Learn more about usage, cautions, and possible side effects .
Chemical Name: CYANOCOBALAMIN (SYE-an-oh-koe-BAL-a-min), VITAMIN C (VYE-ta-min C), FOLIC ACID (FOE-lik AS-id), IRON (EYE-urn), SUCCINIC ACID (sux-IN-ic AS-id)
This medicine is a vitamin, folic acid, and iron combination used to prevent and treat certain types of anemia (eg, caused by low blood iron levels, poor nutrition). It may also be used for other conditions as determined by your doctor.
WARNING: 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. Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking bisphosphonates (eg, alendronate), cephalosporins (eg, cefdinir), chloramphenicol, fluorouracil, hydantoins (eg, phenytoin), levodopa, methyldopa, penicillamine, quinolones (eg, ciprofloxacin, levofloxacin), tetracyclines (eg, doxycycline), or thyroid hormones (eg, levothyroxine). DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions including a history of seizures; pernicious anemia, hemolytic anemia, or a history of other blood problems (eg, porphyria, thalassemia); a bleeding problem; a peptic ulcer; stomach or bowel problems (eg, ulcerative colitis); liver problems; glucose-6-phosphate-dehydrogenase (G6PD) deficiency; allergies; pregnancy; or breast-feeding. Inform your doctor if you have had multiple blood transfusions or if you are receiving dialysis. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have certain iron metabolism problems (eg, hemosiderosis, hemochromatosis) or high levels of iron in your blood. Use of this medicine in children is not recommended. Discuss with your doctor the risks and benefits of giving this medicine to your child. Contact your doctor or pharmacist if you have any questions or concerns about using this medicine.
Follow the directions for taking this medicine provided by your doctor. Take this medicine by mouth with or without food. THIS MEDICINE MAY BE TAKEN WITH FOOD if it upsets your stomach. If you also take an antacid, a bisphosphonate (eg, alendronate), a cephalosporin (eg, cefdinir), methyldopa, penicillamine, a quinolone (eg, ciprofloxacin), a tetracycline (eg, doxycycline), or a thrombopoietin mimetic (eg, eltrombopag), ask your doctor or pharmacist how to take it with this medicine. STORE THIS MEDICINE at 77 degrees F (25 degrees C) away from heat, moisture, and light. Do not store in the bathroom. Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. IF YOU MISS A DOSE OF THIS MEDICINE, 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.
DO NOT TAKE THIS MEDICINE if you have had an allergic reaction to it or if you are allergic to any ingredient in this product. DO NOT EXCEED THE RECOMMENDED dose without checking with your doctor. Laboratory tests, including hematocrit, hemoglobin levels, and blood iron levels, may be performed to monitor your progress or to check for side effects. KEEP ALL DOCTOR AND LABORATORY APPOINTMENTS while you are taking this medicine. THIS MEDICINE MAY INTERFERE with certain lab tests, including tests used to check for blood in the stool. Be sure your doctor and lab personnel know you are taking this medicine. THIS MEDICINE MAY COLOR THE STOOLS. BEFORE YOU BEGIN TAKING ANY NEW MEDICINES, either prescription or over-the-counter, check with your doctor or pharmacist. DO NOT TAKE large doses of vitamins (megadoses or megavitamin therapy) while you use this medicine unless directed to by your doctor. This medicine has folic acid and iron in it. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, check the label to see if it also has folic acid or iron in it too. If it does or if you are not sure, check with your doctor or pharmacist. FOR WOMEN: IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. THIS MEDICINE IS EXCRETED in breast milk. IF YOU ARE OR WILL BE BREAST-FEEDING while you use this medicine, check with your doctor or pharmacist to discuss the risks to your baby.
SIDE EFFECTS that may occur while taking this medicine include constipation; dark or green stools; diarrhea; nausea; stomach pain; or vomiting. If they continue or are bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience black, tarry, or bloody stools; or severe or persistent stomach pain. An allergic reaction to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your healthcare provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other. Check drug interactions
ACCIDENTAL OVERDOSE of iron-containing products is a leading cause of fatal poisoning in children under 6 years of age. In case of accidental overdose, call a doctor or poison control center immediately. Symptoms may include black, tarry, or bloody stools; blue or unusually pale skin; drowsiness or dizziness; fast heartbeat; increased thirst or urination; seizures; severe or persistent diarrhea, nausea, stomach pain, or vomiting; sluggishness; vomiting blood; or weakness.
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children and pets. IF YOU WILL BE USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, be sure to obtain necessary refills before your supply runs out.
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