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

Tonofolic Z Tablet is used to treat and prevent nutritional deficiencies. It provides essential nutrients, supports the production of red blood cells, growth, and development, and boosts immunity. In some cases, this medicine 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 :

Unison Pharmaceuticals Pvt Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Tonofolic Z Tablet

Tonofolic Z Tablet is primarily used to prevent and treat the low levels of folic acid, zinc, and iron in the blood during certain health conditions. Anaemia is a health condition that happens when the body has a lower amount of red blood cells or haemoglobin than normal haemoglobin (an iron-rich protein responsible for allowing red blood cells to carry more oxygen from the lungs to the rest of the body).

Tonofolic Z Tablet contains Iron, Zinc, and Folic acid. Iron is a necessary mineral in the body needed by red blood cells to carry oxygen to other body cells and tissues. Zinc is needed by the body's immune (defence) system to carry out its functions. Folic acid is a vitamin B that helps the body make more red blood cells and helps the red blood cells carry out more oxygenated blood to other tissues of the body.

The most common side effects of Tonofolic Z Tablet are diarrhoea, constipation, and upset stomach. These undesirable effects are temporary and will disappear as the body adjusts to the medicine. However, if the side effects are persistent, reach out to your doctor.

If you have or ever had stomach/intestinal problems (e.g., ulcers, colitis), use/abuse of alcohol, or vitamin B12 deficiency (pernicious anaemia), please inform your doctor before taking Tonofolic Z Tablet to avoid any complications. Also, mention all the other medications you are taking to affect the way Tonofolic Z Tablet works. During pregnancy, Tonofolic Z Tablet should only be used if advised by the doctor.

Uses of Tonofolic Z Tablet

Tonofolic Z Tablet is used to treat anaemia. The detailed uses of Tonofolic Z Tablet are as follows:

  • Treating Iron Deficiency Anaemia: Tonofolic Z Tablet is used to treat iron deficiency anaemia by boosting iron levels, promoting energy, and decreasing tiredness.
  • Increasing Haemoglobin Levels: This supplement raises haemoglobin levels, allowing the blood to transport more oxygen to the body's tissues and organs.
  • Support During Pregnancy: Tonofolic Z Tablet assists pregnant women with iron insufficiency, benefiting both the mother and the baby.
  • Increasing Energy: Tonofolic Z Tablet boosts energy levels, reducing fatigue and weakness caused by iron deficiency, which is especially beneficial for athletes and active people.
  • Supporting Immune Function: Tonofolic Z Tablet boosts immune function by giving vital iron, which aids the body's defence against infections and disorders.

Directions for Use

  • Tonofolic Z Tablet should be taken on an empty stomach to enhance absorption or as advised by the doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication to ensure safety.
  • Swallow Tonofolic Z Tablet as a whole with a glass of water.
  • Do not chew, crush or break it.

Medicinal Benefits

  • Tonofolic Z Tablet works like a supplement that provides the body with more iron, zinc, and folic acid in certain health conditions (e.g., poor diet, anaemia, pregnancy, surgery recovery).
  • Tonofolic Z Tablet contains Iron, Zinc, and Folic acid. These three are important substances required by the body to make more blood cells.
  • In pregnancy, the body needs more iron, zinc, and folic acid in the blood.
  • Iron is an important mineral in the body required by red blood cells to carry oxygen to other body cells and tissues. Combined with haemoglobin, it helps in attracting oxygen in the lungs.
  • Zinc is needed by the body's immune (defence) system to carry out its functions. It helps in cell growth, division, breakdown of carbohydrates, wound healing, and proper metabolism of iron.
  • Folic acid is a vitamin B that helps the body make more red blood cells and helps the red blood cells carry out more oxygenated blood to other tissues of the body.

How Tonofolic Z Tablet Works

Tonofolic Z Tablet is a combination of three supplements, namely: Ferrous fumarate, Folic acid, and Zinc sulphate. Ferrous fumarate 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 the production of healthy red blood cells. Zinc sulphate helps in the growth and development of body tissues and boosts immunity. Together, Tonofolic Z Tablet helps in treating nutritional deficiencies.

