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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Tonofolic Tablet is used to treat anaemia (lack of blood) and folic acid deficiency. It works by increasing red blood cell (RBC) and haemoglobin (a protein) production in the body. In some cases, this medicine may cause side effects such as vomiting, nausea, constipation, diarrhoea, or stomach pain. Before taking this medicine, inform the doctor if you are pregnant or breastfeeding, taking any other medication, or have any pre-existing medical conditions.
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Manufacturer/Marketer :

Unison Pharmaceuticals Pvt Ltd

Consume Type :

ORAL

Return Policy :

3 Days Returnable

Expires on or after :

Jan-27

About Tonofolic Tablet

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 .

Uses of Tonofolic Tablet

Treatment of Anaemia and Folic acid deficiency

Directions for Use

Take Tonofolic Tablet on an empty stomach usually 1 hour before or 2 hours after meals as advised by your doctor. Swallow it as a whole with a glass of water. Do not crush, chew or break it.

Medicinal Benefits

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.

How Tonofolic Tablet Works

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.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Tonofolic Tablet

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

What if I have taken an overdose of Tonofolic Tablet

Take Tonofolic Tablet only as suggested by the physician. Avoid exceeding the recommended dose as it could lead to an overdose. Symptoms may include vomiting, diarrhoea, severe stomach pain, coughing up blood or vomit that looks like coffee grounds, pale skin, weak and rapid pulse, shallow breathing, blue lips, and convulsions. If you experience these symptoms or suspect you have taken an overdose, seek immediate medical attention.

Drug Warnings

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 Interactions

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Folic acidFluorouracil
Severe
Folic acidCarbamazepine
Severe

Drug-Drug Interactions

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Folic acidFluorouracil
Severe
How does the drug interact with Tonofolic Tablet 10's:
Coadministration of Tonofolic Tablet 10's and Fluorouracil may increase the effects of Fluorouracil and increase the risk of serious side effects such as bleeding problems, anaemia (lack of blood), infections, and nerve damage.

How to manage the interaction:
Although there is a possible interaction between Tonofolic Tablet 10's and Fluorouracil, you can take these medicines together if prescribed by your doctor. However, if you experience diarrhoea, paleness of skin, severe nausea and vomiting, over-tiredness, dizziness, fainting, blood in the stools, unusual bleeding or bruising, fever, chills, body pains, flu-like symptoms, skin reactions, mouth ulcers or sores, and/or numbness, burning or tingling in your hands and feet, contact your doctor.
Folic acidCarbamazepine
Severe
How does the drug interact with Tonofolic Tablet 10's:
Coadministration of Tonofolic Tablet 10's and Carbamazepine may reduce the blood levels of Tonofolic Tablet 10's.

How to manage the interaction:
Although there is a possible interaction between Tonofolic Tablet 10's and Carbamazepine, you can take these medicines together if prescribed by your doctor. However, if your condition changes or you experience loss of seizure control, contact your doctor.
Folic acidColestyramine
Severe
How does the drug interact with Tonofolic Tablet 10's:
Coadministration of Tonofolic Tablet 10's and Cholestyramine may interfere with the absorption of Tonofolic Tablet 10's.

How to manage the interaction:
Although taking Cholestyramine and Tonofolic Tablet 10's together can result in an interaction, they can be taken together if prescribed by a doctor. However, if you experience Constipation, Diarrhea, Stomach pain, Nausea, or Loss of appetite, consult a doctor. Do not stop using any medications without consulting a doctor.
Folic acidTrimethoprim
Severe
How does the drug interact with Tonofolic Tablet 10's:
Trimethoprim may decrease the blood levels and effects of Tonofolic Tablet 10's.

How to manage the interaction:
Although there is a possible interaction between Tonofolic Tablet 10's and Trimethoprim, you can take these medicines together if prescribed by your doctor. Do not stop using any medications without consulting your doctor.
Folic acidFluorouracil
Severe
How does the drug interact with Tonofolic Tablet 10's:
Co-administration of Tonofolic Tablet 10's with Fluorouracil may increase the risk of side effects.

How to manage the interaction:
Although there is a possible interaction between Tonofolic Tablet 10's and Fluorouracil, you can take these medicines together if prescribed by a doctor. Do not discontinue any medications without consulting a doctor.
Folic acidSulfadiazine
Severe
How does the drug interact with Tonofolic Tablet 10's:
Sulfadiazine may decrease the blood levels and effects of Tonofolic Tablet 10's.

How to manage the interaction:
Although there is a possible interaction between Tonofolic Tablet 10's and Sulfadiazine, you can take these medicines together if prescribed by your doctor.
Folic acidCapecitabine
Severe
How does the drug interact with Tonofolic Tablet 10's:
Co-administration of Tonofolic Tablet 10's with Capecitabine may increase the risk of serious side effects such as bleeding problems, anemia, infections, and nerve damage.

