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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Shefer-Z Tablet 10's is used to treat nutritional deficiencies such as iron deficiency anaemia. It aids the production of red blood cells, the transportation of oxygen throughout the body, and the development of body tissues. In some cases, it may cause side effects such as stomach upset, constipation, diarrhoea, nausea, and vomiting. 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 :

Pristine Cure Pharmaceuticals

Consume Type :

Oral

Expires on or after :

Return Policy :

Not Returnable

About Shefer-Z Tablet 10's

Shefer-Z Tablet 10's belongs to the group of medicines called nutritional supplements used to treat and prevent nutritional deficiencies such as iron deficiency anaemia. A nutritional deficiency occurs when the body does not absorb or get enough nutrients from food. Vitamins and minerals are necessary for body development and the prevention of diseases.
 
Shefer-Z Tablet 10's contains Cyanocobalamin, Ferrous ascorbate, Folic acid and Zinc sulphate. Cyanocobalamin helps in the proper functioning of the brain and nerves and the production of red blood cells. Ferrous ascorbate acts as a source of iron which helps in the transportation of oxygen throughout the body and the production of red blood cells. Folic acid is necessary for various bodily functions, such as nucleotide biosynthesis and remethylation of homocysteine. Zinc sulphate helps in the growth and development of body tissues. Together, Shefer-Z Tablet 10's helps in treating nutritional deficiencies.
 
Take Shefer-Z Tablet 10's as advised by the doctor. In some cases, you may experience certain common side effects such as stomach upset, constipation, diarrhoea, nausea, and vomiting. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
 
Let your doctor know if you are using any other medicines or herbal products before starting Shefer-Z Tablet 10's. If you are known to be allergic to any of the components in Shefer-Z Tablet 10's, please inform your doctor. Consult your doctor before taking Shefer-Z Tablet 10's if you are pregnant or breastfeeding. Shefer-Z Tablet 10's should not be given to children unless advised by a doctor. It is unknown if alcohol interacts with Shefer-Z Tablet 10's, so please consult a doctor if you have any concerns.

Uses of Shefer-Z Tablet 10's

Shefer-Z Tablet 10's is used in the treatment and management of nutritional deficiencies and iron deficiency anaemia. The detailed uses of Shefer-Z Tablet 10's are as follows:

  • Manages Nutrient Deficiencies: Shefer-Z Tablet 10's helps prevent and correct deficiencies of essential nutrients, including iron, zinc, vitamin B9, and B12, caused by poor dietary intake, malabsorption, or underlying illnesses.
  • Treats and Prevents Iron Deficiency Anaemia: Shefer-Z Tablet 10's boosts haemoglobin production by increasing iron levels in the body, thereby effectively treating and preventing iron deficiency anaemia.
  • Addresses Fatigue and Weakness: Shefer-Z Tablet 10's supports the formation of healthy red blood cells and improves oxygen delivery throughout the body, helping to reduce fatigue and weakness.
  • Treats and Prevents Vitamin B9 (Folic Acid) Deficiency: Shefer-Z Tablet 10's helps restore and maintain adequate vitamin B9 levels in the body, thereby treating or preventing folate deficiency and hyperhomocysteinemia (high homocysteine levels in the blood).
  • Treats Vitamin B12 Deficiency: Shefer-Z Tablet 10's increases vitamin B12 levels in the body, which helps regulate body functions such as cell multiplication, blood formation, and protein synthesis.
  • Supports Health During Pregnancy and Lactation: Shefer-Z Tablet 10's ensures an adequate supply of nutrients to both mother and baby, helping to prevent maternal anaemia, support the baby's brain development, and reduce the risk of birth defects.

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Directions for Use

  • It is recommended to take Shefer-Z Tablet 10's with food to prevent stomach upset or as advised by your doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication to ensure safety.
  • Swallow Shefer-Z Tablet 10's as a whole with a glass of water.
  • Do not chew, crush, or break it.

