Iron

If you are taking this product on a prescribed If you are taking this product on a prescribed schedule and miss a dose, take it as soon as you remember. If it schedule and miss a dose, take it as soon as you remember. If it is near the time for the next dose, skip the missed dose and is near the time for the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to resume your usual dosing schedule. Do not double the dose to catch up. catch up.

Follow all directions on the product package, or Follow all directions on the product package, or take as directed by your doctor. Do not take more than the take as directed by your doctor. Do not take more than the recommended dosage. If you are uncertain about any of the recommended dosage. If you are uncertain about any of the information, consult your doctor or pharmacist. information, consult your doctor or pharmacist. This medication is best taken on an empty stomach 1 hour This medication is best taken on an empty stomach 1 hour before or 2 hours after meals. Take with a full glass of water (8 before or 2 hours after meals. Take with a full glass of water (8 ounces or 240 milliliters) unless your doctor directs you ounces or 240 milliliters) unless your doctor directs you otherwise. If stomach upset occurs, you may take this medication otherwise. If stomach upset occurs, you may take this medication with food. Avoid taking antacids, dairy products, tea, or coffee with food. Avoid taking antacids, dairy products, tea, or coffee within 2 hours before or after this medication because they will within 2 hours before or after this medication because they will decrease its effectiveness. Do not lie down for 10 minutes after decrease its effectiveness. Do not lie down for 10 minutes after taking this medication. taking this medication. Swallow extended-release capsules whole. Do not crush or chew Swallow extended-release capsules whole. Do not crush or chew extended-release capsules or tablets. Doing so can release all of extended-release capsules or tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do the drug at once, increasing the risk of side effects. Also, do not split extended-release tablets unless they have a score line not split extended-release tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing. whole or split tablet without crushing or chewing. If you are taking chewable tablets, chew the medication If you are taking chewable tablets, chew the medication thoroughly, then swallow. thoroughly, then swallow. If you have a liquid form, carefully measure out your dose If you have a liquid form, carefully measure out your dose using a medication-measuring device, mix it in a glass of water using a medication-measuring device, mix it in a glass of water or juice, and drink the mixture through a straw to prevent or juice, and drink the mixture through a straw to prevent staining the teeth. If your liquid form is to be given by staining the teeth. If your liquid form is to be given by dropper, the dose may be placed well back on the tongue and dropper, the dose may be placed well back on the tongue and followed with water or juice. If your liquid form is a followed with water or juice. If your liquid form is a suspension, shake the bottle well before each dose. suspension, shake the bottle well before each dose. Take this medication regularly in order to get the most Take this medication regularly in order to get the most benefit from it. To help you remember, take it at the same benefit from it. To help you remember, take it at the same time(s) each day. time(s) each day.

Your healthcare professionals (e.g., doctor Your healthcare professionals (e.g., doctor or pharmacist) may already be aware of any possible drug or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, interactions and may be monitoring you for them. Do not start, stop or change the dosage of any medicine before checking with stop or change the dosage of any medicine before checking with them first. them first. Before taking this medication, tell your doctor or pharmacist Before taking this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may of all prescription and nonprescription/herbal products you may use, especially: certain antibiotics (e.g., penicillamine, use, especially: certain antibiotics (e.g., penicillamine, chloramphenicol, quinolones such as ciprofloxacin/norfloxacin), chloramphenicol, quinolones such as ciprofloxacin/norfloxacin), bisphosphonates (e.g., alendronate), levodopa, methyldopa, bisphosphonates (e.g., alendronate), levodopa, methyldopa, thyroid replacement drugs (e.g., levothyroxine). thyroid replacement drugs (e.g., levothyroxine). Avoid taking this medication at the same time as antacids or Avoid taking this medication at the same time as antacids or tetracycline antibiotics. Wait at least 2 hours between taking tetracycline antibiotics. Wait at least 2 hours between taking this medication and an antacid or tetracycline. this medication and an antacid or tetracycline. If your brand of iron also contains folic acid, be sure to If your brand of iron also contains folic acid, be sure to tell your doctor or pharmacist if you take certain anti-seizure tell your doctor or pharmacist if you take certain anti-seizure drugs (e.g., hydantoins such as phenytoin). drugs (e.g., hydantoins such as phenytoin). This medication may interfere with certain laboratory tests This medication may interfere with certain laboratory tests (e.g., fecal occult blood tests), possibly causing false test (e.g., fecal occult blood tests), possibly causing false test results. Make sure laboratory personnel and all your doctors know results. Make sure laboratory personnel and all your doctors know you use this drug. you use this drug. This document does not contain all possible interactions. This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and medications with you, and share the list with your doctor and pharmacist. pharmacist.

If your doctor has prescribed this medication, do not If your doctor has prescribed this medication, do not share it with others. share it with others. Laboratory and/or medical tests (e.g., complete blood count) Laboratory and/or medical tests (e.g., complete blood count) may be performed periodically to monitor your progress or check may be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details. for side effects. Consult your doctor for more details. This medication is not a substitute for a proper diet. It is This medication is not a substitute for a proper diet. It is important to maintain a well-balanced diet. Foods rich in iron important to maintain a well-balanced diet. Foods rich in iron include red meats (especially liver), fish, beans, dried fruit, include red meats (especially liver), fish, beans, dried fruit, and iron-fortified/enriched cereals and bread. and iron-fortified/enriched cereals and bread.

