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Ribotin-E

Generic Name: multivitamin
Dosage Form: tablet

Medically reviewed by Drugs.com. Last updated on Feb 1, 2021.

Disclaimer: This drug has not been found by FDA to be safe and effective, and this labeling has not been approved by FDA. For further information about unapproved drugs, click here.

DESCRIPTION:

Full Prescribing Information:

Each Serving Size of 2 caplets contain:

Other Ingredients:
Microcrystalline Cellulose, Silicon Dioxide, Crospovidone, Magnesium Stearate, Coating:(Sodium Carboxymethylcellulose, Dextrose Monohydrate, Titanium Dioxide, Dextrin, Purified Stearic Acid, FD&C Yellow #6/Sunset Yellow FCF Aluminum Lake).

INDICATIONS:

Ribotin-E TM is indicated for the treatment of iron deficiency anemia and folate deficiency as in extended convalescence, menorrhagia, pregnancy, puberty, excessive blood loss, and advanced age. Also for the treatment of the condition in which iron deficiency and vitamin C deficiency occur together, along with a deficient intake or increased need for B-Complex vitamins in chronic and acute illness, as well as cases of metabolic stress, and in convalescence.

CONTRAINDICATIONS:

This product is contraindicated in patients with known hypersensitivity to any of its ingredients; also, all iron compounds are contraindicated in patients with hemosiderosis, hemochromatosis, or hemolytic anemias. Pernicious anemia is a contraindication, as folic acid may obscure its signs and symptoms.

WARNING:

Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6. Keep this product out of reach of children. In case of accidental overdose, call a doctor or poison control center immediately. Administration of folic acid alone is improper therapy for pernicious anemia and other megaloblastic anemias in which vitamin B12 is deficient.

Precaution Section

Folic acid in doses above 0.1 mg daily may obscure pernicious anemia, in that hematologic remission can occur while neurological manifestations remain progressive.

There is a potential danger in administering folic acid to patients with undiagnosed anemia, since folic acid may obscure the diagnosis of pernicious anemia by alleviating the hematologic manifestations of the disease while allowing the neurologic complications to progress. This may result in severe nervous system damage before the correct diagnosis is made. Adequate doses of vitamin B12 may prevent, halt, or improve the neurologic changes caused by pernicious anemia.

The patient’s medical conditions and consumption of other drugs, herbs, and/or supplements should be considered.

For use on the order of a healthcare practitioner.

Call your doctor about side effects. To report side effects, call PureTek Corporation
at 1-877-921-7873 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Drug Interactions:

Ribotin-E TM is not recommended for and should not be given to patients receiving levodopa because the action of levodopa is antagonized by pyridoxine. There is a possibility of increased bleeding due to pyridoxine interaction with anticoagulants (e.g., Aspirin, Heparin, or Clopidogrel).

Adverse Reactions:

Folic Acid: Allergic sensitizations have been reported following both oral and parenteral administration of folic acid.


Ferrous Fumarate: Gastrointestinal disturbances (anorexia, nausea, diarrhea, constipation)occur occasionally, but are usually mild and may subside with continuation of therapy. Although the absorption of iron is best when taken between meals, giving Ribotin-E™ after meals may control occasional gastrointestinal disturbances. Ribotin-E™​ is best absorbed when taken at bedtime.

Adverse reactions have been reported with specific vitamins and minerals but generally at levels substantially higher than those contained herein. However, allergic and idiosyncratic reactions are possible at lower levels. Iron, even at the usually recommended levels, has been associated with gastrointestinal intolerance in some patients.

OVERDOSE:

Iron: Signs and Symptoms: Iron is toxic. Acute overdosage of iron may cause nausea and vomiting and, in severe cases, cardiovascular collapse and death. Other symptoms include pallor and cyanosis, melena, shock, drowsiness, and coma. The estimated overdose of orally ingested iron is 300 mg/kg body weight. When overdoses are ingested by children, severe reactions, including fatalities, have resulted. Ribotin-E™ should be stored beyond the reach of children to prevent against accidental iron poisoning. Keep this and all other drugs out of reach of children.

Treatment:

For specific therapy, exchange transfusion and chelating agents should be used. For general management, perform gastric lavage with sodium bicarbonate solution or milk. Administer intravenous fluids and electrolytes and use oxygen.

