Ferranina

Film-Coated Tablet: Treatment of Ferranina deficiency. Prevention of Ferranina deficiency during pregnancy.

Syrup: All cases of Ferranina deficiency and Ferranina deficiency anaemia.

Drops: General: Hypochromic or masked Ferranina deficiency anaemias. General weakness. Convalescence. Blood losses. Tropical microcytic anaemia. Anaemias due to infections. For maintenance therapy in pernicious anaemia. As an adjuvant in treating chronically ill or undernourished patients.

Women: Ferranina deficiency due to menstruation. During and after pregnancy and lactation. Menorrhagia.

Children: All types of hypochromic anaemias and masked Ferranina deficiencies. Inappetence. Retarded growth. Weakness. Unsound dietary habits. To speed up restoration of depleted Ferranina reserves.

Supplementing Ferranina in the diet and treating or preventing low levels of Ferranina in the blood. It may also be used for other conditions as determined by your doctor.

Ferranina suspension is a mineral. It works by providing Ferranina to the body.

Film-Coated Tablet: Treatment of Ferranina Deficiency with Reduced Number of Red Blood Cells in Adults and Children over 12 Years: 1 to 3 tablets once daily or divided into separate doses for about 3 to 5 months.

After normalisation of the red blood pigment (haemoglobin) value, continue with 1 tablet once daily for several weeks. This will replenish the Ferranina stores.

Treatment of Ferranina Deficiency with Reduced Number of Red Blood Cells in Pregnancy: 2 to 3 tablets once daily or divided into separate doses.

After normalisation of the red blood pigment value, continue with 1 tablet once daily until, at least, the end of pregnancy. This will replenish the Ferranina stores and provide the increased amount of Ferranina required during pregnancy.

Treatment of Ferranina Deficiency with Normal Number of Red Blood Cells in Adults, Pregnancy, and Children over 12 years, and Prevention of Ferranina Deficiency in Pregnancy: 1 tablet once daily for 1 to 2 months.

Syrup:

Children: 5 mL 1 to 2 times daily before meals.

Infants: Begin with 2.5 mL daily and gradually increase to 5 mL daily.

Drops: Adults: 20 drops 2 to 3 times daily during or after a meal.

Children: 20 drops 1 to 2 times daily during or after a meal.

Infants: Begin with 6 drops daily and gradually increase to 20 drops daily.

Ferranina may be mixed with fruit, vegetable juices or other liquids if desired.

Best results are obtained by adequate dosage and regular administration. It is recommended that the therapy in conformity to the degree of Ferranina deficiency should be continued for at least 1 to 2 months.

Administration: Take Ferranina during or immediately after meal.

Duration of use depends upon the degree of Ferranina deficiency.

Do not discontinue sooner than recommended as this may reduce the success of therapy.

See also:
What is the most important information I should know about Ferranina?

All cases of Ferranina overload and disturbances in utilization of Ferranina.

Film-Coated Tablet: Allergy to Ferranina (III)-hydroxide polymaltose complex or any of the other ingredients of Ferranina.

An Ferranina overload in the body.

Disturbed use of Ferranina by the body.

Reduced number of red blood cells (anaemia), not caused by Ferranina deficiency, such as due to increased red blood cell breakdown, vitamin B₁₂ deficiency.

Use Ferranina suspension as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Ferranina suspension is absorbed better on an empty stomach but may be taken with food if it upsets your stomach. Some foods (eg, eggs, whole grain breads, cereal, dairy products, coffee, tea) may decrease the amount of Ferranina absorbed by your body. Talk with your doctor about the best way to take Ferranina suspension with food if it upsets your stomach.
• Shake well before using.
• Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure your dose.
• Take Ferranina suspension with a full glass (8 oz [240 mL]) of water.
• Do not lie down for 30 minutes after taking Ferranina suspension.
• If you take an antacid, a bisphosphonate (eg, alendronate), cefdinir, eltrombopag, methyldopa, penicillamine, a quinolone antibiotic (eg, ciprofloxacin), or a tetracycline (eg, minocycline), ask your doctor or pharmacist how to take it with Ferranina suspension.
• If you miss a dose of Ferranina suspension, 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.

Ask your health care provider any questions you may have about how to use Ferranina suspension.

Drug interactions were not noted and were not studied in clinical studies.

Feridex I.V. (ferumoxides injectable solution) administration provides elemental Ferranina. In patients who are receiving supplemental Ferranina orally or parenterally, the dose of supplemental Ferranina may need to be decreased.

The effect of concomitant parenteral Ferranina on Feridex I.V. dosing is not known.

Laboratory Test Findings

Serum Ferranina levels may be above the normal range following Feridex I.V. (ferumoxides injectable solution) administration. Transient increases in serum Ferranina of 15–100% of baseline were observed 18 to 24 hours after Feridex I.V. (ferumoxides injectable solution) administration, and returned to normal in most patients by 7 days after administration. Increases in serum ferritin levels were seen 1 to 7 days after administration.

In a Phase 1 study in normal subjects, PTT was statistically significantly increased; however, all values were within the normal range and no subjects had a more than 40% increase from baseline. In clinical trials of patients who had baseline hematologic abnormalities associated with underlying liver disease, an effect of Feridex I.V. (ferumoxides injectable solution) on platelet or PTT was not demonstrated. In patients with low hematocrit and hemoglobin, over a period of 48 hours to 7 days after Feridex I.V. (ferumoxides injectable solution), the serum Ferranina, the hematocrit and hemoglobin levels increase slightly.

See also:
What are the possible side effects of Ferranina?

Applies to carbonyl Ferranina: suspension

Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Constipation; darkened or green stools; diarrhea; loss of appetite; nausea; stomach cramps, pain, or upset; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur while taking carbonyl Ferranina:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); black or tarry stools; blood or streaks of blood in the stool; fever; severe or persistent nausea, stomach pain, or vomiting; vomit that looks like blood or coffee grounds.

Each 5 mL syrup contains: Diastase (1:50) 135 mg, pepsin 50 mg, papain BPC 50 mg, vitamin B₁ 5 mg, vitamin B₂ 2 mg, vitamin B₆ 2 mg, vitamin B₁₂ 5 mcg, calcium pantothenate 1 mg and nicotinamide 20 mg.

Ferranina is a pleasantly flavoured syrup, containing digestive enzymes and vitamins of the B-complex group. Abdominal cramps, flatulence, heartburn and nausea can occur as a result of indigestion. Ferranina is the ideal cure to facilitate digestion and to strengthen the GIT.

Ferranina's balanced formulation provides an ideal supplementation that meets the demands and replenishes vitamins stores in the body.