Ferric Citrate
About Ferric Citrate
Ferric Citrate belongs to a class of 'haematinics,' primarily used to treat iron deficiency and anaemia (deficiency of iron and haemoglobin). Iron deficiency occurs mainly due to poor diet, poor absorption of food or increased folate use in the body (during pregnancy). Anaemia is a condition in which the body does not have enough red blood cells for carrying the adequate oxygen required to various body tissues.
Ferric Citrate contains 'Ferric Citrate,' an essential body mineral. It is a nutritional supplement required by the red blood cells to carry oxygen to other body cells and tissues. By combining with a protein in the blood called haemoglobin, iron helps carry adequate oxygen to various body parts. Ferric Citrate also has immunity-enhancing, anti-carcinogenic (preventing cancer), and cognition-enhancing properties.
Your doctor will decide the dosage based on your medical condition. In some cases, it may cause side effects like constipation, diarrhoea, stomach cramps, dark stools, loss of appetite, and upset stomach. Most of these side effects of Ferric Citrate do not require any medical attention and gradually resolve over time. However, if these side effects persist longer, please consult your doctor.
If you are allergic to Ferric Citrate or its inactive components, please inform your doctor. Brief your medical history to the doctor if you have any heart/kidney/liver diseases, iron overload disorders like hemochromatosis/hemosiderosis, and intestinal problems (ulcer, colitis) before starting Ferric Citrate. Consult your doctor before taking Ferric Citrate if you are pregnant or breastfeeding. Drinking alcohol may affect iron absorption; therefore, it is advised to consult your doctor if you have any concerns. Iron supplements are safe to use in children only when suggested by a doctor.
Uses of Ferric Citrate
Medicinal Benefits
Ferric Citrate is used to treat iron deficiency and anaemia (deficiency of red blood cells and haemoglobin). It contains 'Ferric Citrate,' an essential body mineral required by the red blood cells to carry oxygen to other body cells and tissues. By combining with a protein in the blood called haemoglobin, iron helps carry adequate oxygen to various body parts. Iron is used as a major nutritional supplement during pregnancy to reduce the risk of iron deficiency and anaemia. Ferric Citrate also has immunity-enhancing, anti-carcinogenic (preventing cancer), and cognition-enhancing properties.
Directions for Use
Storage
Side Effects of Ferric Citrate
- Constipation
- Diarrhoea
- Stomach cramps
- Dark stools
- Loss of appetite
- Upset stomach
Drug Warnings
Let your doctor know if you are allergic to Ferric Citrate or its inactive components. Brief your medical history to the doctor if you have any heart/kidney/liver diseases, iron overload disorders like hemochromatosis/hemosiderosis, and intestinal problems (ulcer, colitis) before starting Ferric Citrate. Consult your doctor before taking Ferric Citrate if you are pregnant or breastfeeding. Drinking alcohol may affect iron absorption; therefore, it is advised to consult your doctor if you have any concerns. Iron supplements are safe to use in children only when suggested by a doctor.
Drug Interactions
Drug-Drug Interaction: Ferric Citrate may interact with rheumatoid arthritis drugs (penicillamine), cholesterol-lowering drugs (cholestyramine), drugs used to treat Parkinson's disease (levodopa, entacapone), thyroid disease medicines (levothyroxine), antibiotics (chloramphenicol, tetracycline), blood pressure-lowering drugs (methyldopa), and antacids.
Drug-Food Interaction: Ferric Citrate should not be taken with alcohol, dairy products, and eggs as it might affect iron absorption in the body.
Drug-Disease Interaction: Ferric Citrate should be used with caution in heart, liver or kidney diseases, iron overload disorders like hemochromatosis, hemosiderosis, and intestinal problems (ulcer, colitis).
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
safe if suggestedDrinking alcohol may affect iron absorption; therefore, it is advised not to coume alcoholic beverages.
Pregnancy
safe if suggestedFerric Citrate is safe to use if suggested by a doctor during pregnancy. Ferric Citrate is generally given at least four weeks before pregnancy and is continued up to 3 months of pregnancy.
Breast Feeding
cautionFerric Citrate can pass into the breast milk when used by a breastfeeding mother. Please consult your doctor before taking Ferric Citrate if you are a nursing mother.
Driving
safe if suggestedFerric Citrate does not affect your ability to drive or operate any machinery. If you notice any side effects that affect your mental ability while using Ferric Citrate, please consult your doctor.
Liver
cautionLet your doctor know if you have a history of liver diseases before taking Ferric Citrate. Your doctor will weigh the benefits and potential risks before prescribing Ferric Citrate.
Kidney
cautionIt is advised to seek doctor advice before starting Ferric Citrate if you have kidney diseases. Your doctor will weigh the benefits and potential risks before prescribing Ferric Citrate.
Children
safe if suggestedIron supplements are safe to use in children only when suggested by a doctor. The doctor will prescribe the dosage based on the child's age and weight.
Habit Forming
Diet & Lifestyle Advise
- Include red meat, pork, poultry, and seafood in your diet.
- Iron sources like kidney beans, black beans, spinach, raisins, apricots, and lentils will help you improve your iron deficiency when taken along with Ferric Citrate.
- Also, include iron-fortified cereals, bread, and pasta timely in your regular food intake.
- Vitamin C foods like orange juice, broccoli, strawberries, melons, and bell peppers enhance iron absorption into the body.
- You can also try iron gummies if you have sweet cravings.
- Recent trends, like using cast iron utensils for cooking, may also improve your iron levels.
Patients Concern
Disease/Condition Glossary
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. Sometimes, it can also be long-term, which might require medical procedures to treat. 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. Anaemia symptoms include fatigue, shortness of breath, light-headedness, dizziness, fast heartbeat, brittle nails, and pale skin.
FAQs
Ferric Citrate is used to manage and treat anaemia and Iron deficiency.
Ferric Citrate is a dietary supplement that contains Ferric Citrate. It works by boosting the production of red blood cells (RBC) in the body, thus treating iron deficiency associated anaemia.
It is recommended not to take Ferric Citrate with tea, coffee, milk, and eggs since they might interfere with iron absorption from Ferric Citrate.
Ferric Citrate is best absorbed if taken on an empty stomach. But in some patients, Ferric Citrate may cause gastrointestinal disturbances like stomach upset when taken without food. So, please take it as suggested by your doctor if you have stomach problems.
Ferric Citrate may cause constipation as one of its side effects. Eating fibre rich foods like vegetables, fresh fruits, and cereals and drinking plenty of water can help relieve symptoms.
Antacids may interfere with the absorption of iron. Hence it is advised to take Ferric Citrate two hours before or four hours after taking antacids.
If you miss a dose, take it as soon as you remember. However, if it is time for the next scheduled dose, skip the missed dose and follow your usual dosage. Do not double the dose.
