Tonofolic Tablet belongs to a class of medications called 'haematinics' primarily used to treat anaemia (lack of blood) and folic acid deficiency that occurs mainly due to poor diet, poor absorption of food, or increased folate use in the body (in pregnancy). Anaemia is a condition in which the body does not have enough red blood cells for carrying adequate oxygen required to various body tissues.

Tonofolic Tablet is a combination of two drugs, namely: Ferrous fumarate (iron supplement) and folic acid (a form of vitamin B9). Tonofolic Tablet works by increasing red blood cells (RBC) and haemoglobin (a protein) production in the body. As a result, an adequate number of RBCs are produced in the body so that body's each tissue gets a sufficient supply of oxygen.

Take Tonofolic Tablet as advised by your doctor. In some cases, you may experience vomiting, nausea, constipation, diarrhoea, stomach pain or a change in the colour of the stool. Most of these side effects of Tonofolic Tablet do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are allergic to Tonofolic Tablet or any other medicines, please tell your doctor. Tonofolic Tablet should be used with caution in children and only if recommended by a doctor. If you are pregnant or breastfeeding, consult a doctor before using Tonofolic Tablet . If you have an allergy to any sugars, inform your doctor before taking Tonofolic Tablet as it may contain lactose. If you have a stomach ulcer, vitamin B12 deficiency, any blood disorder, repeated blood transfusions, ulcerative colitis (inflammation of the colon), pernicious anaemia (anaemia due to lack of vitamin B12) or folate-dependent tumour, inform your doctor before taking Tonofolic Tablet .

Tonofolic Tablet is a combination of two drugs, namely: Ferrous fumarate (iron supplement) and folic acid (a form of vitamin B9). Tonofolic Tablet works by increasing red blood cells (RBC) and haemoglobin (a protein) production in the body. As a result, an adequate number of RBC are produced in the body, so that body's each tissue gets a sufficient supply of oxygen. Also, folic acid is necessary for pregnancy as it plays a role in the development of the brain and spinal cord in the unborn baby.

• Vomiting
• Nausea
• Constipation
• Diarrhoea
• Stomach pain
• Change in colour of stool

If you are allergic to Tonofolic Tablet or any other medicines, please tell your doctor. Tonofolic Tablet should be used with caution in children and only if recommended by a doctor. If you are pregnant or breastfeeding, consult a doctor before using Tonofolic Tablet . If you have an allergy to any sugars, inform your doctor before taking Tonofolic Tablet as it may contain lactose. If you have a stomach ulcer, vitamin B12 deficiency, any blood disorder, repeated blood transfusions, ulcerative colitis (inflammation of the colon), pernicious anaemia (anaemia due to lack of vitamin B12) or folate-dependent tumour, inform your doctor before taking Tonofolic Tablet .

Drug-Drug Interaction: Tonofolic Tablet may interact with anticonvulsants (phenobarbital, primidone, phenytoin, sodium valproate, carbamazepine), antibiotics (chloramphenicol, cotrimoxazole, trimethoprim), antimanic drug (lithium), water tablet (triamterene), anti-inflammatory drug (sulfasalazine), painkillers (aspirin), anticancer drug (methotrexate).

Drug-Food Interaction: Avoid intake of dairy products, coffee or tea with Tonofolic Tablet at the same time as they may reduce the absorption of Tonofolic Tablet .

Drug-Disease Interaction: If you have a stomach ulcer, vitamin B12 deficiency, any blood disorder, repeated blood transfusions, ulcerative colitis (inflammation of the colon), pernicious anaemia (anaemia due to lack of vitamin B12) or folate-dependent tumour, inform your doctor before taking Tonofolic Tablet .

• PHENOBARBITAL
• PRIMIDONE
• PHENYTOIN
• SODIUM VALPROATE
• CARBAMAZEPINE
• CHLORAMPHENICOL
• COTRIMOXAZOLE
• TRIMETHOPRIM
• LITHIUM
• TRIAMTERENE
• SULFASALAZINE
• ASPIRIN
• METHOTREXATE

• Eat a healthy diet, especially green leafy vegetables, and do regular physical exercise.

• Limit junk food items from the outside and stick to freshly prepared home-cooked meals.

• Increase the intake of fruits in your diet especially fruits rich in iron like pomegranate, and citrus fruits.

• Drink plenty of fluids to keep yourself hydrated.

• Avoid consumption of alcohol.

Avoid taking Tonofolic Tablet along with dairy products, coffee, tea or alcohol as they may reduce the effectiveness of Tonofolic Tablet .

Anaemia: It is a condition in which the body does not have enough red blood cells for carrying adequate oxygen to various body tissues. Anaemia can be temporary, which can be treated with the help of supplements, and it can also be long-term, which might require medical procedures. It makes you feel tired very quickly due to a lack of oxygen supply in the body. It is one of the most common blood disorders.

Folate deficiency: The deficiency of folic acid in the body is known as folate deficiency. It generally occurs when your diet does not have sufficient food that has more folic acid (citrus fruits, green leafy vegetables). Folate deficiency, if left untreated, can lead to anaemia.