Storage

• Store in a cool and dry place away from sunlight.• Keep Tonofolic Z Tablet out of reach and sight of children.• Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.
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What if I have taken an overdose of Tonofolic Z Tablet

Do not take more than the suggested dose of Tonofolic Z Tablet as it may cause serious side effects. If you suspect you have taken overdose, please consult a doctor immediately.

Drug Warnings

  • Inform your doctor before taking Tonofolic Z Tablet if you have or had an allergic reaction to any components present in this medicine.
  • Also, let your doctor know if you have a different type of anemia, have any condition that affects your red blood cells, like sickle cell anaemia, have a stomach ulcer or notice blood in your pee.
  • It is usually safe to consume Tonofolic Z Tablet by pregnant or breastfeeding women; however, one should consult with their doctor before taking Tonofolic Z Tablet .
  • Tonofolic Z Tablet should only be given to children below 12 years if the doctor clearly specifies it.
  • Keep your doctor informed about your health condition and medicines to rule out any side effects.
  • It is advised to avoid consuming any antacids, or dairy products, like tea or coffee, as it may affect the action of Tonofolic Z Tablet .
  • This medicine may cause black-stained teeth to rinse their mouth with water after taking this drug.

Drug-Drug Interactions

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Drug-Drug Interactions

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

How to manage the interaction:
Although taking Cholestyramine and Tonofolic 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 Tonofolic Z Tablet:
Trimethoprim may decrease the blood levels and effects of Tonofolic Z Tablet.

How to manage the interaction:
Although there is a possible interaction between Tonofolic 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 Tonofolic Z Tablet:
Coadministration of Tonofolic 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 Tonofolic 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 Tonofolic Z Tablet:
Coadministration of Tonofolic Z Tablet and Carbamazepine may reduce the blood levels of Tonofolic Z Tablet.

How to manage the interaction:
Although there is a possible interaction between Tonofolic 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 Tonofolic Z Tablet:
Sulfadiazine may decrease the blood levels and effects of Tonofolic Z Tablet.

How to manage the interaction:
Although there is a possible interaction between Tonofolic Z Tablet and Sulfadiazine, you can take these medicines together if prescribed by your doctor.
Ferrous fumarateDolutegravir
Severe
How does the drug interact with Tonofolic Z Tablet:
Taking dolutegravir with ferric fumarate can reduce the effectiveness of dolutegravir.

How to manage the interaction:
Taking Tonofolic Z Tablet and Dolutegravir together may result in an interaction, but they can be taken together as directed by your doctor. It is advised to take dolutegravir 2 hours before or 6 hours after taking Tonofolic Z Tablet. Do not discontinue using any medications without consulting a doctor.
Ferrous fumarateFleroxacin
Severe
How does the drug interact with Tonofolic Z Tablet:
Coadministration of fleroxacin and Tonofolic Z Tablet can decrease the blood levels and effects of fleroxacin.

How to manage the interaction:
Although there is an interaction between Tonofolic Z Tablet and Fleroxacin, it can be taken if prescribed by a doctor. Do not stop using any medications without talking to your doctor.
Ferrous fumarateDemeclocycline
Severe
How does the drug interact with Tonofolic Z Tablet:
Coadministration of demeclocycline and Tonofolic Z Tablet can decrease the levels and effects of demeclocycline.

How to manage the interaction:
Co-administration of Tonofolic Z Tablet with Demeclocycline can result in an interaction, but it can be taken if your doctor has advised it. It is advised to take demeclocycline 4 hours before or after taking Tonofolic Z Tablet. Do not stop using any medications without talking to your doctor.
Ferrous fumarateDimercaprol
Severe
How does the drug interact with Tonofolic Z Tablet:
Coadministration of dimercaprol and Tonofolic Z Tablet can increase the risk of kidney problems.

How to manage the interaction:
Although there is an interaction between Tonofolic Z Tablet and dimercaprol, it can be taken if prescribed by a doctor. It is recommended to take Tonofolic Z Tablet 24 hours after taking dimercaprol. Do not stop using any medications without talking to your 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, 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

Caution

No interactions have been reported.

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Pregnancy

Caution

Tonofolic Z Tablet is safe for use during pregnancy. However, do not take this medicine without first consulting your doctor.

