Iron, ammonia and citric acid are complexed to form Ferric Ammonium Citrate and is considered as one of the best-tolerated iron supplements. Folic acid is required for the synthesis of nucleic acid (DNA & RNA) and is a water-soluble vitamin B9. It is necessary for production of healthy red blood cells. Cyanocobalamin (Vitamin B12) has a much importance in the normal functioning of the brain and nervous system, and for the formation of blood.

• Iron deficiency anemia
• Pregnancy anemia
• Anemia due to chronic blood loss
• Supplemental therapy in lactating mothers
• Chronic illness
• Loss of appetite
• Weakness and lack of concentration

Mechanism of action:

Ferric ammonium citrate is a combination which can be best tolerated by the body and is of utmost importance in maintaining long term patient compliance to any hematinic therapy. It counteracts iron deficiency by rapidly supplementing elemental iron, thus leading to faster correction of anemia and replenishment of tissue iron stores.

Folic acid is converted to tetrahydrofolic acid and methyltetrahydrofolate by dihydrofolate reductase in liver. Manganese is a part of the antioxidant enzyme superoxide dismutase (SOD), which is one of the most important antioxidants in the body as they protect by scavenging free radicals formed. This property of manganese helps in reducing inflammation.

Copper is required for the functioning of some metalloenzymes including monoamine oxidase, ceruloplasmin, Zn-Copper SOD, cytochrome-C oxidase, tyrosinase and ferroxidase. Elemental copper is vital for catecholamine metabolism, oxidative phosphorylation, erythropoiesis and free radical scavenging.

• Peptic ulcer
• Regional enteritis
• Ulcerative colitis
• Hemachromatosis
• Hemosiderosis and hemolytic anemia and all anaemias other than iron deficiency.

Contraindications:

• Peptic ulcer
• Regional enteritis
• Ulcerative colitis
• Hemachromatosis
• Hemosiderosis and hemolytic anemia and all anaemias other than iron deficiency.

May aggravate existing peptic ulcer, regional enteritis and ulcerative colitis.

Drug Interaction:

• Absorption of tetracycline antibiotics can be impaired when used along.
• Antacids decrease iron absorption when administered together.

• Store in a cool and dark place.
• Protect from direct sunlight.