Iron/ succinic acid/ vitamin c/ folic acid/ vitamin b12

Generic Name: iron/succinic acid/vitamin c/folic acid/vitamin b12 (EYE-urn/sux-IN-ic AS-id/VYE-ta-min C/FOE-lik AS-id/VYE-ta-min B 12)
Brand Name: Examples include Chromagen Forte and Repliva 21/7

Accidental overdose of products that contain iron is a leading cause of fatal poisoning in children younger than 6 years old. Keep this and all medicines out of the reach of children. In case of accidental ingestion, call the poison control center or a doctor at once.


Iron/ succinic acid/ vitamin c/ folic acid/ vitamin b12 is used for:

Treating certain types of anemia that can be helped by increasing the amount of iron in the body (eg, anemia caused by pregnancy, blood loss, low dietary iron, metabolic disease, surgery). It may also be used for other conditions as determined by your doctor.

Iron/succinic acid/vitamin c/folic acid/vitamin b12 is a combination of vitamins and minerals. It works by replacing iron in the body.

Do NOT use iron/ succinic acid/ vitamin c/ folic acid/ vitamin b12 if:

  • you are allergic to any ingredient in iron/succinic acid/vitamin c/folic acid/vitamin b12
  • you have too much iron in your body (eg, hemosiderosis, hemochromatosis)

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

Slideshow: View Frightful (But Dead Serious) Drug Side Effects

Before using iron/ succinic acid/ vitamin c/ folic acid/ vitamin b12:

Some medical conditions may interact with iron/succinic acid/vitamin c/folic acid/vitamin b12. 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 another type of anemia (eg, pernicious anemia, megaloblastic anemia, hemolytic anemia)
  • if you have stomach or bowel problems (eg, inflammation, Crohn disease, ulcer), metabolism problems, porphyria, or a blood disease (eg, thalassemia)
  • if you have had multiple blood transfusions

Some MEDICINES MAY INTERACT with iron/succinic acid/vitamin c/folic acid/vitamin b12. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Fluorouracil because the risk of its side effects may be increased by iron/succinic acid/vitamin c/folic acid/vitamin b12
  • Doxycycline, hydantoins (eg, phenytoin), mycophenolate, penicillamine, or thyroid hormones (eg, levothyroxine) because their effectiveness may be decreased by iron/succinic acid/vitamin c/folic acid/vitamin b12

This may not be a complete list of all interactions that may occur. Ask your health care provider if iron/succinic acid/vitamin c/folic acid/vitamin b12 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 iron/ succinic acid/ vitamin c/ folic acid/ vitamin b12:

Use iron/succinic acid/vitamin c/folic acid/vitamin b12 as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Take iron/succinic acid/vitamin c/folic acid/vitamin b12 by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
  • Swallow iron/succinic acid/vitamin c/folic acid/vitamin b12 whole. Do not break, crush, or chew before swallowing.
  • Take iron/succinic acid/vitamin c/folic acid/vitamin b12 with a full glass of water (8 oz/240 mL). Do not lie down for 30 minutes after taking iron/succinic acid/vitamin c/folic acid/vitamin b12.
  • If you also take cefdinir, methyldopa, a quinolone antibiotic (eg, ciprofloxacin), or a tetracycline antibiotic (eg, minocycline), ask your doctor or pharmacist how to take it with iron/succinic acid/vitamin c/folic acid/vitamin b12.
  • If you miss a dose of iron/succinic acid/vitamin c/folic acid/vitamin b12, 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 iron/succinic acid/vitamin c/folic acid/vitamin b12.

Important safety information:

  • Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.
  • Do not take large doses of vitamins while you take iron/succinic acid/vitamin c/folic acid/vitamin b12 unless your doctor tells you to.
  • Iron/succinic acid/vitamin c/folic acid/vitamin b12 may cause your stools to darken. This is normal and not a cause for concern.
  • Iron/succinic acid/vitamin c/folic acid/vitamin b12 may interfere with certain lab tests, such as tests used to check for blood in the stool. Make sure your doctor and lab personnel know you are using iron/succinic acid/vitamin c/folic acid/vitamin b12.
  • Lab tests, including blood counts and iron levels, may be performed while you use iron/succinic acid/vitamin c/folic acid/vitamin b12. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Iron/succinic acid/vitamin c/folic acid/vitamin b12 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 iron/succinic acid/vitamin c/folic acid/vitamin b12 while you are pregnant. Iron/succinic acid/vitamin c/folic acid/vitamin b12 is found in breast milk. If you are or will be breast-feeding while you use iron/succinic acid/vitamin c/folic acid/vitamin b12, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of iron/ succinic acid/ vitamin c/ folic acid/ vitamin b12:

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; vomiting.

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; severe or persistent vomiting or 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 black, tarry stools; chest pain; coma; dizziness; fast heartbeat; fever; increased or decreased urination; increased thirst or hunger; seizures; severe nausea, vomiting, diarrhea, or stomach pain; shortness of breath; sluggishness; trouble breathing; unusual tiredness or drowsiness; unusually pale skin; weak pulse.

Proper storage of iron/succinic acid/vitamin c/folic acid/vitamin b12:

Store iron/succinic acid/vitamin c/folic acid/vitamin b12 at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep iron/succinic acid/vitamin c/folic acid/vitamin b12 out of the reach of children and away from pets.

General information:

  • If you have any questions about iron/succinic acid/vitamin c/folic acid/vitamin b12, please talk with your doctor, pharmacist, or other health care provider.
  • Iron/succinic acid/vitamin c/folic acid/vitamin b12 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 iron/succinic acid/vitamin c/folic acid/vitamin b12 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 iron/succinic acid/vitamin c/folic acid/vitamin b12. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to iron/succinic acid/vitamin c/folic acid/vitamin b12. 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 iron/succinic acid/vitamin c/folic acid/vitamin b12.

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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