Key Benefits

Shefer-Z Tablet 10's is a combination of four supplements, namely: Cyanocobalamin, Ferrous ascorbate, Folic acid, and Zinc sulphate. Shefer-Z Tablet 10's is used to treat and prevent nutritional deficiencies. Cyanocobalamin helps in the proper functioning of the brain, nerves, and the production of red blood cells. Ferrous ascorbate acts as a source of iron which helps in the transportation of oxygen throughout the body and the production of red blood cells. Folic acid is necessary for various bodily functions, such as nucleotide biosynthesis and remethylation of homocysteine. Zinc sulphate helps in the growth and development of body tissues. Together, Shefer-Z Tablet 10's helps in treating nutritional deficiencies.

How Shefer-Z Tablet 10's Works

Shefer-Z Tablet 10's contains Cyanocobalamin, Ferrous ascorbate, Folic acid and Zinc sulphate. Cyanocobalamin helps in the proper functioning of the brain and nerves and the production of red blood cells. Ferrous ascorbate acts as a source of iron which helps in the transportation of oxygen throughout the body and the production of red blood cells. Folic acid is necessary for various bodily functions, such as nucleotide biosynthesis and remethylation of homocysteine. Zinc sulphate helps in the growth and development of body tissues. Together, Shefer-Z Tablet 10's helps in treating nutritional deficiencies.

Storage

Store in a cool and dry place away from sunlight
Here are the steps to cope with constipation as a side effect of medication:
  • Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
  • Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
  • Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
  • Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
  • Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
  • Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.
  • Apply a hot/cold pack to the affected area.
  • Doing gentle exercises can help cope with pain by stretching muscles.
  • Get enough sleep. It helps enhance mood and lower pain sensitivity.
  • Avoid alcohol, smoking and tobacco as they can increase pain.
  • Follow a well-balanced meal.
  • Meditation and massages may also help with pain.

What if I have taken an overdose of Shefer-Z Tablet 10's

Take Shefer-Z Tablet 10's only as suggested by the physician. Do not exceed the recommended dose, as it might cause an overdose. If you suspect you have taken an overdose, seek immediate medical attention.

Drug Warnings

Do not take Shefer-Z Tablet 10's if you are allergic to any of its components. Inform your doctor if you have heart disease, diabetes, bleeding disorders, stomach/intestinal problems, kidney or liver problems. Consult your doctor if you are pregnant or breastfeeding. Shefer-Z Tablet 10's should be given to children only if advised by the doctor. Let your doctor know if you are using any other medicines or herbal products before starting Shefer-Z Tablet 10's.

Drug-Drug Interactions

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Drug-Drug Interactions

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How does the drug interact with Shefer-Z Tablet:
Co-administration of Shefer-Z Tablet 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 Shefer-Z Tablet 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.
How does the drug interact with Shefer-Z Tablet:
Coadministration of Shefer-Z Tablet and Cholestyramine may interfere with the absorption of Shefer-Z Tablet.

How to manage the interaction:
Although taking Cholestyramine and Shefer-Z Tablet 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.
How does the drug interact with Shefer-Z Tablet:
Coadministration of Shefer-Z Tablet 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 Shefer-Z Tablet 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.
How does the drug interact with Shefer-Z Tablet:
Coadministration of Shefer-Z Tablet and Carbamazepine may reduce the blood levels of Shefer-Z Tablet.

How to manage the interaction:
Although there is a possible interaction between Shefer-Z Tablet 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.
How does the drug interact with Shefer-Z Tablet:
Trimethoprim may decrease the blood levels and effects of Shefer-Z Tablet.

How to manage the interaction:
Although there is a possible interaction between Shefer-Z Tablet and Trimethoprim, you can take these medicines together if prescribed by your doctor. Do not stop using any medications without consulting your doctor.
How does the drug interact with Shefer-Z Tablet:
Sulfadiazine may decrease the blood levels and effects of Shefer-Z Tablet.

