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Prescribing Information

Healthcare Professionals

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What is Anemia?
What is the Ferralet® 90 Difference?
Learn More About Iron
Ferralet® 90 Savings
Anemia
Ferralet® 90
Iron

Ferralet® 90 for

Fewer

digestive side effects*

Ferralet® 90 is composed of two different iron
compounds and a special combination of other active
ingredients that is easier on the stomach.

*As compared to ferrous sulfate iron (an alternative form of iron).1,2

Ferralet® 90 is composed of two different iron compounds and a special combination of other active ingredients that is easier on the stomach.

Ferralet® 90 Savings

You may be eligible to save money on your prescription by using the Ferralet® 90 Savings Card.†

GET YOUR SAVINGS CARD

To redeem your savings card:

  • Present your prescription, along with the savings card, at your participating pharmacy.
  • Follow your doctor’s instructions on how to take Ferralet 90 and enjoy the nutritional goodness!

†Subject to eligibility. Terms and conditions apply.

Ferralet® 90 Savings

You may be eligible to save money on your Ferralet® 90 prescription by using a Ferralet® 90 Savings Card.*

GET YOUR SAVINGS CARD

To redeem your savings card:

  • Present your prescription, along with the savings card, at your participating pharmacy.
  • Follow your doctor’s instructions on how to take Ferralet 90 and enjoy the nutritional goodness!

*Subject to eligibility. Terms and Conditions apply.

Why has my doctor prescribed Ferralet® 90 for me?

Your doctor has prescribed Ferralet® 90 to treat your iron-deficiency anemia (IDA). IDA is a common type of anemia that is caused by a lack of iron in the blood.

Learn More

What is the Ferralet® 90 difference?

Ferralet® 90 was created to make daily iron therapy as gentle and comfortable to take as possible.

Two complimentary iron sources

Ferr-Ease® is a unique dual-iron formulation.
Two iron sources work together to ensure optimal absorption with less digestive effects.1-5

  • Ferrous gluconate is absorbed quickly.
  • Carbonyl iron is absorbed more slowly, bit by bit, and has less digestive side effects.†

Easy on the stomach

  • Contains docusate sodium, a gentle stool softener that helps ease constipation6
  • Lactose- and gluten-free7

Specially chosen combination of active ingredients7

  • Vitamin C to help your body absorb iron4
  • Folic acid to increase red blood cell development8
  • Vitamin B12 to support growth and blood cell production9

Easy to take7

  • Small, coated pill
  • Easy to swallow
  • Taken 2 hours after a meal
  • Vanilla scent

Convenient

  • Once-a-day dosing7

How will I remember to take my medicine?

It can take months to bring your iron levels back to normal.10

Staying on therapy is important.

Do not stop taking Ferralet® 90 until your doctor tells you to.

STICK WITH IT

HAVE TROUBLE REMEMBERING TO TAKE YOUR
MEDICATION?

Set a reminder on your mobile device, watch, or laptop, or link taking your medication to something else you do 2 hours after a meal so that it becomes a habit (for instance going for a morning break at work, putting pajamas on in the evening, etc.)

† In a large, randomized, double-blind trial, carbonyl iron dosed at 600 mg was tolerated with digestive side effects similar to those observed with a 60 mg dose of ferrous sulfate.

References:

1. Gordeuk VR, Brittenham GM, Hughes M, et al. High-dose carbonyl iron for iron deficiency anemia: a randomized double-blind trial. Am J Clin Nutr. 1987;46(6):1029-1034.
2. Gordeuk VR, Brittenham GM, McLaren CE, et al. Carbonyl iron therapy for iron deficiency anemia. Blood. 1986;67(3):745-752.
3. Huebers HA, Brittenham GM, Csiba E, Finch CA. Absorption of carbonyl iron. J Lab Clin Med. 1986;108(5):473-478.
4. Beck KL, Conlon CA, Kruger R, Coad J. Dietary determinants of and possible solutions to iron deficiency for young women living in industrialized countries: a review. Nutrients. 2014;6(9):3747-3776.
5. National Institutes of Health. Office of Dietary Supplements. Iron. Fact sheet for health professionals. https://ods.od.nih.gov/factsheets/Iron-HealthProfessional/#change. Updated February 28, 2020.
6. Medscape. Docusate (OTC). http://reference.medscape.com/drug/colace-dss-docusate-342012. Accessed November 2020.
7. Ferralet 90 Prescribing Information. San Antonio, TX: Mission Pharmacal Company.
8. Johns Hopkins Medicine. Health library. Folate-deficiency anemia. https://www.hopkinsmedicine.org/healthlibrary/conditions/hematology_and_blood_disorders/anemia_of_folate_deficiency
_85,P00089. Accessed November 2020.
9. WebMD. Vitamin B12: what to know. https://www.webmd.com/diet/vitamin-b12-deficiency-symptoms-causes#1. Accessed November 2020.
10. National Heart, Lung and Blood Institute. Iron-deficiency anemia. https://www.nhlbi.nih.gov/health-topics/iron-deficiency-anemia. Accessed November 2020.

