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  3. Shefer-Z Tablet 10's

Shefer-Z Tablet 10's, Pack of 10
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Written By Veda Maddala , 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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Synonym :

FERROUS ASCORBATE+FOLIC ACID+METHYLCOBALAMIN+ZINC SULPHATE, FERROUS ASCORBATE+FOLIC ACID+CYNACOCOBALAMIN+ZINC SULPHATE

Composition :

FERROUS ASCORBATE-100MG + FOLIC ACID-1.5MG + VITAMIN B12-15MCG + ZINC SULFATE-61.8MG

Manufacturer/Marketer :

Pristine Cure Pharmaceuticals

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

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 to treat nutritional deficiencies and iron-deficiency anaemia. The detailed uses of Shefer-Z Tablet 10's are as follows:<br/>• Treats iron-deficiency anaemia: Shefer-Z Tablet 10's provides ferrous ascorbate, which supplies iron needed for red blood cell production and oxygen transport.<br/>• Treats vitamin B12 deficiency: Shefer-Z Tablet 10's contains cyanocobalamin that supports healthy nerve function and the formation of red blood cells.<br/>• Treats folate deficiency: Shefer-Z Tablet 10's offers folic acid essential for DNA synthesis, cell growth, and reducing homocysteine levels.<br/>• Treats zinc deficiency: Shefer-Z Tablet 10's includes zinc sulphate, which aids in the growth, development, and repair of body tissues.<br/>• Treats general nutritional deficiencies: Shefer-Z Tablet 10's helps restore overall nutritional balance, improving energy levels and well-being.<br/>

Directions for Use

• Shefer-Z Tablet 10's should be taken on an empty stomach for optimal absorption.• Follow your doctor's instructions on the dosage and timing of this medication.• Shake the bottle well before use.• Measure the suggested dose using the measuring cup provided with the pack and administer it orally. • Avoid using regular household spoons, as they may not measure the dose correctly.

Medicinal 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.• Keep Shefer-Z Tablet 10's out of reach and sight of children.• Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.
Side effects of Shefer-Z Tablet
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.
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.

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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Folic acidSulfadiazine
Severe
Folic acidFluorouracil
Severe

Drug-Drug Interactions

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Folic acidSulfadiazine
Severe
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.
Folic acidFluorouracil
Severe
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.
Folic acidColestyramine
Severe
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.
Folic acidCarbamazepine
Severe
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.
Folic acidTrimethoprim
Severe
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.
Folic acidCapecitabine
Severe
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.
Zinc sulfateDolutegravir
Severe
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, 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

Consult your doctor

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

Consult your doctor

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

Consult your doctor

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

Have a query?

FAQs

Shefer-Z Tablet 10's contains Cyanocobalamin, Ferrous ascorbate, Folic acid, and Zinc sulphate. 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.

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. 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 Shefer-Z Tablet 10's for as long as your doctor has advised it. Do not be reluctant to speak with your doctor if you feel any difficulty while 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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Author Details

Veda MaddalaDoctor badge

Written By

Veda Maddala

M Pharmacy

Dr Aneela SiddabathuniDoctor badge

Reviewed By

Dr Aneela Siddabathuni

MPharma., PhD

Last Updated

Jul 18, 2025 | 7:08 AM IST

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Reference

  1. https://vibcare.co.in/ferrous-ascorbate-folic-acid-zinc-sulphate-monohydrate/
  2. https://www.drugs.com/mtm/cyanocobalamin.html
  3. https://www.drugs.com/mtm/zinc-sulfate.html

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