How to manage the interaction:
Although there is a possible interaction between Shefer-Z Tablet and Sulfadiazine, you can take these medicines together if prescribed by your doctor.
How does the drug interact with Shefer-Z Tablet:
Coadministration of dolutegravir with Shefer-Z Tablet can reduce the efficacy of dolutegravir.

How to manage the interaction:
Although taking Dolutegravir and Shefer-Z Tablet together can possibly result in an interaction, they can be taken together if prescribed by your doctor. It is advised to take dolutegravir either two hours before or six hours after taking a dose of Shefer-Z Tablet. Do not discontinue 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

  • Follow a well-balanced diet.
  • Exercising regularly helps in improving overall health. 
  • Rest well, and get plenty of sleep.
  • Avoid smoking and alcohol consumption.
  • Meditation and yoga can help lower stress.
  • Avoid processed and fried food. 

Habit Forming

No

Therapeutic Class

[NUTRITIONAL SUPPLEMENT]

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Alcohol

Safe if prescribed

It is unknown if alcohol interacts with Shefer-Z Tablet 10's, so please consult a doctor.

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Pregnancy

Consult your doctor

Consult your doctor before taking Shefer-Z Tablet 10's; your doctor will decide whether pregnant women can take Shefer-Z Tablet 10's or not.

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Breast Feeding

Consult your doctor

Consult your doctor before taking Shefer-Z Tablet 10's; your doctor will decide whether Shefer-Z Tablet 10's can be taken by breastfeeding mothers or not.

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Driving

Safe if prescribed

It is unknown whether Shefer-Z Tablet 10's affects your ability to drive. Drive or operate machinery only if you are alert.

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Liver

Consult your doctor

Limited data is available regarding the usage of Shefer-Z Tablet 10's in patients with liver impairment. Please consult your doctor.

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Kidney

Consult your doctor

Limited data is available regarding the usage of Shefer-Z Tablet 10's in patients with kidney impairment. Please consult your doctor.

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Children

Safe if prescribed

Limited data is available regarding the usage of Shefer-Z Tablet 10's in children, so please consult a doctor.

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Heart

Inform your doctor if you have any existing heart disease. Your doctor will recommend this medicine only if the potential benefits outweigh the risks.

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Geriatrics

Consult your doctor

Shefer-Z Tablet 10's should be given to elderly patients only if recommended by a doctor. Seek medical advice if you have any concerns.

FAQs

Shefer-Z Tablet 10's contains Cyanocobalamin, Ferrous ascorbate, Folic acid, and Zinc sulphate. Cyanocobalamin helps in the proper functioning of the brain and nerves and the production of red blood cells. Ferrous ascorbate acts as a source of iron, which helps transport oxygen throughout the body and produce red blood cells. Folic acid is necessary for various bodily functions, such as nucleotide biosynthesis and remethylation of homocysteine. Zinc sulphate helps in the growth and development of body tissues. Together, Shefer-Z Tablet 10's helps in treating nutritional deficiencies.

Shefer-Z Tablet 10's can be taken with antibiotics if advised by the doctor. However, maintain a gap of 2 hours between Shefer-Z Tablet 10's and antibiotic medicines, as taking them together might decrease their effectiveness.

Shefer-Z Tablet 10's may cause constipation. If you experience constipation, eat fibre-rich food and drink plenty of fluids. Consult your doctor if you have severe constipation.

To treat your condition effectively, continue taking Shefer-Z Tablet 10's for as long as your doctor has advised. Speak with your doctor if you have difficulty taking Shefer-Z Tablet 10's.

Shefer-Z Tablet 10's can be taken with antacids if advised by the doctor. However, maintain a gap of 2hours between Shefer-Z Tablet 10's and antacid medicines, as taking them together might decrease their effectiveness.

Country of origin

India

Manufacturer/Marketer address

No.30, Annamalai Complex Road Steet, Near Kundrathur Bus Stand, Kundrathur, Chennai
Other Info - SHE0210

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