Hailey 24 Fe

Generic name:

Ferrous sulfate, Folic acid, and Vitamin B12 combination

Drug class:

Hematinic agents (Iron supplement, Vitamin B12 supplement, and Folic acid supplement)

Dosage form:

Tablets

Root of administration:

Oral

Dose:

• Typically one tablet daily or as prescribed by a physician
• Dosage may vary according to severity of anemia and patient age
• Consult prescribing information for pediatric and adult dosage distinctions

Mechanism of action:

Ferrous sulfate provides elemental iron which is essential for hemoglobin synthesis and red blood cell production. Folic acid acts as a coenzyme in nucleic acid synthesis necessary for DNA formation and cell division. Vitamin B12 is crucial for normal red blood cell formation, neurological function, and DNA synthesis.

Drug usage cases:

• Prevention and treatment of iron, folate, and vitamin B12 deficiency anemia
• Pregnancy-related anemia
• Post-hemorrhagic anemia
• Chronic blood loss anemia (e.g., gastrointestinal bleeding)
• Dietary supplementation in patients with poor nutritional status
• Off-label: Supportive therapy in certain macrocytic or megaloblastic anemias

Drug contra indications:

• Hypersensitivity to ferrous sulfate, folic acid, vitamin B12, or any excipients
• Hemochromatosis or other iron overload disorders
• Hemolytic anemia
• Vitamin B12 deficiency without proper medical supervision (may mask symptoms)
• Pernicious anemia without concomitant vitamin B12 treatment
• Varies by indication; consult label.

Side effects:

• Gastrointestinal discomfort (nausea, vomiting, abdominal pain)
• Constipation or diarrhea
• Dark stools
• Allergic reactions (rash, itching, edema)
• Iron overdose symptoms (severe abdominal pain, vomiting, diarrhea, lethargy)
• Rarely, anaphylactic reactions
• Hypersensitivity reactions to vitamin B12 (urticaria, angioedema)
• Flushing or redness of the skin

Warnings:

• Use caution in patients with history of peptic ulcer, inflammatory bowel disease, or other gastrointestinal disorders
• Keep out of reach of children due to risk of fatal iron overdose
• Discontinue if signs of hypersensitivity or allergic reaction occur
• Monitor iron levels to avoid iron overload
• Use vitamin B12 supplementation cautiously in patients with Leber’s disease (optic nerve atrophy)
• Prolonged use without medical supervision may mask underlying conditions
• Varies by indication; consult label.

Use during pregnancy or breastfeeding:

Iron, folic acid, and vitamin B12 are essential nutrients and are commonly used during pregnancy to prevent and treat anemia, supporting fetal development and maternal health. Folic acid supplementation especially reduces the risk of neural tube defects. The components are generally considered safe when used as recommended. However, excessive intake should be avoided. Breastfeeding mothers may use the medication as it supports nutritional needs without known adverse effects on the infant. Always consult a healthcare provider before use during pregnancy or lactation to ensure appropriate dosing and monitor for any potential risks.