Sorbifer Durules 100 mg. 50 tablets

Active substance: Ferrous sulfate dried 320 mg (equivalent to 100 mg ferrous).
As excipients contains: Ascorbic acid (60 mg), povidone (K-25), polyethene powder, Carbomer 934 P, Magnesium Stearate.
The tablet coating contains: Hypromellose, macrogol 6000, titanium dioxide C.I 77891 E171, yellow iron oxide C.I.77492 E172, hard paraffin.

1. WHAT SORBIFER DURULES AND WHAT IT IS USED
Sorbifer Durules is an iron medicine. Iron is a major component of the body necessary for the formation of hemoglobin and oxidation processes in tissues.

indications:
- Prevention of prelatenten (stage before the hidden anemia) iron deficiency
- Treatment of latent (hidden) and manifested (expressed) iron deficiency anemia (low serum iron, high iron-binding capacity)
Durules technology provides gradual release of Ferrous sulfate for an extended period of time. The porous matrix of the film-coated tablet does not break down under the action of digestive juice. Usually it falls apart in the gut when all Ferrous sulfate is already released.

BEFORE YOU TAKE SORBIFER DURULES
You should not take Sorbifer Durules in cases of:
- Hypersensitivity to the active substance or to any of the substances pomogtsnite
- If you have narrowing of the esophagus or other areas of the digestive tract
- In conditions of increased accumulation of iron in the body Particular attention should be paid to:
The medicinal product is only effective when iron deficiency (low serum iron, high iron-binding capacity), so treatment should be started after this diagnosis.
It can be expected to be successful in the treatment of other types of anemia (e.g., anemia arising from other chronic diseases).
During treatment with Sorbifer Durules stool may be stained black.
Ferruginous medicines can cause poisoning in children.

Adoption of Sorbifer Durules with food and liquid
Taletkite should be swallowed whole and not chewed or crushed with a little liquid.

Pregnancy and lactation
Sorbifer Durules can be taken during pregnancy and lactation.

Driving and using machines during treatment with Sorbifer Durules
The medicinal product has no or negligible effect on ability to drive and use machines.

Drug interactions:
During treatment with Sorbifer Durules always tell your doctor about any medication you are already taking or planning to take, if he knows about it.
It should avoid co-administered with ciprofloxacin, doxycycline, norfloxacin and ofloxacin.
Sorbifer Durules can reduce the absorption of co-administered enoxacine clodronate grepafloxacin, levodopa, levofloxacin, methyldopa, penicillamine, tetracyclines and thyroid hormones. Co-administration of the medicinal product with antiapidi containing aluminum hydroxide and magnesium carbonate can reduce the uptake of iron. It is necessary to ensure the longest possible interval between adoption of Sorbifer Durules and any of the above drugs. It is recommended to have a minimum of 2 hours interval between doses of Sorbifer Durules and any of these drugs with the exception of tetracyclines, wherein the interval should be at least 3 hours.

HOW TO TAKE SORBIFER DURULES
Tapetkite should be swallowed whole and not chewed or crushed with a little liquid.
Adults and adolescents (over 12 years): 2 x 1 tablet daily (morning and evening).
Upon occurrence of adverse effects, the dose may be reduced to 1 tablet per day.
For the treatment of iron deficiency anemia, the dose may be increased to 3-4 tablets per day in two divided doses.
pregnancy:
As prevention: During the first 6 months of pregnancy is taken as one tablet daily. In the last three months of pregnancy and during lactation recommended daily dose is 2 times 1 tablet.
The drug is not appropriate for small children.
The tablets should not be administered to patients in bed (which can become).
Duration of therapy should be determined after conducting tests on individual metabolism of iron.
In normalization of hemoglobin levels, treatment should be interrupted and must continue to saturate the iron stores (about two months).
If you take more tablets than prescribed or someone else accidentally takes the medicine, immediately inform the nearest emergency unit. Take this leaflet and the rest of the tablets to show the doctor.

overdose

Signs: Pain in the stomach, vomiting and diarrhea (possibly with a blood), dehydration, acidosis (increased acidity of the blood), drowsiness and shock. For an interval of 6 to 24 hours can be observed a significant improvement in the condition, but after this symptom free period the clinical picture appears with bleeding disorders, depression of heart and vascular function, fever, low blood sugar, liver liver, kidney failure, muscle spasms and coma. There is a risk of breakthrough of the intestinal wall, as a result of which can cause blood poisoning by Yersinia enterocolitica (micro-organism in the gut). Subsequently can develop cirrhosis of the liver and constriction of the pylorus. OVERDOSE: drink milk and induce vomiting (as soon as possible). If necessary, make gastric lavage. Antidote: Deferoxamine.

POSSIBLE SIDE EFFECTS
Like all other medicines and Sorbifer Durules can cause side effects.
The frequency of adverse reactions from the digestive system increases with increasing dose and from 7 to 20 percent at a daily dose of 100 to 400 mg.
Common (> 1/100)
Digestive system: nausea, stomach pain, diarrhea, constipation.
Uncommon (<1/100)
Digestive system: ulceration of the esophagus, narrowing of the esophagus.
Skin: rash.
If you experience any side effects not listed in this leaflet, please tell your doctor or pharmacist.

STORAGE SORBIFER DURULES
Keep medicine out of the reach of children.
Store at The temperature below 25 ° C.
You should not use this medicine after the expiry date printed on the packaging.

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