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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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Written By Veda Maddala , M Pharmacy
Reviewed By Bayyarapu Mahesh Kumar , M Pharmacy
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More about the Product

Manufacturer/Marketer :

Unison Pharmaceuticals Pvt Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Tonofolic Tablet

Tonofolic Tablet is a combination medication used to treat and prevent iron deficiency anaemia and folate deficiency. It helps your body produce healthy red blood cells, ensuring your organs and tissues receive enough oxygen. This medication is commonly suggested during pregnancy, recovery from illness, or when your diet does not provide enough of these essential nutrients.

For the best results, you must take Tonofolic Tablet regularly and at the same time every day. It is generally best taken on an empty stomach with a glass of water, but you can take it with food if it upsets your stomach. Eating foods rich in vitamin C, like oranges and bell peppers, can also help your body absorb this medicine more effectively.

While taking Tonofolic Tablet , you may experience mild side effects such as dark stools, mild stomach upset, or constipation. These effects are usually harmless and temporary as your body adjusts to the therapy. However, if you experience severe abdominal pain, persistent nausea, or signs of an allergic reaction like a skin rash, you should contact your doctor immediately.

Before starting Tonofolic Tablet , tell your doctor if you have a history of iron overload disorders, stomach ulcers, or inflammatory bowel disease. Do not take this if you have had a severe allergic reaction to iron supplements or if you have certain rare blood disorders like hemolytic anaemia.

This medication can interact with certain antibiotics and antacids, which can lower how much iron your body absorbs. Avoid drinking alcohol or smoking while taking this medication, as they can interfere with nutrient absorption and worsen stomach irritation. If you are pregnant, breastfeeding, or an older adult, consult your healthcare provider to ensure this is the right option for your specific nutritional needs.

Uses of Tonofolic Tablet

It is used to treat and prevent iron deficiency anaemia and folate deficiency. The detailed uses of Tonofolic Tablet are as follows:

  • Iron deficiency anaemia: Tonofolic Tablet supplies the body with essential iron, helping to rebuild depleted iron stores and restore normal red blood cell production.
  • Pregnancy-related anaemia: During pregnancy, the body's demand for iron and folate increases significantly; Tonofolic Tablet helps prevent maternal anaemia and supports healthy fetal development.
  • Folate deficiency: It provides folic acid to prevent or treat low folate levels, which is crucial for cell division and for avoiding megaloblastic anaemia.

Key Benefits

  • This medicine brings several key health benefits:

  • Relieves tiredness and weakness: Taking Tonofolic Tablet helps relieve the debilitating fatigue and physical weakness associated with low iron and folate levels. As your red blood cell count normalises, you will likely notice a significant increase in your daily energy levels, making physical activities and daily tasks much easier to manage.
  • Supports brain function: It improves cognitive function, concentration, and overall mental clarity, which are often affected by anaemia.
  • Supports healthy skin, hair, and nails: They supporting healthy tissue growth and cellular repair; this medication helps restore healthy skin, hair, and nails.
Side effects of Tonofolic Tablet
To prevent, manage, and treat Constipation caused by medication usage, follow these steps:
  • Preventing Vomiting (Before it Happens)
  • Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
  • Having a small meal before taking your medication can help reduce nausea and vomiting.
  • Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
  • Managing Vomiting (If it Happens)
  • Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
  • What to Do if Vomiting Persists
  • Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.

Directions for Use

  • Tonofolic Tablet is recommended to be taken on an empty stomach, usually 1 hour before or 2 hours after meals, as advised by your doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication to ensure safety.
  • Swallow Tonofolic Tablet as a whole with a glass of water.
  • Do not chew, crush or break it.

How Tonofolic Tablet Works

Tonofolic Tablet works through the combined action of its two active components to restore healthy blood composition. The first component, ferrous fumarate, is a highly absorbable form of iron. Iron is a key building block of haemoglobin, the protein in red blood cells that carries oxygen from your lungs to the rest of your body. By replacing depleted iron stores, it allows your body to produce more functional red blood cells. The second component, folic acid, is an essential B-vitamin. It plays a vital role in the synthesis of DNA and the rapid division of cells. In the bone marrow, folic acid works alongside iron to help young red blood cells mature properly, preventing them from becoming abnormally large and inefficient. Together, these two nutrients ensure a steady production of healthy, oxygen-carrying blood cells.
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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 the benefits are greater than the 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.

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Heart

Consult your doctor

Please inform your doctor if you have a history of heart disease before taking Tonofolic Tablet . Your doctor will recommend it only if the potential benefits outweigh the possible risks.

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Geriatrics

Consult your doctor

Tonofolic Tablet should be used in elderly patients only when recommended by a doctor. If you have any concerns about using Tonofolic Tablet for geriatrics, please consult a doctor.

