Nuvifer
Generic Name
Ferrous Ascorbate equivalent to 30 mg elemental iron
Manufacturer
Renata Limited
Country
Bangladesh
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Price Details
Current market pricing information
Variant | Unit Price | Strip Price |
---|---|---|
nuvifer 30 mg capsule | ৳ 11.00 | ৳ 110.00 |
Description
Overview of the medicine
Nuvifer 30 mg Capsule is an iron supplement used to treat and prevent iron deficiency anemia. Iron is essential for the production of red blood cells and for maintaining overall health.
Uses & Indications
Dosage
Adults
One capsule once daily, or as directed by the physician. May be taken with or after meals.
Elderly
No special dosage adjustment required unless specific underlying conditions exist. One capsule once daily, or as directed.
Renal_impairment
Use with caution. Dosage may need adjustment based on individual iron status and physician's advice.
How to Take
Take the capsule orally with a glass of water, preferably with or after meals to minimize gastrointestinal upset. Do not lie down for at least 30 minutes after taking the medicine.
Mechanism of Action
Ferrous Ascorbate provides elemental iron, which is a crucial component of hemoglobin, myoglobin, and several enzymes. It helps in oxygen transport and cellular respiration.
Pharmacokinetics
Onset
Hemoglobin levels typically begin to rise within 2-4 weeks of initiation of therapy.
Excretion
Mainly through feces; small amounts are lost via urine, sweat, and shedding of cells.
Half life
Not directly applicable for elemental iron; it's incorporated into physiological processes.
Absorption
Iron is primarily absorbed in the duodenum and upper jejunum. Ascorbate enhances iron absorption.
Metabolism
Iron is transported in the blood bound to transferrin and stored in the body as ferritin or hemosiderin.
Side Effects
Contraindications
- Hemochromatosis and other iron overload syndromes
- Hemosiderosis
- Patients receiving repeated blood transfusions
- Anemia not caused by iron deficiency (e.g., hemolytic anemia, aplastic anemia)
Drug Interactions
Antacids
Reduced iron absorption. Separate administration by at least 2 hours.
Levothyroxine
Reduced levothyroxine efficacy. Separate administration by at least 4 hours.
Bisphosphonates
Reduced absorption of bisphosphonates. Separate administration by at least 30 minutes.
Tetracyclines/Quinolones
Reduced absorption of both iron and antibiotics. Separate administration by at least 2 hours.
Storage
Store in a cool and dry place, below 30°C. Protect from light and moisture. Keep out of reach of children.
Overdose
Symptoms of overdose include severe gastrointestinal irritation (nausea, vomiting, diarrhea, abdominal pain), metabolic acidosis, shock, and potentially organ damage. Seek immediate medical attention. Management involves supportive care and chelation therapy if indicated.
Pregnancy & Lactation
Nuvifer 30 mg Capsule is generally considered safe and often recommended for use during pregnancy and lactation to prevent and treat iron deficiency anemia. Consult your doctor for specific advice.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
24 months from the date of manufacture.
Availability
Available in pharmacies nationwide
Approval Status
Approved by DGDA
Patent Status
Generic
WHO Essential Medicine
YesClinical Trials
Ferrous Ascorbate has been extensively studied and proven effective in clinical trials for the treatment of iron deficiency anemia in various patient populations.
Lab Monitoring
- Hemoglobin (Hb) levels
- Serum ferritin
- Transferrin saturation
- Complete blood count (CBC)
Doctor Notes
- Counsel patients on potential gastrointestinal side effects and methods to mitigate them (e.g., taking with food, starting with lower dose).
- Emphasize the importance of adherence to therapy and follow-up for monitoring iron parameters.
- Advise patients to keep iron supplements out of reach of children due to the risk of accidental poisoning.
Patient Guidelines
- Take the medicine exactly as prescribed by your doctor.
- Do not crush or chew the capsule; swallow it whole.
- Report any severe gastrointestinal discomfort or allergic reactions to your doctor immediately.
- Keep out of reach of children, as accidental overdose can be fatal.
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 take your next dose at the regular time. Do not double the dose.
Driving Precautions
Nuvifer 30 mg Capsule is not known to impair the ability to drive or operate machinery. However, if you experience dizziness or severe side effects, avoid such activities.
Lifestyle Advice
- Maintain a balanced diet rich in iron (e.g., red meat, fortified cereals, leafy green vegetables).
- Avoid excessive intake of tea, coffee, and dairy products around the time of taking your iron supplement.
- Regular exercise and adequate rest can complement the treatment.
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Global Brand Names
International brand names for this medicine. Click a brand to search for detailed information.