Ferrous sulfate/ vitamin c

Generic Name: ferrous sulfate/vitamin c (FER-us SUL-fate)
Brand Name: Vitelle Irospan

Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children younger than 6 years old. Keep this product out of the reach of children. In case of accidental overdose, call a doctor or poison control center right away.


Ferrous sulfate/ vitamin c is used for:

Preventing or treating low levels of iron in the blood. It also may be used for other conditions as determined by your doctor.

Ferrous sulfate/vitamin c is a vitamin and mineral combination. It works by replacing iron in your body if your body does not produce enough on its own. The vitamin C helps improve the absorption of iron in the stomach.

Do NOT use ferrous sulfate/ vitamin c if:

  • you are allergic to any ingredient in ferrous sulfate/vitamin c
  • you have high levels of iron in your blood

Contact your doctor or health care provider right away if any of these apply to you.

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Before using ferrous sulfate/ vitamin c:

Some medical conditions may interact with ferrous sulfate/vitamin c. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have inflammation of the intestines, Crohn disease, digestive problems, ulcers, anemia, or a blood disease (eg, porphyria, thalassemia)
  • if you have had multiple blood transfusions
  • if you have sickle cell disease or glucose-6-phosphate dehydrogenase (G6PD) deficiency

Some MEDICINES MAY INTERACT with ferrous sulfate/vitamin c. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Doxycycline, mycophenolate, penicillamine, or thyroid hormones (eg, levothyroxine) because their effectiveness may be decreased by ferrous sulfate/vitamin c

This may not be a complete list of all interactions that may occur. Ask your health care provider if ferrous sulfate/vitamin c may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use ferrous sulfate/ vitamin c:

Use ferrous sulfate/vitamin c as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Take ferrous sulfate/vitamin c by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
  • Swallow ferrous sulfate/vitamin c whole. Do not break, crush, or chew before swallowing.
  • Take ferrous sulfate/vitamin c with a full glass of water (8 oz/240 mL). Do not lie down for 30 minutes after taking ferrous sulfate/vitamin c.
  • If you are also taking antacids, a bisphosphonate (eg, alendronate), cephalosporin (eg, cephalexin), methyldopa, penicillamine, quinolone (eg, ciprofloxacin), or tetracycline (eg, minocycline) along with ferrous sulfate/vitamin c, you may need to space the doses several hours apart. Ask your doctor or pharmacist how much time is needed between doses of ferrous sulfate/vitamin c and your other medicines.
  • Certain foods and drinks may decrease the amount of ferrous sulfate/vitamin c that works in your body. Ask your doctor or pharmacist how you should take ferrous sulfate/vitamin c if you consume whole grain breads or cereal, dairy products, coffee, or tea.
  • If you miss a dose of ferrous sulfate/vitamin c, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use ferrous sulfate/vitamin c.

Important safety information:

  • Do not take large doses of vitamins while you use ferrous sulfate/vitamin c unless your doctor tells you to.
  • Do NOT take more than the recommended dose or take for longer than 6 months without checking with your doctor.
  • Ferrous sulfate/vitamin c has iron in it. Iron overdose is a leading cause of fatal poisoning in children younger than 6 years old. In case of an overdose, call a doctor or poison control center right away.
  • Diabetes patients - Ferrous sulfate/vitamin c may cause the results of some tests for urine glucose to be wrong. Ask your doctor before you change your diet or the dose of your diabetes medicine.
  • Lab tests, including complete blood cell counts and blood iron levels, may be performed while you use ferrous sulfate/vitamin c. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Ferrous sulfate/vitamin c should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using ferrous sulfate/vitamin c while you are pregnant. Ferrous sulfate/vitamin c is found in breast milk. If you are or will be breast-feeding while you use ferrous sulfate/vitamin c, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of ferrous sulfate/ vitamin c:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Constipation; darkened or green stools; diarrhea; nausea; stomach upset.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); black, tarry stools; blood or streaks of blood in the stool; fever; vomiting with continuing sharp stomach pain.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include difficulty breathing; loss of consciousness; seizures; severe nausea; stomach pain; tarry stools; unusual tiredness; vomiting; weak, fast heartbeat.

Proper storage of ferrous sulfate/vitamin c:

Store ferrous sulfate/vitamin c at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep ferrous sulfate/vitamin c out of the reach of children and away from pets.

General information:

  • If you have any questions about ferrous sulfate/vitamin c, please talk with your doctor, pharmacist, or other health care provider.
  • Ferrous sulfate/vitamin c is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take ferrous sulfate/vitamin c or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about ferrous sulfate/vitamin c. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to ferrous sulfate/vitamin c. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using ferrous sulfate/vitamin c.

Issue Date: April 2, 2014
Database Edition 14.2.1.001
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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