What if I have taken an overdose of Tonofolic Tablet

An overdose of iron can be highly dangerous, especially for young children. If you suspect an overdose, seek immediate medical attention. Symptoms of an overdose may include severe vomiting, stomach pain, rapid breathing, or extreme drowsiness.

Diet & Lifestyle Advise

  • Boost vitamin C intake: Eat foods rich in vitamin C (such as citrus fruits, strawberries, tomatoes, and bell peppers) along with your medicine to help your body absorb iron better.
  • Avoid certain beverages around dose times: Do not drink tea, coffee, or milk within two hours of taking your medicine, as the compounds in them significantly reduce iron absorption.
  • Stay hydrated: Drink plenty of water throughout the day to help manage or prevent constipation, which is a common side effect of iron supplements.
  • Eat fibre-rich foods: Incorporate whole grains, beans, and vegetables into your meals to help keep your digestive system moving smoothly.
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Have a query?

How Soon It Starts Working

  • The time required for Tonofolic Tablet to start to work: Tonofolic Tablet ideally shows its action within 1 to 2 hours after administration.
  • The time for which the effects of Tonofolic Tablet last: The effect of Tonofolic Tablet lasts for 12 to 24 hours.

Storage

• Store Tonofolic Tablet as mentioned on the label.

What if you forget to take Tonofolic Tablet

If you miss a dose of Tonofolic Tablet , take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and resume your regular schedule. Do not take a double dose to make up for a missed one.

Drug Warnings

  • Keep out of reach of children: Always store the bottle securely capped and out of sight, as even small amounts of iron can be toxic to young children.
  • Check the expiration date: Do not use the medication if the expiration date printed on the pack has passed.
  • Do not take with antacids: Take Tonofolic Tablet at least two hours before or four hours after taking antacids or calcium supplements, as they can prevent your body from absorbing the medicine.
  • Watch for stool changes: Be prepared for dark or black-colored stools; this is a normal reaction to unabsorbed iron and is not a cause for concern unless accompanied by pain.
  • Monitor your blood levels: Attend all scheduled lab appointments so your doctor can check your haemoglobin and iron levels to monitor your progress.

Drug-Drug Interactions

verifiedApollotooltip

Inform your doctor if you are taking any of the following medicines, as they may interact.

  • Antacids and Calcium Supplements: They may significantly decrease the absorption of Tonofolic Tablet . Space them out by at least two hours.
  • Certain Antibiotics (like Tetracyclines and Quinolones): This medicine can reduce the effectiveness of these antibiotics. Take your antibiotic at least two hours before or six hours after taking Tonofolic Tablet .
  • Thyroid medications (Levothyroxine): Iron can reduce the absorption of thyroid hormone. Space these medications by at least four hours.

Drug-Drug Interactions

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How does the drug interact with Tonofolic Tablet:
Co-administration of Tonofolic Tablet with Capecitabine may increase the risk of side effects.

How to manage the interaction:
Although there is a possible interaction between Tonofolic Tablet and Capecitabine, you can use these medicines if prescribed by a doctor. However, if you experience any symptoms like pale skin, loose stools, nausea, vomiting, tiredness, dizziness, fainting, blood in the stools, unusual bleeding or bruising, fever, chills, body aches, mouth ulcers or sores, or numbness, burning or tingling sensation in the hands or feet, consult a doctor. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Tonofolic Tablet:
Taking dolutegravir with Tonofolic Tablet by mouth, can reduce the effectiveness of dolutegravir.

How to manage the interaction:
Taking Tonofolic Tablet and Dolutegravir together possibly results in an interaction, but they can be taken if prescribed by a doctor. In case you experience any unusual side effects, consult a doctor. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Tonofolic Tablet:
Co-administration of Tonofolic Tablet with Gemifloxacin may decrease the blood levels of Demeclocycline.

How to manage the interaction:
Although there is a possible interaction between Tonofolic Tablet and Gemifloxacin, you can use these medicines if prescribed by a doctor. However, if you experience any unusual symptoms, consult a doctor. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Tonofolic Tablet:
Co-administration of Tonofolic Tablet with Fluorouracil may increase the blood levels of Fluorouracil.

How to manage the interaction:
Although there is a possible interaction between Tonofolic Tablet and Fluorouracil, you can use these medicines if prescribed by a doctor. However, if you experience any symptoms like pale skin, loose stools, nausea, vomiting, tiredness, dizziness, fainting, blood in the stools, unusual bleeding or bruising, fever, chills, body aches, mouth ulcers or sores, or numbness, burning or tingling sensation in the hands or feet, consult a doctor. Do not discontinue any medications without consulting a doctor.
Severe
How does the drug interact with Tonofolic Tablet:
Co-administration of Tonofolic Tablet with Demeclocycline may decrease the blood levels of Demeclocycline.

