation).
• Change in color of stool to green.
• Loose stools (diarrhea).
• Belly pain.

These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.

You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Iron polysaccharide is a form of the mineral iron. Iron is important for many functions in the body, especially for the transport of oxygen in the blood.

Iron polysaccharide is used to prevent and to treat iron deficiencies and iron deficiency anemia.

This medicine is not for use as a general dietary supplement in people with normal iron levels.

Iron polysaccharide may also be used for purposes not listed in this medication guide.

You should not take iron polysaccharide if you have:

• hemochromatosis;

• hemosiderosis; or

• hemolytic anemia.

Tell your doctor if you are pregnant, or if you become pregnant during treatment. Your dose needs may be different during pregnancy.

Tell your doctor if you are breast-feeding a baby. Your dose needs may be different while you are nursing.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of iron polysaccharide can be fatal, especially to a child.

Symptoms of a iron overdose may include decreased energy, fever, vomiting, stomach pain, tarry stools, weak pulse, fast heart rate, or seizure (convulsions).