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Ferrous Sulphate and Folic Acid

Read all of this leaflet carefully before you start taking this medicine.
- Keep this leaflet. You may need to read it again.
- If you have any further questions, ask your doctor or pharmacist.
- This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if
their symptoms are the same as yours.
- If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please
tell your doctor or pharmacist.
In this leaflet:
1. What Ferrograd Folic is and what it is used for
2. Before you take Ferrograd Folic
3. How to take Ferrograd Folic
4. Possible side effects
5. How to store Ferrograd Folic
6. Further information
1. What Ferrograd Folic is and what it is used for
Ferrograd Folic is an iron supplement used to prevent and treat iron-deficiency anaemia in pregnant
women and to prevent anaemia due to folic acid deficiency during pregnancy.
2. Before you take Ferrograd Folic
Do not take Ferrograd Folic if you
- know you are allergic to folic acid
- know you have anaemia due to a vitamin B12 deficiency as this requires a different treatment
- have an intestinal blockage
- have been told by your doctor that you have a disease of the bowels known as diverticular disease
- suffer from a rare inherited problem involving the way your blood cells use iron known as haemochromatosis or haemosiderosis
- are receiving repeated blood transfusions
- are already being treated with iron injections
- are already taking medicines containing iron.
You should check with your doctor or pharmacist if you are not sure.
Take special care with Ferrograd Folic
• Before taking this tablet speak to your doctor if you are elderly or suffering from any bowel problem
as the plastic coating of the tablet may not be suitable.
• Ferrograd is not recommended for children under 12 years old. Acute iron poisoning is a serious risk
in the paediatric population.
• Your stools may turn black whilst taking Ferrograd Folic. If you have a test for the detection of blood
in your stools, tell your doctor you are taking Ferrograd Folic as black stools may cause an incorrect
result to the test.
Before taking Ferrograd Folic consult your doctor
- if you are diabetic as Ferrograd Folic may stop your urine sugar test sticks from working properly.
Taking other medicines
Please tell your doctor or pharmacist if you are taking any of the following medicines, or any medicines
bought without a prescription, as Ferrograd Folic may stop these from working properly:
• antibiotics: tetracyclines, quinolones or chloramphenicol
• a penicillamine (for metal poisoning or rheumatoid arthritis)
• indigestion remedies
• zinc - containing preparations
If your doctor tells you that you can continue taking Ferrograd Folic with the above medication, please
take note of the following advice:
- take these at least 2 hours before OR 3 hours after taking your
Tetracycline antibiotics
Ferrograd Folic
- take these at least 2 hours before OR 2 hours after taking your
Quinolones and penicillamines
Ferrograd Folic
Indigestion remedies (e. g Antacid),
- take these at least 1 hour before OR 2 hours after taking your
calcium supplements, oxalates or
Ferrograd Folic
If you are not sure, please check with your doctor or pharmacist.
Taking Ferrograd Folic with food and drink
Ferrograd Folic tablets may not work as well if they are taken around the same time as the following

foods: tea, coffee, eggs, milk or milk products, wholegrain bread and cereals, and any high fibre food.
Make sure you take your tablets at least 1 hour before or 2 hours after eating any of these foods.
Pregnancy and breast-feeding
Folic acid is excreted in breast milk so ask your doctor for advice if you intend breastfeeding.
Driving and using machines
Ferrograd Folic has no influence on the ability to drive and use machines.
Important information about some of the ingredients of Ferrograd Folic
This product contains lactose and the colour E124, which can cause allergic type reactions including
asthma. Allergy is more common in those people who are allergic to aspirin.
3. How to take Ferrograd Folic
Always take Ferrograd Folic exactly as your doctor has told you. You should check with your doctor if
you are not sure.
Adults and children over 12 years: The usual dose is one tablet a day on an empty stomach throughout pregnancy and for one month after delivery. Each tablet must be swallowed whole.
Children: Ferrograd Folic should not be given to children under 12 years old.
If you take more Ferrograd Folic than you should
If you accidentally take more than one tablet in one day or if a child has taken the tablets, you should
seek medical advice urgently. In children overdose may be fatal.
If you forget to take Ferrograd Folic
If you forget to take a tablet for one or more days, carry on taking one each day. Do not take more than
one tablet a day.
4. Possible side effects
Like all medicines, Ferrograd Folic can cause side effects, although not everybody gets them.
You may experience some of the following effects:
• Allergic reactions have been reported with Ferrograd Folic ranging from rashes to, in rare
cases, difficulty in breathing, fainting and swelling of the face and throat which may need
emergency treatment.
• Feeling sick
• Vomiting
• Stomach pain
• Diarrhoea
• Constipation
If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell
your doctor or pharmacist.
5. How to store Ferrograd Folic
Store in a dry place below 25°C.
Keep out of the reach and sight of children, your medicine could harm them.
Do not use Ferrograd Folic after the expiry date which is stated on the carton and on the edge of the
strip of tablets. If the tablets are out of date, return them to your pharmacist and, if necessary, obtain
more tablets.
6. Further information
What Ferrograd Folic contains
- The active substance is Dried Ferrous Sulphate BP 325 mg (equivalent to 105 mg elemental iron) as
the active ingredient in a prolonged release Gradumet® form and Folic Acid BP 350 micrograms.
- The other ingredients are methylacrylate methylmethacrylate copolymer, lactose, povidone, polyethylene glycol 8000, magnesium stearate, colloidal silicon dioxide, sucrose, acacia powder, cellulose
acetate phthalate, propylene glycol, sorbitan monooleate, castor oil, maize starch, titanium dioxide
and dye Red Ponceau 4R Lake (E124).
What Ferrograd Folic looks like and contents of the pack
Ferrograd Folic prolonged release film coated tablets are circular, biconvex, two layered, red and yellow
Ferrograd Folic is provided in carton pack containing 30 tablets in blister packs.
Marketing Authorisation Holder
Via F.lli Cervi n° 8 - I-27010 Valle Salimbene (PV) - Italy
Tel.: 0039 0382 422008 - Fax: 0039 0382 525845
Viale Certosa n° 8/A - I-27100 - Pavia - Italy
This leaflet was last approved in 07/2009
Cod. 000000

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.