Sangobion Forte

Each capsule contains: Ferrous fumarate, Ph. Eur. 360 mg (equivalent to 118.8 mg of elemental Iron), Calcium carbonate, Ph. Eur. 200 mg, Cholecalciferol, Ph. Eur., In House 400 mg I.U., Ascorbic Acid (Vitamin C), In House 75 mg, Folic Acid, Ph. Eur. 1.5 mg, Cyanocobalamin (Vitamin B12), Ph. Eur. 15 mcg.
Excipients/Inactive Ingredients: Contains ethyl vanillin as flavoring agent.

Multivitamins + Iron + Calcium (Sangobion FORTE) is for the treatment of iron and folate deficiency or for the treatment of moderate to severe Iron Deficiency Anemia.

Take one capsule a day or as prescribed by the physician.
Missed Dose: If the patient forgot to take Multivitamins + Iron + Calcium (Sangobion FORTE), the patient should not make up for it by doubling the next dose. Simply take the next dose at the usual time.

Iron over dosage is an acute emergency requiring urgent medical attention. Consult a doctor if the patient has taken more than the recommended dose. An acute intake of 60 mg/kg of elemental iron is considered extremely dangerous in young children. Acute overdose of iron may have fatal outcome.
Consult a physician if the patient has taken more than the recommended doses.

Should not take this medicine if the patient has any known allergies or hypersensitivity to any component of this product.
Should not take this medicine if the patient is suffering from primary or secondary hemochromatosis (iron overload) or is receiving repeated blood transfusions.
Should not take this medicine if the patient is suffering from an active peptic ulcer, a regional enteritis or an ulcerative colitis.
Should not take this medicine if the patient is suffering from folate dependent tumors or malignant cancer.
Should not take this medicine if the patient is taking any other Folic Acid containing medicines or supplements.

Moderate to severe anemia shall be monitored by the physician. Anemia can have different causes, therefore a physician should be consulted to clarify the source of any anemia. This medicinal product is not recommended if anemia is caused by vitamin B12 deficiency. The high content of folic acid in this medicinal product may obscure pernicious anemia because of vitamin B12 deficiency.
Due to the high content of iron this product should only be used for more than 3 months under supervision of a physician.
Iron preparations color the feces black and may interfere with tests for occult blood in stool.
Should be kept out of the reach of children.
Due to the high content of folic acid in this product the use during pregnancy should be under medical supervision. Please consult a doctor before use.
Folic acid is removed by hemodialysis.
Consult a doctor at the first sign of any adverse drug reaction (ADR), patient must seek medical attention immediately.

Gastrointestinal disorders: Constipation, abdominal pain, diarrhea, vomiting, and nausea, black stool.
Skin and subcutaneous disorders: Hypersensitivity reactions with erythema, urticaria and pruritus

The following food components may reduce the absorption of ferrous salts: tea, coffee, wholegrain cereals, eggs, milk, calcium and zinc supplements. Bicarbonates, carbonates, oxalates, or phosphates, may impair the absorption of iron by the formation of insoluble complexes.
The following drugs may reduce the absorption of ferrous salts: antacids, proton pump inhibitors and trientine.
Iron reduces the absorption of fluoroquinolones, tetracyclines, levodopa, carbidopa, entacapone, penicillamine, and cefdinir. Iron possibly reduces the absorption of eltrombopag.
Trimethoprim or sulfonamides, alone or in combination as co-trimoxazole, may reduce the effect of folic acid and this may be serious in patients with megaloblastic anemia.
Folic acid has been observed to reduce plasma levels of anticonvulsants, particularly phenytoin, phenobarbital and primidone and therefore patients should be carefully monitored by the physician and the anticonvulsant drug dose adjusted as necessary.
Antibiotics may interfere with the microbiological assay for serum and erythrocyte folic acid concentrations and may cause falsely low results.

Multivitamins + Iron + Calcium (Sangobion FORTE) should be stored at temperatures not exceeding 25°C.

Vitamins & Minerals (Pre & Post Natal) / Antianemics

A11AA01 - multivitamins and iron ; Belongs to the class of multivitamins with minerals. Used as dietary supplements.
B03AE02 - iron, multivitamins and folic acid ; Belongs to the class of iron in other combinations. Used in the treatment of anemia.

Non-Rx