Fit 200 mg + 5 mg Tablet

Fit 200 mg + 5 mg tablet by Rephco Pharmaceuticals Ltd. is a haematinic medicine containing Ferrous Fumarate + Folic Acid. In Bangladesh, it is mainly used to prevent or treat iron deficiency with folate deficiency, including anaemia during pregnancy when prescribed.

Ferrous Fumarate + Folic Acid works by supplying iron needed to make haemoglobin in red blood cells and folic acid needed for normal red blood cell formation and fetal neural development. A key caution is to avoid accidental overdose, especially in children, as iron overdose can be dangerous.

• Prevention and treatment of iron deficiency anaemia when folic acid supplementation is also needed.
• Prevention and treatment of iron and folate deficiency during pregnancy and after delivery when recommended by a healthcare professional.
• Nutritional supplementation in people at risk of combined iron and folate deficiency, as directed by a doctor.

Adults should take ferrous fumarate plus folic acid exactly as prescribed, because the required dose depends on the strength of the product, severity of deficiency, pregnancy status, diet, and blood test results. It is often taken once daily or in divided doses. Iron is absorbed best on an empty stomach, but it may be taken with food if it causes stomach upset. Do not exceed the prescribed dose, and follow the doctor’s advice on treatment duration and follow-up blood tests.

• Common: nausea, stomach discomfort, constipation, diarrhoea, heartburn, metallic taste, and dark or black stools.
• Less common: vomiting, abdominal cramps, or tooth staining with some liquid iron preparations.
• Serious or urgent: severe abdominal pain, persistent vomiting, bloody stools, signs of allergic reaction such as rash, swelling or breathing difficulty, or suspected overdose.
• Folic acid may mask vitamin B12 deficiency if used without proper diagnosis, which can allow nerve damage to progress.

Use with caution in people with a history of stomach ulcer, inflammatory bowel disease, chronic liver disease, thalassaemia or other blood disorders, repeated blood transfusions, suspected vitamin B12 deficiency, or anaemia that has not been properly diagnosed. Keep out of reach of children, as iron overdose can be life-threatening. Use this medicine under the guidance of a registered doctor or pharmacist.

• Antacids, calcium supplements, dairy products, tea, coffee, eggs, and high-fibre or bran-containing foods can reduce iron absorption; separate dosing as advised.
• Iron can reduce absorption of tetracycline and quinolone antibiotics, levothyroxine, bisphosphonates, penicillamine, and some medicines for Parkinson’s disease; dose separation is usually needed.
• Proton pump inhibitors and H2 blockers may reduce iron absorption in some patients.
• Folic acid may interact with methotrexate and some antiepileptic medicines such as phenytoin, phenobarbital, or primidone; medical monitoring may be required.
• Vitamin C can increase iron absorption, but supplementation should be discussed with a healthcare professional.

• Known allergy to ferrous fumarate, folic acid, or any component of the product.
• Iron overload conditions such as haemochromatosis or haemosiderosis.
• Anaemia not caused by iron deficiency unless a doctor has confirmed that iron is needed.
• Untreated vitamin B12 deficiency or pernicious anaemia, unless managed by a doctor, because folic acid can mask the diagnosis.
• Use with caution or avoid in patients receiving repeated blood transfusions unless specifically prescribed.

Iron and folic acid supplementation is commonly recommended during pregnancy when dietary intake is insufficient or deficiency risk is present, but the dose should follow local antenatal guidance or the prescribing doctor’s instructions. It is generally considered compatible with breastfeeding at recommended doses. Avoid taking extra iron or folic acid from multiple products unless advised, to prevent excessive intake.

Store in a cool, dry place away from direct sunlight and moisture. Keep the container tightly closed and out of sight and reach of children. Do not use after the expiry date or if the product appears damaged or discoloured.