Mission Pharmacal Company
P.O. Box 786099
San Antonio, TX 78230-1355
210-696-8400

Copyright © 2020 Mission Pharmacal Company. All rights reserved.

Important Safety Information:
Expand COLLAPSE
WARNING: Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6. KEEP THIS PRODUCT OUT OF THE REACH OF CHILDREN. In case of accidental overdose, call a doctor or poison control center immediately.

Ferralet® 90 (iron [carbonyl iron, ferrous gluconate] 90 mg, folic acid 1 mg, vitamin B12 [cyanocobalamin] 12 mcg, vitamin C [ascorbic acid] 120 mg, docusate sodium 50 mg) is a prescription iron supplement used to treat low levels of iron in the blood caused by certain types of anemia. Your doctor may prescribe Ferralet® 90 if you have iron-deficiency anemia due to pregnancy, blood loss, or certain metabolic diseases, or if you are recovering from surgery, or do not have enough iron in your diet.

Important Safety Information

You should not use Ferralet® 90 if:

  • you are allergic to any of the ingredients
  • you have hemolytic anemia, or certain iron overload disorders such hemochromatosis, or hemosiderosis

The safety and effectiveness of Ferralet® 90 has not been studied in children.

Ferralet® 90 is not for everyone. Before you take Ferralet® 90, you should tell your doctor about any medical conditions that you may have, including if you have allergies to medicines, foods, or other substances. If you have certain types of anemia (pernicious anemia, or other types of anemia where your vitamin levels are low), folic acid alone is not enough to treat your condition. Doses of 0.1 mg folic acid per day can hide the symptoms of these anemias, making them difficult to diagnose. Consult with your doctor if this treatment is not right for you.

Iron supplements can interfere with certain medicines, including certain antibiotics and antacids. Tell your doctor about all prescription and over-the-counter medicines, vitamins, minerals, other supplements, and herbal products you use. Do not start a new medication without telling your doctor.

Once you start taking Ferralet® 90, take it 2 hours after meals. Do not exceed the recommended dose. Your doctor will order blood tests periodically during treatment to determine whether your dose of Ferralet® 90 needs to be changed.

Ferralet® 90 contains FD&C Yellow No. 5 (tartrazine), a food coloring additive, which may cause allergic-type reactions (including bronchial asthma) in certain susceptible persons, such as those who have allergic reactions or sensitivity to aspirin. The overall rate of FD&C Yellow No. 5 (tartrazine) allergic reactions in the general population is low. Some patients taking folic acid have also experienced allergic reactions. Call your doctor and discontinue use of this product if you develop any unusual symptoms.

The most common side effects associated with iron therapy include irritation of your stomach or bowels, constipation, diarrhea, nausea, vomiting, and dark stools. These side effects are generally temporary, however, check with your doctor if any side effect persists or becomes bothersome.

Ferralet® 90 contains iron. Accidental overdose of iron is a leading cause of fatal poisoning in children under the age of 6 years. Symptoms of overdose can include: stomach pain, metabolic acidosis (when the body has high levels of acid), reduction in urine production, brain damage, coma (loss of consciousness), convulsive seizures, death, dehydration, congestion of blood vessels, liver disease, low blood pressure, drop in body temperature, tiredness, nausea, vomiting, diarrhea, black or tarry stools, vomiting blood, rapid heart rate, high blood sugar, feeling drowsy, abnormal pale or bluish skin color, lack of energy, and shock. In case of accidental overdose, call a doctor or poison control center immediately.

KEEP THIS PRODUCT OUT OF THE REACH OF CHILDREN.

To report negative side effects, contact Mission Pharmacal Company at 1-800-298-1087 or the FDA at 1-800-FDA-1088 or http://www.fda.gov/medwatch.

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