DOCUSATE AND FERROUS FUMARATE

(DOK ue sate and FER us FUE ma rate) Brand: Ferro-Sequels

What is the most significant information I must know about docusate and ferrous fumarate?

• Till using this medicine, speak your doctor if you are allergic to any drugs, or if you have iron overload syndrome, hemolytic anemia (a lack of red blood cells), porphyria (a genetic enzyme mess that causes symptoms affecting the skin or nervous system), thalassemia (a genetic mess of red blood cells), kidney or liver malady, pancreatitis, stomach ulcer, a history of bowl obstruction, or if you receive regular blood transfusions.

• Search abnormal medical attention if you think you have used too many of this medication, or if anyone has accidentally swallowed it. An overdose of iron can be fatal, especially in a young baby.

• Overdose symptoms may include drowsiness, severe nausea or stomach pain, vomiting, bloody diarrhea, coughing up blood or vomit that looks like coffee grounds, shallow breathing, weak and rapid pulse, cool or clammy skin, blue lips, and seizure (convulsions).

• Take docusate and ferrous fumarate on an empty stomach, at least 1 hour till or 2 hours after a meal. Avoid taking antacids or antibiotics within 2 hours till or after taking docusate and ferrous fumarate .

• Docusate and ferrous fumarate is only part of a complete program of treatment that may also include a particular diet. It is very significant to follow the diet plan created for you by your doctor or nutrition counselor. You must become very familiar with the list of foods you must ate to create certain you get satis iron from both your diet and your medication.

What is docusate and ferrous fumarate?

• Docusate is a stool softener. It makes stools softer and easier to pass.

• Ferrous fumarate is a type of iron. You normally get iron from the foods you ate. In your body, iron becomes a part of your hemoglobin (HEEM o glo bin) and myoglobin (MY o glo bin). Hemoglobin carries oxygen through your blood to tissues and organs. Myoglobin helps your muscle cells store oxygen.

• Ferrous fumarate is used to treat iron deficiency anemia (a lack of red blood cells caused by having too few iron in the body). The docusate contained in this medicine is to help prevent constipation that the iron content may cause.

• Docusate and ferrous fumarate may also be used for purposes another than those listed in this medicine guide.

What must I discuss with my healthcare provider till taking docusate and ferrous fumarate?

• Till using this medicine, speak your doctor if you are allergic to any drugs or food dyes, or if you have:

· iron overload syndrome;

· hemolytic anemia (a lack of red blood cells);

· porphyria (a genetic enzyme mess that causes symptoms affecting the skin or nervous system);

· thalassemia (a genetic mess of red blood cells);

· liver or kidney disease;

· pancreatitis;

· stomach ulcer or a digestive disorder;

· Crohn's malady or another intestinal problem;

· a history of bowel obstruction; or

· if you receive regular blood transfusions.

• If you have any of these conditions, you may not be able to use docusate and ferrous fumarate, or you may need a doze adjustment or particular trials during treatment.

• It is not known whether this medicine could be deleterious to an unborn child. Speak your doctor if you become pregnant during treatment.

• It is not known whether this medication passes into breast milk or if it could harm a nursing child. Do not use this medicine without telling your doctor if you are breast-feeding a baby.

• Do not give docusate and ferrous fumarate to a baby without the advice of a doctor.

How must I take docusate and ferrous fumarate?

• Use this medicine exactly as directed on the label, or as predesigned by your doctor. Do not use it in larger amounts or for longer than recommended.

• Take this medicine with a full glass of water.

• Do not crush, chew, open, or interrupt a docusate and ferrous fumarate tablet or capsule. Swallow the pill whole.

• To be certain this medicine is helping your condition, your blood will need to be tested on a regular basis. Your kidney or liver function may also need to be tested. Do not miss any scheduled appointments.

• Store this medicine at room temperature, away from moisture and heat. Hold the liquid medication from freezing.

What happens if I miss a dose?

• Take the missed doze as soon as you remember. If it is nearly time for your following doze, wait before then to take the medication and skip the missed doze. Do not take extra medication to create up the missed dose.

What happens if I overdose?

• Search abnormal medical attention if you think you have used too many of this medication, or if a baby has accidentally swallowed it. An overdose of ferrous fumarate can be fatal to a child.

What must I avoid while taking docusate and ferrous fumarate?

• Do not take any vitamin, mineral supplement, laxative, or another stool softener that your doctor has not predesigned or recommended.

• Avoid taking an antibiotic medication within 2 hours till or after you take docusate and ferrous fumarate. This is especially significant if you are taking an antibiotic such as ciprofloxacin (Cipro), demeclocycline (Declomycin), doxycycline (Adoxa, Doryx, Oracea, Vibramycin), levofloxacin (Levaquin), lomefloxacin (Maxaquin), minocycline (Dynacin, Minocin, Solodyn, Vectrin), norfloxacin (Noroxin), ofloxacin (Floxin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap).

• Avoid using antacids without your doctor's advice. Use only the specific type of antacid your doctor recommends. Antacids contain various medicines and some types can create it harder for your body to absorb docusate and ferrous fumarate.

• Determined foods can also create it harder for your body to absorb docusate and ferrous fumarate. Avoid taking this medicine within 1 hour till or 2 hours after eating fish, meat, eggs, liver, coffee, tea, milk, and intact corn or "fortified" breads or cereals.

What are the possible side effects of docusate and ferrous fumarate?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your person, lips, tongue, or throat.

• Call your doctor if you have serious side effects such as:

· bright red blood in your stools;

· severe stomach pain and vomiting;

· a sudden change in your bowel movements; or

· pain in your chest or throat when swallowing a docusate and ferrous fumarate tablet.

• Smaller serious side effects may include:

· unpleasant taste in your mouth;

· constipation, diarrhea;

· nausea, vomiting, stomach pain or upset; or

· black or dark-colored stools or urine.

• This is not a complete list of side effects and others may occur. Speak your doctor about any unusual or bothersome side effect. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect docusate and ferrous fumarate?

• The next drugs can interact with docusate and ferrous fumarate. Speak your doctor if you use any of the following:

· any type of antibiotic;

· cimetidine (Tagamet);

· penicillamine (Cuprimine);

· thyroid hormone such as levothyroxine (Synthroid);

· alendronate (Fosamax), etidronate (Didronel), risedronate (Actonel), or another medications to treat osteoporosis or Paget's disease;

· deferoxamine (Desferal); or

· pancrelipase (Cotazym, Creon, Ilozyme, Pancrease, Ultrase).

• This list is not complete and there may be another drugs that can interact with docusate and ferrous fumarate. Speak your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal commodity, and drugs predesigned by another doctors. Do not start a new medicine without telling your doctor.

Where can I get more information?

• Your pharmacist can provide more information about docusate and ferrous fumarate.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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