If overdose is suspected, contact your local poison If overdose is suspected, contact your local poison control center or emergency room immediately. US residents should control center or emergency room immediately. US residents should call the US National Poison Hotline at 1-800-222-1222. Canada call the US National Poison Hotline at 1-800-222-1222. Canada residents should call a provincial poison control center. residents should call a provincial poison control center. Symptoms of overdose may include: stomach pain, nausea, vomiting, Symptoms of overdose may include: stomach pain, nausea, vomiting, diarrhea. diarrhea.

Before taking this medication, tell your doctor or Before taking this medication, tell your doctor or pharmacist if you are allergic to it; or if you have any other pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your can cause allergic reactions or other problems. Talk to your pharmacist for more details. pharmacist for more details. This medication should not be used if you have certain medical This medication should not be used if you have certain medical conditions. Before taking this medication, consult your doctor or conditions. Before taking this medication, consult your doctor or pharmacist if you have: iron overload disorder (e.g., pharmacist if you have: iron overload disorder (e.g., hemochromatosis, hemosiderosis). hemochromatosis, hemosiderosis). Before taking this medication, tell your doctor or pharmacist Before taking this medication, tell your doctor or pharmacist your medical history, especially of: use/abuse of alcohol, liver your medical history, especially of: use/abuse of alcohol, liver problems, stomach/intestinal problems (e.g., ulcer, colitis). problems, stomach/intestinal problems (e.g., ulcer, colitis). If your brand of iron supplement also contains folic acid, be If your brand of iron supplement also contains folic acid, be sure to tell your doctor or pharmacist if you have vitamin B12 sure to tell your doctor or pharmacist if you have vitamin B12 deficiency (pernicious anemia) before taking it. Folic acid may deficiency (pernicious anemia) before taking it. Folic acid may falsely improve certain laboratory tests for vitamin B12 falsely improve certain laboratory tests for vitamin B12 deficiency without actually treating this anemia. Untreated deficiency without actually treating this anemia. Untreated vitamin B12 deficiency may result in serious nerve problems vitamin B12 deficiency may result in serious nerve problems (e.g., peripheral neuropathy symptoms such as (e.g., peripheral neuropathy symptoms such as numbness/pain/tingling sensations). Consult your doctor or numbness/pain/tingling sensations). Consult your doctor or pharmacist for details. pharmacist for details. Chewable tablets of this medicine may contain aspartame. If Chewable tablets of this medicine may contain aspartame. If you have phenylketonuria (PKU) or any other condition that you have phenylketonuria (PKU) or any other condition that requires you to restrict your intake of aspartame (or requires you to restrict your intake of aspartame (or phenylalanine), consult your doctor or pharmacist about using phenylalanine), consult your doctor or pharmacist about using this drug safely. this drug safely. Liquid preparations of this product may contain sugar and/or Liquid preparations of this product may contain sugar and/or alcohol. Caution is advised if you have diabetes, alcohol alcohol. Caution is advised if you have diabetes, alcohol dependence, or liver disease. Ask your doctor or pharmacist about dependence, or liver disease. Ask your doctor or pharmacist about using this product safely. using this product safely. During pregnancy, this medication should be used only when During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor. clearly needed. Discuss the risks and benefits with your doctor. This medication passes into breast milk. Consult your doctor This medication passes into breast milk. Consult your doctor before breast-feeding. before breast-feeding.

Store at room temperature between 59-86 degrees F Store at room temperature between 59-86 degrees F (15-30 degrees C) away from light and moisture. Do not freeze (15-30 degrees C) away from light and moisture. Do not freeze liquid forms of this medication. Do not store in the bathroom. liquid forms of this medication. Do not store in the bathroom. Keep all medicines away from children and pets. Keep all medicines away from children and pets. Do not flush medications down the toilet or pour them into a Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to or local waste disposal company for more details about how to safely discard your product. safely discard your product.

Constipation, diarrhea, stomach cramps, or upset Constipation, diarrhea, stomach cramps, or upset stomach may occur. These effects are usually temporary and may stomach may occur. These effects are usually temporary and may disappear as your body adjusts to this medication. If any of disappear as your body adjusts to this medication. If any of these effects persist or worsen, contact your doctor or these effects persist or worsen, contact your doctor or pharmacist promptly. pharmacist promptly. Iron may cause your stools to turn black, an effect that is Iron may cause your stools to turn black, an effect that is not harmful. not harmful. If your doctor has prescribed this drug, remember that he or If your doctor has prescribed this drug, remember that he or she has judged that the benefit to you is greater than the risk she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have of side effects. Many people using this medication do not have serious side effects. serious side effects. A very serious allergic reaction to this drug is rare. A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any of However, seek immediate medical attention if you notice any of the following symptoms of a serious allergic reaction: rash, the following symptoms of a serious allergic reaction: rash, itching/swelling (especially of the face/tongue/throat), severe itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. dizziness, trouble breathing. This is not a complete list of possible side effects. If you This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or notice other effects not listed above, contact your doctor or pharmacist. pharmacist. In the US - In the US - Call your doctor for medical advice about side effects. You Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. may report side effects to FDA at 1-800-FDA-1088. In Canada - Call your doctor for medical advice about side In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at effects. You may report side effects to Health Canada at 1-866-234-2345. 1-866-234-2345.

Accidental overdose of iron-containing products is a Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children younger than 6 leading cause of fatal poisoning in children younger than 6 years. Keep this product out of reach of children. If overdose years. Keep this product out of reach of children. If overdose does occur, seek immediate medical attention or call a poison does occur, seek immediate medical attention or call a poison control center. control center.