Read all of the leaflet before you use this medicine. It includes other information which might be especially important for you.

• Keep this leaflet. You may need to read it again.
• Ask your pharmacist if you need any more information or advice.
• If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

• 1. What the medicine is for

Galfer FA Capsules are taken to prevent low levels of iron and folic acid in the blood during pregnancy. They contain iron in the form of ferrous fumarate and folic acid.

2. before you use this medicine

□ Do not use the medicine if you have..

• An allergy to any of the ingredients listed in section 6.
• Other problems with iron in the blood (including conditions that lead to iron building up in soft tissues, or problems with red blood cells).

• A stomach ulcer or other stomach or bowel problem.
  
  Had repeated blood transfusions in the past.
  Anaemia not related to low levels of iron before.

• Vitamin B12 deficiency.

• Or are currently having iron injections.
  
  This medicine is not suitable for children, non-pregnant women or men.

  ATalk to your doctor if you have..

• Blood problems related to folic acid deficiency.
• Erythropoietic protoporphyria, a rare condition affecting red blood cells.

ATalk to your doctor or pharmacist if you are taking..

• Antibiotics for infections such as neomycin, cefdinir, tetracyclines

(e.g. oxytetracycline), chloramphenicol or fluoroquinolones (e.g. ciprofloxacin).

• Penicillamine for arthritis.
• Indigestion remedies (e.g. antacids, magnesium salts), calcium supplements, zinc, phosphates, oxalates and proton pump inhibitors to reduce stomach acid.
• Colestyramine mainly used for high cholesterol.
• Levodopa, carbidopa or entacapone for Parkinson’s Di­sease.
• Bisphosphonates for osteoporosis.
• Trientine for Wilson’s Disease.
• Methyldopa for high blood pressure.
• Medicine to control fits (e.g. phenobarbital, phenytoin, primidone).
• Ascorbic or citric acids as these increase absorption of iron.
• Acetohydroxamic acid to treat some urinary tract problems.
• Dimercaprol used to treat effects of heavy metal poisoning.
• Levothyroxine for an underactive thyroid gland.
• Mycophenolate, an immunosuppressant drug.
• Eltrombopag for blood platelet problems.
• Raltitrexed, an anticancer drug.
• Sulfasalazine to treat some bowel diseases and rheumatoid arthritis.
• People having tests on stool samples should tell the doctor as this medicine may turn stools black and affect test results.

Allow 2–3 hours between taking this and other medicines (or 4 hours for Eltrombopag).

• △ Pregnant or breastfeeding..

Galfer FA Capsules can be used at various stages of pregnancy and while breastfeeding, however, ask your doctor for advice before using this medicine to make sure you need to take it whilst pregnant.

3. how to use this medicine

Oimportant things you need to know first..

• Take this medicine before meals on an empty stomach if possible. If Galfer FA Capsules upset your stomach, take them with or after food.
• Some foods such as tea, coffee, wholegrain cereals, eggs and milk may reduce the amount of iron absorbed by the body. Check with the doctor or pharmacist about which foods to avoid.
• Galfer FA Capsules may make your stools darker than usual. This is a normal effect of medicines containing iron.

PM/01/731 927­96991803 Turn over

2.0mm left to right text free area

2.0mm top to bottom text free area

4. possible side effects

Like all medicines, Galfer FA Capsules can have side effects, although these don’t affect everyone.

important side effects:

If you think you have any of the following side effects or symptoms, stop using this medicine immediately and see a doctor as soon as possible.

• Allergic reactions (including severe anaphylactic reactions) which cause difficulty in breathing, fever, swelling of the mouth, lips or skin, severe rashes, itching or stomach pain.

Other possible side effects are:

• Feeling sick or being sick Constipation Diarrhoea Other stomach problems
• Darkening of the stools.

If you notice any of these side effects which are usually mild, tell your doctor or pharmacist.

Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the yellow card scheme at: 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.

• 5. Storing this medicine

• This product contains Iron. Keep it out of the sight and reach of children as overdose may be fatal.
• Store in a cool place.
• Keep container tightly closed.
• Do not use after the expiry date shown on the label.

6. Further information

The active ingredients per capsule are: ferrous fumarate 305mg (equivalent to 100mg elemental iron), folic acid 350 micrograms.

The other ingredients are: gelatin, quinoline yellow (E104), indigotine (E132), titanium dioxide (E171) erythrosine (E127).

Galfer FA Capsules are red and yellow capsules with ‘Galfer FA’ printed on them.

They are supplied in tubs of 100.

Manufacturer: Custom Pharmaceuticals Ltd., Conway Street, Hove, East Sussex, BN3 3LW.

This leaflet was revised in April 2018.

Galfer is a Trade Mark of Thornton & Ross Ltd.

