Prenat-XL (Capsule)

Indications

• Treatment and prophylaxis of iron, folic acid, zinc, vitamin-B complex, and vitamin-C deficiency, especially during pregnancy and lactation

Composition

• Elemental Iron [as Carbonyl iron] INN 50 mg
• Zinc Sulphate Monohydrate BP 61.80 mg equivalent to Zinc 22.50 mg
• Folic Acid BP 0.5mg
• Nicotinamide BP 10 mg
• Riboflavin BP 2 mg
• Pyridoxine Hydrochloride BP 1 mg
• Ascorbic Acid USP 50 mg
• Thiamine Mononitrate BP 2 mg

Pharmacology

• Carbonyl Iron has higher bioavailability, low toxicity, and better GI tolerance
• Folic acid is vital for cell division and the development of the neural tube
• Vitamin B Complex is required for the growth and development of unborn babies
• Vitamin C plays a role in the structure of collagen
• Zinc is critical for fetal growth & development, CNS development & function, and maternal & infant health

Dosage & Administration

• Adult: One capsule daily before food or as directed by the physician
• Use in Children & Adolescents: Upon consultation with a doctor

Interaction

• Carbonyl Iron decreases the absorption of tetracycline antibiotics, quinolone antibiotics, levodopa, levothyroxine, methyldopa, and penicillamine
• Folic Acid interacts with antiepileptics, affecting plasma concentrations of phenobarbital, phenytoin, and primidone

Contraindications

• Known hypersensitivity to any of the ingredients
• Iron therapy is contraindicated in the presence of haemolytic anaemia

Side Effects

• Allergic sensitization following oral administration of Folic acid
• Oral iron preparation may cause constipation, particularly in older patients

Pregnancy & Lactation

• Use of any drug during the first trimester of pregnancy should be avoided if possible
• Administration of Iron during the first trimester requires definite evidence of Iron deficiency
• Prophylaxis of Iron deficiency justified during the remainder of the pregnancy where inadequate diet calls for supplementary Zinc and Folic acid

Precautions & Warnings

• Care should be taken in patients who may develop iron overload
• Iron chelates with tetracycline and absorption may be impaired

Overdose Effects

• Symptoms of Carbonyl Iron overdose include decreased energy, nausea, abdominal pain, tarry stool, weak rapid pulse, fever, coma, seizures

Therapeutic Class

• Iron, Vitamin & Mineral Combined preparation

Storage Conditions

• Store at temperature not exceeding 30°C in a dry place
• Protect from moisture

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