Pregaday 322mg / 0.35mg film-coated Tablets

Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you.

• Keep this leaflet. You may need to read it again.
• Ask your pharmacist if you need more information or advice.
• If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.
• You must talk to a doctor if you do not feel better or if you feel worse.

1. What Pregaday is and what it is used for
2. What you need to know before you take Pregaday
3. How to take Pregaday
4. Possible side effects
5. How to store Pregaday
6. Contents of the pack and other information

• if you are allergic to Ferrous Fumarate and Folic Acid or any of the other ingredients of this medicine (listed in section 6)
• if you are less than 13 weeks pregnant
• if you are breast-feeding or trying to become pregnant
• if you have been told you suffer from Vitamin B12 deficiency
• if you suffer from a blood disorder
• if you have had or are having repeated blood transfusions
• if you have a stomach ulcer or other digestive conditions such as regional enteritis or ulcerative colitis
• if you are suffering from anaemia that is not due to a lack of iron

If any of the above applies to you talk to your doctor or pharmacist.

Talk to your doctor before taking Pregaday

• if you have been or you are being treated for a stomach ulcer
• if you have had or you have a folate dependent tumour
• if you have had all or part of your stomach removed

Pregaday contains iron. Keep out of reach and sight of children, as overdose may be fatal.

There is no relevant use of Pregaday in children.

This medicine contains less than 1 mmol sodium (23mg) per tablet, that is to say essentially 'sodium free'.

Tell your doctor if you are taking any other medicines.

• Antibiotics e.g. fluoroquinolones, cotrimoxazole, chloramphenicol, sulphonamides, tetracyclines, neomycin (used for infections)
• Anticonvulsant medicines (used for epilepsy)
• Antacids
• Penicillamine (used for rheumatoid arthritis)
• Sulfasalazine (used for rheumatoid arthritis and bowel disease, e.g. Crohn’s disease)
• Cholestyramine (used for reducing blood cholesterol or control diarrhoea)
• Levodopa or Carbidopa (used for Parkinson’s disease)
• Thyroxine (used for thyroid disease)
• Bisphosphonates (used for bone disease)
• Aminopterin and Methotrexate (used for certain cancers)
• Pyrimethamine (used for malaria)
• Trientine (used for Wilson’s disease)
• Methyldopa (used for high blood pressure)
• Zinc
• Any other medicine, including medicines obtained without a prescription

If you drink tea, coffee or milk or eat eggs at the same time as taking Pregaday your body may absorb less of the iron supplement, which may reduce the effect of this medicine.

If you are pregnant or think you may be pregnant, ask your doctor for advice before taking this medicine.

Only use if you are more than 13 weeks pregnant. Do not use if you are breast-feeding or trying to become pregnant.

There are no known effects on driving or using machines.

• The usual dose is one tablet each day
• The tablets come in a pack with the days of the week marked on the back. This will help you to remember to take your medicine. Make sure you press out the tablet for the correct day of the week.

If you accidentally take too much, contact the nearest hospital casualty department or your doctor immediately.

Symptoms of an overdose include stomach pain, diarrhoea or being sick, within an hour of taking too much. Heart problems or collapse may follow.

If you miss a tablet take one when you remember. Never take two tablets on the same day.

If you miss several tablets take a single tablet and talk to your doctor.

Keep taking this medicine for as long as your doctor or pharmacist tells you to. Do not stop taking this medicine just because you feel better.

• Difficulties in breathing
• Swelling of your eyelids, face or lips
• Rash or itching

Not known: frequency cannot be estimated from the available data

• Upset stomach
• Anorexia (e.g. loss of appetite)
• Sickness
• Constipation
• Diarrhoea
• Darkening of stools

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.

• The active substances are Ferrous Fumarate and Folic Acid. Each tablet contains 322mg ferrous fumarate (equivalent to 100mg iron) and 0.35 mg folic acid.
• The other ingredients are maize starch, sodium lauryl sulphate, gelatin and liquid paraffin. The ingredients in the tablet coat are hydroxypropylmethyl cellulose (E464), hydroxypropyl cellulose (E463), red iron oxide (E172), titanium dioxide (E171), and either propylene glycol, or acetylated monoglycerides.

Pregaday film-coated tablets are round and brownish pink with ‘PREGADAY’ written on one side. Pregaday comes in cartons containing 28 tablets (2 calendar blister packs of 14).