H To prevent low levels of iron and folic acid in the blood Jn during pregnancy. -□

^^^^^^^V^^**P­^gnant<omen: Take ^qgpsi^e a day. S

D Erf Do nrf grftochildren®en or non-pregnant women

Uaiie( r unless y®r doctor tells you to. 5!

Capsules 305mn Active ingredients per capsule: ferrous fumarate o |a ps uesl305mg 3®-ng. f®c ac®350 micrfprams. §

“erroii^Fumnaiatd Peel whtre sho® Wr precautions. §

wUloicrf' MlBHOldrfand distributer: Thornton & Ross Ltd., §

100 capsules

Huddersfield, HD7 5QH, UK. PL 00240/0105 8

important warning: Contains iron. Keep out of the sight and reach of children as overdose may be fatal. Store in a cool place. Keep container tightly closed.

Illium

READ

4. possible side effects

Like all medicines, Galfer FA Capsules can have side effects, although these don’t affect everyone.

Important side effects:

If you think you have any of the following side effects or symptoms, stop using this medicine immediately and see a doctor as soon as possible.

• Allergic reactions (including severe anaphylactic reactions) which cause difficulty in breathing, fever, swelling of the mouth, lips or skin, severe rashes, itching or stomach pain.

Other possible side effects are:

• Feeling sick or being sick Constipation Diarrhoea Other stomach problems
• Darkening of the stools.

If you notice any of these side effects which are usually mild, tell your doctor or pharmacist.

folfeCfA.

Read all of the leaflet before you use this medicine. It includes other information which might be especially important for you.

• Keep this leaflet. You may need to read it again.
• Ask your pharmacist if you need any more information or advice.
• If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

• 1. What the medicine is for

Galfer FA Capsules are taken to prevent low levels of iron and folic acid in the blood during pregnancy. They contain iron in the form of ferrous fumarate and folic acid.

2. before you use this medicine

• □ Do not use the medicine if you have…

• An allergy to any of the ingredients listed in section 6.
• Other problems with iron in the blood (including conditions that lead to iron building up in soft tissues, or problems with red blood cells).
• A stomach ulcer or other stomach or bowel problem.
• Had repeated blood transfusions in the past.
• Anaemia not related to low levels of iron before.
• Vitamin B12 deficiency.
• Or are currently having iron injections.

This medicine is not suitable for children, non-pregnant women or men.

ATalk to your doctor if you have..

• Blood problems related to folic acid deficiency.
• Erythropoietic protoporphyria, a rare condition affecting red blood cells.

ATalk to your doctor or pharmacist if you are taking..

• Antibiotics for infections such as neomycin, cefdinir, tetracyclines (e.g. oxytetracycline), chloramphenicol or fluoroquinolones (e.g. ciprofloxacin).
• Penicillamine for arthritis.
• Indigestion remedies (e.g. antacids, magnesium salts), calcium supplements, zinc, phosphates, oxalates and proton pump inhibitors to reduce stomach acid.
• Colestyramine mainly used for high cholesterol.
• Levodopa, carbidopa or entacapone for Parkinson’s Di­sease.
• Bisphosphonates for osteoporosis.
• Trientine for Wilson’s Disease.
• Methyldopa for high blood pressure.
• Medicine to control fits (e.g. phenobarbital, phenytoin, primidone).
• Ascorbic or citric acids as these increase absorption of iron.
• Acetohydroxamic acid to treat some urinary tract problems.

• Dimercaprol used to treat effects of heavy metal poisoning.
• Levothyroxine for an underactive thyroid gland.
• Mycophenolate, an immunosuppressant drug.
• Eltrombopag for blood platelet problems.
• Raltitrexed, an anticancer drug.
• Sulfasalazine to treat some bowel diseases and rheumatoid arthritis.
• People having tests on stool samples should tell the doctor as this medicine may turn stools black and affect test results.

Allow 2–3 hours between taking this and other medicines (or 4 hours for Eltrombopag).

APregnant or breastfeeding..

Galfer FA Capsules can be used at various stages of pregnancy and while breastfeeding, however, ask your doctor for advice before using this medicine to make sure you need to take it whilst pregnant.

3. how to use this medicine

Oimportant things you need to know first..

• Take this medicine before meals on an empty stomach if possible. If Galfer FA Capsules upset your stomach, take them with or after food.
• Some foods such as tea, coffee, wholegrain cereals, eggs and milk may reduce the amount of iron absorbed by the body. Check with the doctor or pharmacist about which foods to avoid.
• Galfer FA Capsules may make your stools darker than usual. This is a normal effect of medicines containing iron.

PM/01/731 927­96991803 Turn over

2.0mm left to right text free area

2.0mm top to bottom text free area

READ

381 mm

381 mm