FOLIC ACID TABLET

Folic acid BP 5 mg
Read all of this leaflet carefully before you take this medicine.
• Keep this leaflet. You may need to read it again.
• If you have further question, please ask your Pharmacist or your Doctor.
• This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.

In this leaflet:
1. What Folic tablet is and what it is used for: 
2. Precautions and warning before you take Folic acid tablet
3. How to take Folic acid tablet
4. Possible side effects.
5. Symptoms and Treatment of Over dosage 
6. How to store Folic acid tablet
7. Further information

1. WHAT FOLIC ACID TABLET IS AND WHAT IT IS USED FOR 
Folic acid tablet is a vitamin supplement and contains folic acid as the active ingredient.  Exogenous folate is required to maintain normal erythropoiesis and to perform nucleoprotein synthesis. Folic acid thus stimulates the production of platelets, red and white blood cells in certain Megaloblastic anemias. Dietary folic acid may be absorbed only after hydrolysis, reduction and methylation occur in the GI tract in the presence of vitamin B12. Oral synthetic form of folic acid is however absorbed completely after administration, even in malabsorption syndromes. 

2. PRECAUTIONS AND WARNING BEFORE YOU TAKE FOLIC ACID TABLET 
Contraindication:
• Do not take Riddles Vitamin C tablet if you are allergic or hypersensitive to the active drug or any of the ingredients of Folic acid tablet. Folic acid is contraindicated in patients with undiagnosed anemia because it may mask pernicious anemia, and in those with pernicious anemia and other Megaloblastic anemias in which vitamin B12 is deficient.

Pregnancy and Lactation:
• Pre-pregnancy initiation of drug therapy may reduce risk of fetal neural tube defects.
• Folic acid appears in breast milk. Daily prescribed doses are sufficient to maintain a normoblastic bone marrow after clinical symptoms have subsided and blood components have returned to normal. 

Do not take Folic acid if:
You are taking it together with calcium gluconate, dextrose 40 and 50% in water, doxapram, oxidizing and reducing drugs, and heavy metal ions as they are incompatible.

Driving and using Machines 
Folic acid tablet is not known to cause sedation or dizziness, and will not adversely affect operating machinery or any activity that requires alertness.

Taking other Medicines:
Please inform your Pharmacist or Doctor if you are taking or about to take any other medicine, including those obtained without a prescription.

3. HOW TO TAKE FOLIC ACID TABLET
• Adults: One tablet daily or as directed by your physician.

4. POSSIBLE SIDE EFFECTS
Like all medicines, Folic acid tablet can cause side effects, although not everybody gets them. Side effects like general malaise, bronchospasm, allergic skin reactions like rash, pruritus and erythema have been reported.

Possible interactions with food and drugs
Aminosalicylic acid, chloramphenicol, methotrexate, oral contraceptives, Pyrimethamine, triamterene, trimethoprim, sulfasalazine may act as antagonists to folic acid. Phenytoin and primidone may decrease serum folate levels with symptoms of folic acid deficiency arising in long term therapy. Folic acid may also interfere with antimicrobial actions of Pyrimethamine against toxoplasmosis, hence avoid use together.

5. SYMPTOMS AND TREATMENT OF OVER DOSAGE 
Folic acid is relatively non toxic. Adverse GI and CNS effects have been reported rarely in patients receiving 15 mg of folic acid daily for 1month.  
Clinicians are advised to give symptomatic treatment or empty stomach by gastric lavage if need be.

6. HOW TO STORE FOLIC ACID TABLET                                                                                                                                                                                  Keep tablets out of reach or sight of children and stored below 300c. Keep it in the original package. Check the expiry date on the label and do not use product if expired.  

7. FURTHER INFORMATION
In addition to Folic acid, the other ingredients in the tablet are: Lactose, maize starch, microcrystalline cellulose, povidone, sodium lauryl sulphate, tartrazine, gelatin, silicon dioxide, stearic acid, and talc.  

Date of publication / review: Effective January, 2017, this publication is subject to review every two years and upon receipt of new product information.