How to manage the interaction:
Although there is a possible interaction between Tonofolic Tablet and Demeclocycline, you can use these medicines if prescribed by a doctor. However, if you experience any unusual symptoms, consult a doctor. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Tonofolic Tablet:
Taking Dimercaprol with Tonofolic Tablet may increase the risk of kidney problems.

How to manage the interaction:
Although taking Dimercaprol with Tonofolic Tablet can result in an interaction, it can be taken if prescribed by a doctor. However, if you experience symptoms such as nausea, vomiting, loss of hunger, increased or decreased urine, swelling in hands or legs, shortness of breath, muscle pain, tiredness, weakness, confusion, or slow or rapid heart rate, consult a doctor. Do not discontinue any medication without consulting a doctor.
How does the drug interact with Tonofolic Tablet:
Co-administration of Tonofolic Tablet with Fleroxacin may decrease the blood levels of Fleroxacin.

How to manage the interaction:
Although there is a possible interaction between Tonofolic Tablet and Fleroxacin, you can use these medicines if prescribed by a doctor. However, if you experience any unusual symptoms, consult a doctor. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

verifiedApollotooltip
  • Dairy products, Tea, and Coffee: These contain calcium, polyphenols, and tannins that can bind to iron and drastically reduce its absorption. Avoid consuming these within two hours of your dose.

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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Habit Forming

No

Therapeutic Class

[NUTRITIONAL SUPPLEMENT]

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 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 to become pregnant before using Tonofolic Tablet .
Tonofolic Tablet , which contains ferrous fumarate and folic acid, is used to treat iron deficiency and anaemia. The time it takes for Tonofolic Tablet to work can vary depending on the severity of the deficiency and individual response to the supplement. Generally, you may notice improvements in symptoms such as fatigue and weakness within a few weeks of consistent use. However, replenishing iron stores and achieving optimal results may take a few months. It is essential to follow your healthcare provider's instructions and continue taking the supplement as suggested to ensure the best outcomes.
Tonofolic Tablet is primarily used to treat iron deficiency and anaemia. While weight gain is not a common side effect, some studies suggest that taking the medication in excess, along with a high-fat diet, may lead to weight gain and fat accumulation. However, this weight gain was not evident when taken with a normal or low-fat diet. If you have any concerns about weight gain or other side effects, it is best to consult with your healthcare provider for personalized advice.
Yes, Tonofolic Tablet is generally considered safe for use during breastfeeding. It is often suggested to treat iron deficiency and anaemia in pregnant and lactating women. However, it is always best to consult with your healthcare provider before starting any new medication or supplement while breastfeeding to ensure it is safe and appropriate for your specific situation.
Yes, Tonofolic Tablet can cause some side effects that might make you feel unwell. Common side effects include nausea, vomiting, and stomach upset. If these side effects bother you or appear severe, it is essential to let your doctor know.
No, you should avoid taking Tonofolic Tablet with tea or coffee. These beverages contain compounds that can bind to iron, making it much harder for your body to absorb. For best results, take it with water or orange juice, and wait at least two hours before drinking tea or coffee. Talk to your doctor or pharmacist if you have questions about your diet.
This is a very common and harmless side effect. The dark colour is simply unabsorbed iron leaving your body. It is completely safe, but if you experience black stools accompanied by severe stomach pain, cramping, or blood, you should contact your healthcare provider immediately. Talk to your doctor if you are concerned.
Yes, this combination is frequently suggested during pregnancy to prevent and treat anaemia, as the need for iron and folate increases significantly. However, you should always consult your obstetrician to get the correct dose tailored to your prenatal needs. Talk to your doctor before starting any new supplement during pregnancy.
Constipation is a common side effect of iron supplements. To manage this, try to drink plenty of water throughout the day, increase your intake of fibre-rich foods, and stay physically active. If the constipation is severe or persistent, do not take laxatives without checking first. Talk to your doctor or pharmacist for safe recommendations.
You should not take them at the same time. Calcium can interfere with the absorption of iron in your gut. It is best to space them out, taking Tonofolic Tablet at least two hours before or four hours after your calcium supplement. Talk to your doctor or pharmacist to help plan your medication schedule.
You can take Tonofolic Tablet at whichever time of day is easiest for you to remember, as long as you take it consistently. Taking it on an empty stomach in the morning is highly effective, but if it causes morning nausea, taking it with a light dinner or at bedtime may be more comfortable. Talk to your doctor or pharmacist for personalised advice.
An overdose of iron can be very dangerous. If you or someone else (especially a child) takes more than the suggested dose of Tonofolic Tablet , seek emergency medical care immediately. Do not wait for symptoms to appear.

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Country of origin

India

Manufacturer/Marketer address

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