• Ferrous fumarate x water 152.24-163.7 mg

• lactose-1 water
• cornstarch
• Povidone K25
• Sodium Lauryl Sulfate
• Macrogol 6000
• talc
• Dimethicone 350
• Polysorbate 80
• sorbic acid
• hypromellose
• Macrogol 4000
• Butyl methacrylate copolymer, basic
• titanium dioxide
• Iron oxides and hydroxides

RULOFER N, ferrous fumarate iron tablets indication

• The tablets are used to treat iron deficiency states.

RULOFER N, ferrous fumarate iron tablets dosage

• Always take the film-coated tablets exactly as directed. Please check with your doctor or pharmacist if you are not sure.
• Unless otherwise prescribed by the doctor, the usual dose is:
  • Children over 12 years take 1 film-coated tablet 1-2 times a day and adults 2-4 times a day.
  • If necessary, adults can take 2 film-coated tablets 3-4 times a day at the beginning of therapy, depending on the Hb value.

• duration of use
  • The amount of iron to be supplied to the body depends on the stage of iron deficiency. Please ask your doctor about this

• If you take more than you should:
  • Inform your doctor.

• If you forget to take a dose:
  • In principle, medicines should be taken as prescribed by the doctor. Please do not compensate for missed doses by doubling the number of film-coated tablets, but continue to take them as originally planned.

• If you stop taking:
  • Please contact your doctor or pharmacist beforehand, they can best assess any effects on your condition.

• If you have any further questions on the use of the medicine, ask your doctor or pharmacist.

RULOFER N, ferrous fumarate iron tablets way

• The film-coated tablets should be swallowed whole in the morning on an empty stomach or 1 hour before meals with sufficient liquid to prevent possible damage to the mucous membrane from tablets that have gotten stuck.

side effects

• Like all medicines, this can cause side effects, although not everyone gets them.
• The evaluation of side effects is based on the following frequency information:
  • Very common: more than 1 in 10 people treated
  • Common: less than 1 in 10 but more than 1 in 100 people treated
  • Uncommon: less than 1 in 100 but more than 1 in 1000 people treated
  • Rare: less than 1 in 1,000 but more than 1 in 10,000 people treated
  • Very rare: less than 1 in 10,000 people treated, including isolated cases
• Significant side effects or signs to look out for and actions to take if affected:
  • If you are affected by any of the side effects listed below, stop taking the film-coated tablets and contact your doctor as soon as possible.
  • Gastrointestinal disorders and constipation occasionally occur. A darkening of the stool is a frequently observed, but completely harmless event after taking oral iron preparations. Constipation can be relieved with a balanced diet.
• Please tell your doctor or pharmacist if any of the side effects gets serious, or if you notice any side effects that are not listed.

RULOFER N, ferrous fumarate iron tablets interactions

• Taking/using other medicines:
  • Please tell your doctor or pharmacist if you are taking/using or have recently taken/used other medicines, even if they are non-prescription medicines.
  • Iron salts like the film-coated tablets
    • decrease the intake of
      • certain antibiotics (tetracyclines),
      • penicillamine (medicine against rheumatic diseases),
      • Levodopa (Parkinson's drug)
      • Methyldopa (medicine for high blood pressure)
      • Thyroxine (thyroid hormone) in patients being treated with thyroxine.
    • affect the absorption of quinolone antibiotics (e.g. ciprofloxacin, levofloxacin, norfloxacin, ofloxacin).
    • can increase the irritating effect on the mucous membrane of the gastrointestinal tract when taken at the same time as non-steroidal anti-inflammatory drugs (including some common medicines for pain, fever and inflammation).
  • The absorption of iron is reduced by taking the following medicines at the same time
    • cholestyramine (used to lower high levels of fat in the blood),
    • Antacids (stomach acid-binding calcium, magnesium, aluminum salts)
    • and calcium and magnesium supplements.
  • You should not take the film-coated tablets within 2-3 hours of taking any of the above substances.
• When taken with food and drink
  • You should take the film-coated tablets 1 hour before or possibly between meals, as food can affect iron absorption.
  • Iron-binding substances such as phytates (e.g. from cereals), phosphoric acid salts (e.g. from milk), oxalic acid salts (e.g. from spinach or rhubarb), tannic acids (tea) or coffee inhibit the absorption of iron by the organism.

Contraindications

• The drug must not be taken
  • if you are allergic (hypersensitive) to the active substance ferrous fumarate or any of the other ingredients.
  • if you suffer from anemia caused by infections or cancer
  • if you have an accumulation of iron in your blood (raised iron levels) and problems with iron utilization.

pregnancy and breast feeding period

• pregnancy
  • There are no known restrictions on use during pregnancy.
• lactation
  • There are no known restrictions on use during breastfeeding.

patient RULOFER N, ferrous fumarate iron tablets notes

• Particular caution is required when ingesting
  • if you suffer from inflammation or ulcers of the gastrointestinal mucosa. Talk to your doctor before taking it. He will carefully weigh the benefit of the treatment against the risk of aggravation of the gastrointestinal disease.
  • if you are also using dietary or other iron salt supplements. To avoid the risk of possible iron overdose, talk to your doctor before taking

• Driving and using machines
  • There are no known effects