How to manage the interaction:
Although there is a possible interaction between Tonofolic Tablet 10's and Capecitabine, you can use these medicines together if prescribed by the doctor. However, if you experience paleness of skin, diarrhea, severe nausea and vomiting, over-tiredness, dizziness, fainting, blood in the stools, unusual bleeding or bruising, fever, chills, body aches, flu-like symptoms, skin reactions, mouth ulcers or sores, and/or numbness, burning or tingling sensation in the hands and feet, contact a doctor. Do not discontinue the medication without consulting a doctor. Do not discontinue the medication without consulting a doctor.
Ferrous fumarateFleroxacin
Severe
How does the drug interact with Tonofolic Tablet 10's:
Coadministration of fleroxacin and Tonofolic Tablet 10's can decrease the blood levels and effects of fleroxacin.

How to manage the interaction:
Although there is an interaction between Tonofolic Tablet 10's and Fleroxacin, it can be taken if prescribed by a doctor. Do not stop using any medications without talking to your doctor.
Ferrous fumarateDimercaprol
Severe
How does the drug interact with Tonofolic Tablet 10's:
Coadministration of dimercaprol and Tonofolic Tablet 10's can increase the risk of kidney problems.

How to manage the interaction:
Although there is an interaction between Tonofolic Tablet 10's and dimercaprol, it can be taken if prescribed by a doctor. It is recommended to take Tonofolic Tablet 10's 24 hours after taking dimercaprol. Do not stop using any medications without talking to your doctor.
Ferrous fumarateDoxycycline
Severe
How does the drug interact with Tonofolic Tablet 10's:
Taking doxycycline with Tonofolic Tablet 10's can reduce the levels and effects of doxycycline.

How to manage the interaction:
Although taking Tonofolic Tablet 10's and doxycycline possibly results in an interaction, they can be taken together as advised by your doctor. However, consult a doctor if you experience any unusual symptoms. Do not stop using any medications without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • 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.

Habit Forming

No

Therapeutic Class

NUTRITIONAL SUPPLEMENT

Tonofolic Tablet Substitute

Substitutes safety advice
  • Livogen Captabs 15's

    6.06per tablet
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Alcohol

Unsafe

Avoid consumption of alcohol with Tonofolic Tablet as it may decrease the absorption of Tonofolic Tablet . Please consult a doctor before consuming alcohol with Tonofolic Tablet .

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Pregnancy

Consult your doctor

Tonofolic Tablet may be safe to use during pregnancy if recommended by a doctor.

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Breast Feeding

Caution

It is unknown whether Tonofolic Tablet is excreted in human milk. Therefore, please consult a doctor if you are breastfeeding. Tonofolic Tablet is given to breastfeeding mothers only if the doctor thinks benefits are greater than risks.

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Driving

Safe

Tonofolic Tablet usually does not affect your ability to drive or operate machinery.

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Liver

Caution

Take Tonofolic Tablet with caution, especially if you have a history of Liver diseases/conditions. The dose may be adjusted by your doctor as required.

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Kidney

Caution

Take Tonofolic Tablet with caution, especially if you have a history of Kidney diseases/conditions. The dose may be adjusted by your doctor as required.

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Children

Caution

Tonofolic Tablet should be used in children only if recommended by a doctor.

FAQs

Tonofolic Tablet belongs to a class of medications called 'haematinics' primarily used to treat anaemia (lack of blood) and folic acid deficiency.
Tonofolic Tablet contains 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.
You are not recommended to take Tonofolic Tablet with coffee, tea or dairy products at the same time as they may reduce the absorption of Tonofolic Tablet . However, you may drink coffee or tea 2 hours before or after taking Tonofolic Tablet .
You are not recommended to take Tonofolic Tablet with phenytoin as co-administration of these two medicines may reduce the concentration of Tonofolic Tablet in blood and increase the risk of seizures (fits). However, please consult a doctor before taking Tonofolic Tablet with phenytoin.
Tonofolic Tablet is not recommended for hemochromatosis (excessive iron in the body) patients as it may increase the risk of adverse effects. Therefore, it is advised to inform your doctor if you have any iron overload conditions before taking Tonofolic Tablet .
Tonofolic Tablet is essential to take during pregnancy to maintain correct levels of iron and folic acid and reduce the risk of neural tube defects in babies. However, please consult a doctor if you are pregnant or planning for pregnancy before using Tonofolic Tablet .

Country of origin

India

Manufacturer/Marketer address

5-248; h p road, moosapet, hyderabad, telangana 500018
Other Info - TON0045

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