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Breast Feeding

Caution

Tonofolic Z Tablet is safe for use in breastfeeding. However, do not take this medicine without first consulting your doctor.

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Driving

Caution

Tonofolic Z Tablet does not affect the ability to drive.

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Liver

Consult your doctor

Dose adjustment may be needed in patients with liver impairment. Please consult your doctor if you have a liver impairment or any concerns.

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Kidney

Consult your doctor

Dose adjustment may be needed in patients with kidney impairment. Please consult your doctor if you have kidney impairment or any concerns.

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Children

Caution

Tonofolic Z Tablet can be given to children if a doctor advised it.

Have a query?

FAQs

Tonofolic Z Tablet belongs to the group of medicines called nutritional supplements used to treat and prevent nutritional deficiencies such as iron deficiency anaemia.

Tonofolic Z Tablet contains Ferrous fumarate, Folic acid, and Zinc sulphate. Ferrous fumarate 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.

Iron supplements cause the stools/poop to turn black or greyish. Do not worry, as it is a common side-effect that occurs due to the loss of unabsorbed iron. Consult your doctor if you have any concerns regarding this.

Tonofolic Z Tablet may cause constipation. Eat fibre-rich food and drink plenty of fluids if you experience constipation. Consult your doctor if you have severe constipation.

To treat your condition effectually, continue taking Tonofolic Z Tablet for as long as your doctor has advised it. Do not be reluctant to speak with your doctor if you experience any difficulty while taking Tonofolic Z Tablet .

Tonofolic Z Tablet can be taken with antacids if advised by the doctor. However, maintain a gap of 2-4 hours between Tonofolic Z Tablet and antacid medicines, as taking them together might decrease their effectiveness.

Avoid consuming milk, milk products, tea, coffee, fish, meat, liver, whole grains, and cereals along with Tonofolic Z Tablet , as they might interfere with the absorption of Tonofolic Z Tablet . Maintain a minimum gap of 2 hours between Tonofolic Z Tablet and milk/milk products, tea, coffee, fish, meat, liver, whole grains, and cereals.

Livogen and Tonofolic Z Tablet are iron supplements but differ in composition. Livogen typically contains Ferrous Fumarate and Folic Acid, whereas Tonofolic Z Tablet adds Zinc Sulfate, providing potential benefits like immune system support and wound healing.

Iron supplements like Tonofolic Z Tablet are best taken on an empty stomach to maximize absorption. This usually means taking them in the morning, at least 30 minutes before a meal, or two hours after a meal2. However, some people may experience stomach upset when taking iron on an empty stomach. If this happens, you can take it with a small meal or snack. Consult your doctor if you have any concerns regarding the timing and dosage of your supplements.

Yes, Tonofolic Z Tablet is generally considered safe for pregnant women. It contains iron, folic acid, and zinc, which are essential nutrients during pregnancy. These components help prevent and treat iron deficiency anemia and support overall health for the mother and the developing baby. However, it is essential to consult your doctor before starting any new supplement during pregnancy to ensure it is appropriate for your needs.

The common side effects of Tonofolic Z Tablet may include stomach upset, constipation, diarrhea, nausea, and vomiting. These side effects are usually temporary and resolve on their own, but if they persist, it's best to consult your doctor.

Tonofolic Z Tablet is a multi-nutrient supplement combining three essential nutrients to address nutritional deficiencies. Ferrous Fumarate provides iron for oxygen transport and red blood cell production, Folic Acid supports healthy red blood cell production, and Zinc Sulfate promotes growth, development, and immune function, together supporting overall health and well-being.

It's essential to inform your doctor about your medical conditions and medications before taking Tonofolic Z Tablet . Certain health conditions and medications may interact with Tonofolic Z Tablet , so discussing your medical history with your doctor will help ensure safe and effective treatment.

Country of origin

India

Manufacturer/Marketer address

Unison Pharmaceuticals Pvt. Ltd., UNISON HOUSE Near Prernatirth Derasar, Near Ratnadeep-II, Satellite, Jodhpur, Ahmedabad-380 015, GUJARAT, INDIA.
Other Info - TON0047

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