• The drug is a mineral supplement.
• It is applied to
  • Treatment of zinc deficiencies when they cannot be corrected with nutrition.

• Always use the medicine exactly as instructed. Please check with your doctor or pharmacist if you are not sure.
• Unless otherwise prescribed by the doctor, is the usual dose
  • Adults and children over 12 years:
  • 1/2 - 1 effervescent tablet daily (equivalent to 12.5 - 25 mg zinc)

• duration of use
  • The duration of treatment depends on the severity of the zinc deficiency.
  • Please talk to your doctor or pharmacist if you have the impression that the effect of the medicine is too strong or too weak.

• If you use more than you should
  • Acute overdose is rare and occurs only after ingestion of at least 1 g zinc sulfate monohydrate; this corresponds to a quantity of 14 effervescent tablets.
  • If you have used too much of the medicine, please contact your doctor or pharmacist immediately.

• If you forgot the application
  • Apply the next dose at the usual time. Do not apply a double dose to make up for a forgotten application.
  • If you have any further questions on the use of the medicine, ask your doctor or pharmacist.

• For oral use after reconstitution.
• Please dissolve the effervescent tablet in a glass of water before taking it and drink the entire glass, preferably after a meal.

• Like all medicines, this medicine can cause side effects, although not everybody gets them.
• In very rare cases (less than 1 in 10,000 people treated) skin reactions (such as skin reddening or itching) have been observed when zinc salts are taken or injected.
• Long-term use of zinc sulfate can lead to copper deficiency.
• Please tell your doctor or pharmacist if any of the listed side effects gets serious, or if you notice any side effects that are not listed.

• When used with other medicines
  • Please inform your doctor or pharmacist if you are taking/using or have recently taken/used other medicines, even if they are non-prescription medicines.
  • Zinc decreases the absorption of antibiotics such as tetracyclines (e.g. doxycycline), ofloxacin or other quinolones (e.g. ciprofloxacin, norfloxacin). Because of the risk of reduced effectiveness against bacterial infections, an interval of at least 4 hours should be observed between the intake of zinc and tetracyclines or quinolones.
  • D-penicillamine, dimercaptopropane sulfonic acid (DMPS), dimercaptosuccinic acid (DMSA), or ethylenediaminetetraacetic acid (EDTA) may decrease zinc absorption or increase excretion.
  • Zinc absorption can be reduced if zinc and phosphates, iron, copper and calcium salts are given at the same time.
  • Zinc preparations can reduce the absorption and storage of iron when taken at the same time as iron.
  • Zinc can affect the absorption of copper.

• The drug must not be used
  • if you are allergic (hypersensitive) to zinc sulfate monohydrate or any of the other ingredients.

• If your doctor has diagnosed a zinc deficiency in you, you can use the dose of the drug recommended by your doctor during pregnancy and breastfeeding.

• Particular caution in use is required
  • if you suffer from peptic ulcers and acute kidney failure or severe kidney cell damage (renal parenchymal damage).
  • if you use the medicine for a long time; if zinc is taken for a longer period of time, copper should be monitored in the laboratory as well as zinc.

ZINC HEXAL, zinc sulphate supplement, effervescent tablets