Hemafer

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

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

Drops: General: Hypochromic or masked Hemafer 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: Hemafer deficiency due to menstruation. During and after pregnancy and lactation. Menorrhagia.

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

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

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

Film-Coated Tablet: Treatment of Hemafer 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 Hemafer stores.

Treatment of Hemafer 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 Hemafer stores and provide the increased amount of Hemafer required during pregnancy.

Treatment of Hemafer Deficiency with Normal Number of Red Blood Cells in Adults, Pregnancy, and Children over 12 years, and Prevention of Hemafer 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.

Hemafer 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 Hemafer deficiency should be continued for at least 1 to 2 months.

Administration: Take Hemafer during or immediately after meal.

Duration of use depends upon the degree of Hemafer 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 Hemafer?

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

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

An Hemafer overload in the body.

Disturbed use of Hemafer by the body.

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

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

• Hemafer 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 Hemafer absorbed by your body. Talk with your doctor about the best way to take Hemafer 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 Hemafer suspension with a full glass (8 oz [240 mL]) of water.
• Do not lie down for 30 minutes after taking Hemafer 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 Hemafer suspension.
• If you miss a dose of Hemafer 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 Hemafer suspension.

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

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

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

Laboratory Test Findings

Serum Hemafer levels may be above the normal range following Feridex I.V. (ferumoxides injectable solution) administration. Transient increases in serum Hemafer 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 Hemafer, the hematocrit and hemoglobin levels increase slightly.

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

Applies to carbonyl Hemafer: 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 Hemafer:

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.

Hemafer 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. Hemafer is the ideal cure to facilitate digestion and to strengthen the GIT.

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