DOSAGE AND ADMINISTRATION:

Adults (persons over 12 years of age) Two (2) Ribotin-E TM caplets daily, between meals or as directed by a physician. Do not administer to children under the age of 12 unless directed by a physician.

HOW SUPPLIED:

Ribotin-E TM are yellow with slightly brown speckled, coated caplets. Bottles contain 60 caplets – NDC 59088-182-58. Dispense in a tight, light-resistant container as defined in the USP/NF with a child-resistant closure.

STORAGE:

Do not use if the bottle seal is broken.
KEEP THIS AND ALL MEDICATIONS OUT OF THE REACH OF CHILDREN.

Store at controlled room temperature 20° to 25°C (68° to 77°F). [See USP].
Protect from light and moisture and avoid excessive heat.


To report a serious adverse event or to obtain product information, contact
1-877-921-7873.

Ribotin-E TM

Manufactured in the USA by:

PureTek Corporation
Panorama City, CA 91402
Questions? Call toll-free:
1-877-921-7873

Ribotin-E
ferrous fumarate, folic acid tablet
Product Information
Product Type HUMAN PRESCRIPTION DRUG LABEL Item Code (Source) NDC:59088-182
Route of Administration ORAL DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
VITAMIN A ACETATE (VITAMIN A) VITAMIN A 1500 ug
ASCORBIC ACID (ASCORBIC ACID) ASCORBIC ACID 250 mg
CHOLECALCIFEROL (CHOLECALCIFEROL) CHOLECALCIFEROL 13.75 ug
.ALPHA.-TOCOPHEROL ACETATE, DL- (.ALPHA.-TOCOPHEROL, DL-) .ALPHA.-TOCOPHEROL, DL- 45 mg
THIAMINE MONONITRATE (THIAMINE ION) THIAMINE 3.25 mg
RIBOFLAVIN (RIBOFLAVIN) RIBOFLAVIN 3.35 mg
NIACINAMIDE (NIACINAMIDE) NIACINAMIDE 22.5 mg
PYRIDOXINE HYDROCHLORIDE (PYRIDOXINE) PYRIDOXINE 6 mg
FOLIC ACID (FOLIC ACID) FOLIC ACID 500 ug
CYANOCOBALAMIN (CYANOCOBALAMIN) CYANOCOBALAMIN 13 ug
BIOTIN (BIOTIN) BIOTIN 100 ug
PANTOTHENIC ACID (PANTOTHENIC ACID) PANTOTHENIC ACID 15 mg
CALCIUM CARBONATE (CALCIUM CATION) CALCIUM CATION 75 mg
FERROUS FUMARATE (FERROUS CATION) FERROUS CATION 9 mg
POTASSIUM IODIDE (IODIDE ION) IODIDE ION 25 ug
MAGNESIUM OXIDE (MAGNESIUM CATION) MAGNESIUM CATION 37.5 mg
ZINC OXIDE (ZINC CATION) ZINC CATION 15 mg
SELENIUM (SELENIUM) SELENIUM 30 ug
CUPROUS OXIDE (CUPROUS OXIDE) CUPROUS OXIDE 1 mg
MANGANESE SULFATE (MANGANESE CATION (2+)) MANGANESE CATION (2+) 0.75 mg
CHROMIUM NICOTINATE (NIACIN) CHROMIUM NICOTINATE 37.5 ug
MOLYBDENUM (MOLYBDENUM) MOLYBDENUM 25 ug
POTASSIUM CHLORIDE (POTASSIUM CATION) POTASSIUM CATION 24.5 mg
BORON (BORON) BORON 25 ug
Inactive Ingredients
Ingredient Name Strength
SILICON DIOXIDE
MAGNESIUM STEARATE
CARBOXYMETHYLCELLULOSE SODIUM, UNSPECIFIED
DEXTROSE MONOHYDRATE
TITANIUM DIOXIDE
ICODEXTRIN
STEARIC ACID
FD&C YELLOW NO. 6
MICROCRYSTALLINE CELLULOSE
CROSPOVIDONE
Product Characteristics
Color yellow (WITH SLIGHTLY BROWN SPECKS) Score no score
Shape CAPSULE Size 20mm
Flavor Imprint Code
Contains
Packaging
# Item Code Package Description
1 NDC:59088-182-58 60 TABLET in 1 BOTTLE, PLASTIC
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
unapproved drug other 02/11/2021
Labeler - PureTek Corporation (785961046)
PureTek Corporation

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