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

Tonofolic Z Tablet is a medicine used to treat and prevent iron deficiency anaemia, folate deficiency, and general nutritional deficiencies. It helps your body produce healthy red blood cells, which carry oxygen to vital organs and tissues. This medicine is also commonly suggested to support nutritional needs during pregnancy or recovery from surgery.

For the best results, you should take Tonofolic Z Tablet consistently at the same time every day. It is ideal to take this medicine on an empty stomach with a full glass of water, but if it causes stomach discomfort, you can take it with food. Making simple dietary changes, such as eating more leafy green vegetables and citrus fruits, can also help improve your results.

While taking Tonofolic Z Tablet , you may experience mild, common side effects such as dark stools, mild nausea, or constipation. These are normal changes, but if you experience severe stomach pain, persistent vomiting, or signs of a serious allergic reaction, you should contact your doctor right away.

Do not take this medicine if you have conditions where iron builds up in your body, such as hemochromatosis or hemosiderosis. Talk to your doctor before starting Tonofolic Z Tablet if you have a history of stomach ulcers, inflammatory bowel disease, or any type of anaemia that is not caused by a lack of iron.

This medicine can interact with certain other treatments and substances; for example, drinking alcohol can increase stomach irritation. If you are pregnant, breastfeeding, or are an older adult, consult your doctor to ensure this supplement is used safely and at the correct dosage for your needs.

Uses of Tonofolic Z Tablet

Your doctor may prescribe this medicine to treat:

  • Iron Deficiency Anaemia: Helps restore iron levels and supports the production of healthy red blood cells to improve oxygen transport throughout the body.
  • Folate Deficiency: Replenishes folic acid levels needed for DNA synthesis, cell division, and healthy red blood cell formation.
  • Nutritional Support During Pregnancy: Helps meet the increased requirements for iron and folic acid during pregnancy, supporting maternal health and normal fetal development as recommended by your healthcare provider.
  • Nutritional Deficiencies: Helps prevent and treat deficiencies of iron, folic acid, and zinc caused by inadequate dietary intake or increased nutritional requirements.

Key Benefits

Tonofolic Z Tablet helps restore essential nutrients needed for healthy blood cell production and overall well-being. Key benefits include:

  • Supports Healthy Red Blood Cell Formation: Iron and folic acid work together to promote the production of healthy red blood cells, helping manage iron deficiency anaemia and folate deficiency.
  • Helps Improve Energy Levels: By correcting nutritional deficiencies that contribute to anaemia, the medicine helps reduce symptoms such as tiredness, weakness, and fatigue associated with low haemoglobin levels.
  • Supports Immune Function and Tissue Repair: Zinc helps maintain normal immune function, supports wound healing, and contributes to healthy cell growth and repair.
Side effects of Tonofolic Z 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 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.

How Tonofolic Z Tablet Works

Tonofolic Z Tablet contains ferrous fumarate, folic acid, and zinc sulfate, which work together to correct nutritional deficiencies and support normal body functions. Ferrous fumarate provides elemental iron required for the production of haemoglobin, the oxygen-carrying protein in red blood cells. Folic acid supports DNA synthesis, cell division, and the formation of healthy red blood cells, while zinc sulfate acts as an essential trace mineral that supports immune function, wound healing, protein synthesis, and normal cell growth. Together, these nutrients help restore normal nutritional status and improve overall health.
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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.

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Heart

Consult your doctor

Inform your doctor if you have any existing heart disease. Your doctor will recommend this medicine only if the potential benefits outweigh the risks.

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Geriatrics

Consult your doctor

Tonofolic Z Tablet should be given to elderly patients only if recommended by a doctor. If you have any concerns, please consult your doctor.

What if I have taken an overdose of Tonofolic Z Tablet

If you accidentally take more than the recommended dose, seek immediate medical attention or contact your local poison control centre immediately. Iron overdose can be life-threatening, especially in young children, and requires urgent medical treatment.

Diet & Lifestyle Advise

  • Increase vitamin C intake: Consume vitamin C-rich foods such as oranges, guava, kiwi, strawberries, or bell peppers with your medicine to help improve iron absorption.
  • Avoid foods that reduce iron absorption around dosing time: Avoid tea, coffee, milk, calcium supplements, high-fibre foods, and antacids within 2 hours of taking this medicine.
  • Eat an iron- and folate-rich diet: Include lean meat, poultry, fish, beans, lentils, spinach, fortified cereals, and leafy green vegetables in your meals.
  • Stay well hydrated: Drink plenty of water and consume fibre-rich foods to help reduce constipation associated with iron supplements.
  • Take the medicine regularly: Complete the full course as suggested and attend follow-up appointments to monitor your haemoglobin and iron levels.
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How Soon It Starts Working

  • The time required for Tonofolic Z Tablet to start to work: The time required for Tonofolic Z Tablet to show its action is unknown.
  • The time for which the effects of Tonofolic Z Tablet last: The duration of action for Tonofolic Z Tablet is clinically unknown.

Storage

•Store Tonofolic Z Tablet at room temperature, ideally between 20°C and 25°C (68°F and 77°F). Excursions between 15°C and 30°C (59°F and 86°F) are generally acceptable unless otherwise stated on the product label.

