docusate and ferrous fumarate

Before using this medication, tell your doctor if you are allergic to any drugs, or if you have iron overload syndrome, hemolytic anemia (a lack of red blood cells), porphyria (an enzyme disorder that causes blue discoloration of the skin), thalassemia (a genetic disorder of red blood cells), kidney or liver disease, pancreatitis, stomach ulcer, a history of bowl obstruction, or if you receive regular blood transfusions.

Seek emergency medical attention if you think you have used too much of this medicine, or if anyone has accidentally swallowed it. An overdose of iron can be fatal, especially in a young child.

Overdose symptoms may include drowsiness, severe nausea or stomach pain, vomiting, bloody diarrhea, coughing up blood or vomit that looks like coffee grounds, shallow breathing, weak and rapid pulse, cold or clammy skin, blue lips, and seizure (convulsions).

Take docusate and ferrous fumarate on an empty stomach, at least 1 hour before or 2 hours after a meal. Avoid taking antacids or antibiotics within 2 hours before or after taking docusate and ferrous fumarate .

Docusate and ferrous fumarate is only part of a complete program of treatment that may also include a special diet. It is very important to follow the diet plan created for you by your doctor or nutrition counselor. You should become very familiar with the list of foods you should eat to make sure you get enough iron from both your diet and your medication.

Docusate is a stool softener. It makes stools softer and easier to pass.

Ferrous fumarate is a type of iron. You normally get iron from the foods you eat. In your body, iron becomes a part of your hemoglobin (HEEM o glo bin) and myoglobin (MY o glo bin). Hemoglobin carries oxygen through your blood to tissues and organs. Myoglobin helps your muscle cells store oxygen.

Ferrous fumarate is used to treat iron deficiency anemia (a lack of red blood cells caused by having too little iron in the body). The docusate contained in this medication is to help prevent constipation that the iron content may cause.

Docusate and ferrous fumarate may also be used for purposes other than those listed in this medication guide.

Before using this medication, tell your doctor if you are allergic to any drugs or food dyes, or if you have:

• iron overload syndrome;
• hemolytic anemia (a lack of red blood cells);
• porphyria (an enzyme disorder that causes blue discoloration of the skin);
• thalassemia (a genetic disorder of red blood cells);
• liver or kidney disease;
• pancreatitis;
• stomach ulcer or a digestive disorder;
• Crohn's disease or other intestinal problem;
• a history of bowel obstruction; or
• if you receive regular blood transfusions.

If you have any of these conditions, you may not be able to use docusate and ferrous fumarate, or you may need a dose adjustment or special tests during treatment.

It is not known whether this medication could be harmful to an unborn baby. Tell your doctor if you become pregnant during treatment.

It is not known whether this medicine passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Do not give docusate and ferrous fumarate to a child without the advice of a doctor.

Use this medication exactly as directed on the label, or as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended.

Take docusate and ferrous fumarate on an empty stomach, at least 1 hour before or 2 hours after a meal. Avoid taking antacids or antibiotics within 2 hours before or after taking docusate and ferrous fumarate .

Take this medication with a full glass of water.

Do not crush, chew, open, or break a docusate and ferrous fumarate tablet or capsule. Swallow the pill whole.

To be sure this medication is helping your condition, your blood will need to be tested on a regular basis. Your kidney or liver function may also need to be tested. Do not miss any scheduled appointments.

Docusate and ferrous fumarate is only part of a complete program of treatment that may also include a special diet. It is very important to follow the diet plan created for you by your doctor or nutrition counselor. You should become very familiar with the list of foods you should eat to make sure you get enough iron from both your diet and your medication.

Store this medication at room temperature, away from moisture and heat. Keep the liquid medicine from freezing.

Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

Seek emergency medical attention if you think you have used too much of this medicine, or if a child has accidentally swallowed it. An overdose of ferrous fumarate can be fatal to a child.

Overdose symptoms may include drowsiness, severe nausea or stomach pain, vomiting, bloody diarrhea, coughing up blood or vomit that looks like coffee grounds, shallow breathing, weak and rapid pulse, cold or clammy skin, blue lips, and seizure (convulsions).

Do not take any vitamin, mineral supplement, laxative, or other stool softener that your doctor has not prescribed or recommended.

Avoid taking an antibiotic medicine within 2 hours before or after you take docusate and ferrous fumarate. This is especially important if you are taking an antibiotic such as ciprofloxacin (Cipro), demeclocycline (Declomycin), doxycycline (Adoxa, Doryx, Oracea, Vibramycin), levofloxacin (Levaquin), lomefloxacin (Maxaquin), minocycline (Dynacin, Minocin, Solodyn, Vectrin), norfloxacin (Noroxin), ofloxacin (Floxin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap).

Avoid using antacids without your doctor's advice. Use only the specific type of antacid your doctor recommends. Antacids contain different medicines and some types can make it harder for your body to absorb docusate and ferrous fumarate.

Certain foods can also make it harder for your body to absorb docusate and ferrous fumarate. Avoid taking this medication within 1 hour before or 2 hours after eating fish, meat, eggs, liver, coffee, tea, milk, and whole grain or "fortified" breads or cereals.

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor if you have serious side effects such as:

• bright red blood in your stools;
• severe stomach pain and vomiting;
• a sudden change in your bowel movements; or
• pain in your chest or throat when swallowing a docusate and ferrous fumarate tablet.

Less serious side effects may include:

• unpleasant taste in your mouth;
• constipation, diarrhea;
• nausea, vomiting, stomach pain or upset; or
• black or dark-colored stools or urine.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

The following drugs can interact with docusate and ferrous fumarate. Tell your doctor if you use any of the following:

• any type of antibiotic;
• cimetidine (Tagamet);
• penicillamine (Cuprimine);
• thyroid hormone such as levothyroxine (Synthroid);
• alendronate (Fosamax), etidronate (Didronel), risedronate (Actonel), or other medications to treat osteoporosis or Paget's disease;
• deferoxamine (Desferal); or
• pancrelipase (Cotazym, Creon, Ilozyme, Pancrease, Ultrase).

This list is not complete and there may be other drugs that can interact with docusate and ferrous fumarate. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

Your pharmacist can provide more information about docusate and ferrous fumarate.