Nutrum-PN
Generic Name
Multivitamin and Multimineral (Prenatal)
Manufacturer
ZISKA Pharmaceuticals Ltd.
Country
Bangladesh
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Price Details
Current market pricing information
| Variant | Unit Price | Strip Price |
|---|---|---|
| nutrum pn tablet | ৳ 5.03 | ৳ 150.90 |
Description
Overview of the medicine
Nutrum-PN Tablet is a comprehensive prenatal vitamin and mineral supplement designed to meet the increased nutritional needs of women during pregnancy and lactation. It provides essential nutrients crucial for maternal health and optimal fetal development.
Uses & Indications
Dosage
Adults
One tablet daily, preferably with a meal, or as directed by a physician.
Elderly
No specific dosage adjustment recommended for elderly pregnant/lactating women, but consult a physician.
Renal_impairment
Use with caution in patients with severe renal impairment due to potential accumulation of certain minerals. Consult a physician for appropriate dosing.
How to Take
Administer orally, preferably with a meal, to enhance absorption and minimize gastrointestinal upset. Swallow the tablet whole with water; do not chew or crush.
Mechanism of Action
The mechanism of action involves supplementing the body with essential vitamins and minerals, such as Folic Acid, Iron, Calcium, and B vitamins, that are critical for various physiological processes including DNA synthesis, erythropoiesis, bone formation, and neurological function. These nutrients ensure adequate supply for both mother and developing fetus.
Pharmacokinetics
Onset
Nutritional benefits are gradual and cumulative, observed over weeks to months of consistent use.
Excretion
Water-soluble vitamins and excess minerals are primarily excreted renally. Fat-soluble vitamins are eliminated through bile and feces.
Half life
Half-lives vary significantly for each vitamin and mineral component (e.g., water-soluble vitamins are typically shorter, fat-soluble vitamins longer).
Absorption
Varies by individual nutrient; generally well-absorbed from the gastrointestinal tract. Iron and calcium absorption can be influenced by dietary factors and other medications.
Metabolism
Individual vitamins and minerals undergo their respective metabolic pathways within the body. Water-soluble vitamins are generally not stored, while fat-soluble vitamins (A, D, E, K) and some minerals (e.g., iron, calcium) are stored.
Side Effects
Contraindications
- Hypersensitivity to any component of Nutrum-PN Tablet.
- Known history of iron overload (e.g., hemochromatosis, hemosiderosis).
- Hypervitaminosis A or D.
- Pernicious anemia (as folic acid may mask symptoms).
Drug Interactions
Antacids
May decrease the absorption of iron and other minerals. Separate administration by at least 2 hours.
Bisphosphonates
Minerals like calcium can interfere with bisphosphonate absorption. Take Nutrum-PN at least 30 minutes after or 4 hours before bisphosphonates.
Tetracycline and Quinolone antibiotics
Can chelate with iron and calcium, reducing the absorption of both the antibiotic and the minerals. Administer these medications several hours apart.
Thyroid hormones (e.g., Levothyroxine)
Iron and calcium can interfere with the absorption of thyroid hormones. Administer at least 4 hours apart.
Storage
Store in a cool, dry place, below 30°C, away from direct sunlight and moisture. Keep out of reach of children.
Overdose
Acute overdose may cause gastrointestinal symptoms such as nausea, vomiting, diarrhea, and abdominal pain. High doses of certain fat-soluble vitamins (e.g., Vitamin A, D) or minerals (e.g., iron) can lead to toxicity. In case of suspected overdose, seek immediate medical attention or contact a poison control center.
Pregnancy & Lactation
Nutrum-PN Tablet is specifically formulated and indicated for use throughout pregnancy and during lactation to support the nutritional requirements of both the mother and the developing baby. It should be used under the guidance of a healthcare professional.
Side Effects
Contraindications
- Hypersensitivity to any component of Nutrum-PN Tablet.
- Known history of iron overload (e.g., hemochromatosis, hemosiderosis).
- Hypervitaminosis A or D.
- Pernicious anemia (as folic acid may mask symptoms).
Drug Interactions
Antacids
May decrease the absorption of iron and other minerals. Separate administration by at least 2 hours.
Bisphosphonates
Minerals like calcium can interfere with bisphosphonate absorption. Take Nutrum-PN at least 30 minutes after or 4 hours before bisphosphonates.
Tetracycline and Quinolone antibiotics
Can chelate with iron and calcium, reducing the absorption of both the antibiotic and the minerals. Administer these medications several hours apart.
Thyroid hormones (e.g., Levothyroxine)
Iron and calcium can interfere with the absorption of thyroid hormones. Administer at least 4 hours apart.
Storage
Store in a cool, dry place, below 30°C, away from direct sunlight and moisture. Keep out of reach of children.
Overdose
Acute overdose may cause gastrointestinal symptoms such as nausea, vomiting, diarrhea, and abdominal pain. High doses of certain fat-soluble vitamins (e.g., Vitamin A, D) or minerals (e.g., iron) can lead to toxicity. In case of suspected overdose, seek immediate medical attention or contact a poison control center.
Pregnancy & Lactation
Nutrum-PN Tablet is specifically formulated and indicated for use throughout pregnancy and during lactation to support the nutritional requirements of both the mother and the developing baby. It should be used under the guidance of a healthcare professional.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
Typically 2-3 years from the manufacturing date, as indicated on the packaging.
Availability
Available in pharmacies and drugstores
Approval Status
Approved by national health authorities
Patent Status
Not applicable (generic formulation)
Clinical Trials
While the individual components of Nutrum-PN (vitamins and minerals) have extensive clinical evidence supporting their use in pregnancy, specific large-scale clinical trials for this exact brand formulation are not typically published, as it is a standard combination supplement.
Lab Monitoring
- Hemoglobin and hematocrit levels (to monitor anemia status).
- Serum ferritin levels (to assess iron stores).
- Serum calcium and Vitamin D levels (if deficiency is suspected or for specific risk factors).
- Renal function tests (in patients with pre-existing kidney conditions).
Doctor Notes
- Emphasize the importance of patient counseling regarding the role of prenatal supplements as an adjunct to, not a replacement for, a healthy diet.
- Advise patients to report any unusual or severe side effects.
- Counsel on potential drug and food interactions, especially with iron and calcium components.
Patient Guidelines
- Take Nutrum-PN regularly as prescribed by your healthcare provider.
- Do not exceed the recommended daily dose.
- Swallow the tablet whole with water; do not crush or chew it.
- Inform your doctor or pharmacist about all other medications, supplements, and herbal products you are taking.
- Store the tablets safely out of reach of children.
Missed Dose Advice
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not take two doses at once to make up for a missed dose.
Driving Precautions
Nutrum-PN Tablet is not known to impair the ability to drive or operate machinery. No special precautions are generally required.
Lifestyle Advice
- While taking Nutrum-PN, maintain a balanced diet rich in fruits, vegetables, and whole grains to complement the supplement.
- Ensure adequate hydration by drinking plenty of water throughout the day.
- Consult with your doctor or a nutritionist for personalized dietary advice during pregnancy and lactation.
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