What if you forget to take Tonofolic Z Tablet

If you miss a dose, take it as soon as you remember. However, if it is nearly time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take two doses at the same time.

Drug Warnings

  • Check the expiry date before use: Always check the expiration date on the package before taking Tonofolic Z Tablet . Do not use the medicine if it has expired.
  • Avoid taking it with antacids or calcium supplements: Do not take antacids or calcium supplements within 2 hours before or after taking Tonofolic Z Tablet , as they can reduce the absorption of iron.
  • Inform your doctor if you receive blood transfusions: If you are receiving blood transfusions, tell your doctor before starting Tonofolic Z Tablet , as you may not need additional iron supplementation.
  • Tell your doctor if you have stomach ulcers: If you have a history of stomach ulcers, inform your doctor so your digestive health can be monitored while you are taking Tonofolic Z Tablet .

Drug-Drug Interactions

verifiedApollotooltip

Inform your doctor if you are using any of the following medicines, as they may interact with Tonofolic Z Tablet .

  • Certain antibiotics (such as tetracyclines and quinolones): Tonofolic Z Tablet can reduce the absorption and effectiveness of these antibiotics. Take them at least 2 hours before or 4 to 6 hours after taking your iron supplement.
  • Antacids and acid-reducing medicines (such as omeprazole or ranitidine): These medicines reduce stomach acid levels, which can decrease the absorption of iron from Tonofolic Z Tablet .
  • Thyroid medicines (such as levothyroxine): Iron can reduce the absorption of thyroid medicines. Take these medicines at least 4 hours apart from Tonofolic Z Tablet .

Drug-Drug Interactions

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How does the drug interact with Tonofolic Z Tablet:
Taking Folic acid and Ferrous fumarate and Zinc sulfate with gemifloxacin may significantly decreases the levels and effects of gemifloxacin.

How to manage the interaction:
Although taking Folic acid and Ferrous fumarate and Zinc sulfate with Gemifloxacin together can possibly cause an interaction, they can be taken together if prescribed by a doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
How does the drug interact with Tonofolic Z Tablet:
Coadministration of fleroxacin with Folic acid and Ferrous fumarate and Zinc sulfate can decrease the blood levels and effects of fleroxacin.

How to manage the interaction:
Although there is an interaction between Folic acid and Ferrous fumarate and Zinc sulfate with Fleroxacin, but it can be taken if prescribed by a doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
How does the drug interact with Tonofolic Z Tablet:
Coadministration of Folic acid and Ferrous fumarate and Zinc sulfate with demeclocycline can decrease the levels and effects of demeclocycline.

How to manage the interaction:
Co-administration of Folic acid and Ferrous fumarate and Zinc sulfate with Demeclocycline can possibly result in an interaction, but it can be taken if your doctor has advised it. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
How does the drug interact with Tonofolic Z Tablet:
Co-administration of Folic acid and Ferrous fumarate and Zinc sulfate with Fluorouracil may increase the risk of side effects.

How to manage the interaction:
Although there is a possible interaction between Folic acid and Ferrous fumarate and Zinc sulfate with Fluorouracil, you can take these medicines together if prescribed by a doctor. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Tonofolic Z Tablet:
Co-administration of Folic acid and Ferrous fumarate and Zinc sulfate 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 Folic acid and Ferrous fumarate and Zinc sulfate with 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, contact a doctor. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Tonofolic Z Tablet:
Taking dolutegravir with Folic acid and Ferrous fumarate and Zinc sulfate can reduce the effectiveness of dolutegravir.

How to manage the interaction:
Taking Folic acid and Ferrous fumarate and Zinc sulfate with Dolutegravir together possibly results in an interaction, but they can be taken together as directed by your doctor. It is recommended to take Dolutegravir 2 hours before or 6 hours after taking Ferrous fumarate. Do not discontinue using any medications without consulting a doctor.
How does the drug interact with Tonofolic Z Tablet:
Coadministration of Folic acid and Ferrous fumarate and Zinc sulfate with dimercaprol can increase the risk of kidney problems.

How to manage the interaction:
Although there is an interaction between Folic acid and Ferrous fumarate and Zinc sulfate with dimercaprol, but it can be taken if prescribed by a doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.

Drug-Food Interactions

verifiedApollotooltip
  • Calcium-rich foods and dairy products: Foods such as milk, cheese, and yogurt can reduce the absorption of iron and zinc when taken with Tonofolic Z Tablet .
  • Tea and coffee: These beverages contain tannins that bind to iron and reduce its absorption. Avoid consuming them close to the time you take Tonofolic Z Tablet .
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 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.
This is a completely harmless and common side effect of oral iron supplements. It occurs because your body does not absorb all the iron, and the unabsorbed iron is excreted in your stool. Talk to your doctor if you experience pain or bleeding with this change.
You may begin to feel more energetic within a few weeks of starting treatment, but it can take several months to fully rebuild your body's iron and folate stores. Talk to your doctor, who will monitor your progress with regular blood tests.
This medicine should only be given to children if specifically suggested by a paediatrician. Iron supplements can be highly toxic to young children in large doses. Always talk to your doctor before giving any supplement to a child.

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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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