It is contraindicated in patients with a known hypersensitivity to any of the ingredients. Iron therapy is contraindicated in the presence of haemolytic anaemia.

Care should be taken in patients who may develop iron overload, such as those with hemochromatosis, hemolytic anaemia, or red cell aplasia. Iron chelates with tetracycline, which may impair absorption.

Allergic sensitization has been reported following the oral administration of folic acid. Oral iron preparations may cause constipation, particularly in older patients.

The use of any drug during the first trimester of pregnancy should be avoided if possible. Thus, the administration of iron during the first trimester requires definite evidence of iron deficiency. Prophylaxis of iron deficiency, where an inadequate diet calls for supplementary zinc and folic acid, is justified during the remainder of pregnancy.

Use in children and adolescents is recommended upon consultation with a doctor.

Carbonyl Iron decreases the absorption of tetracycline antibiotics, quinolone antibiotics, levodopa, levothyroxine, methyldopa, and penicillamine. Folic acid interacts with antiepileptics, possibly reducing plasma concentrations of phenobarbital, phenytoin, and primidone.

Symptoms of Carbonyl Iron overdose include decreased energy, nausea, abdominal pain, tarry stools, weak and rapid pulse, fever, coma, and seizures.

Store at a temperature not exceeding 30 ºC in a dry place. Protect from moisture.

Prenat-XL® capsule: Each box contains 6×10 capsules in a blister pack.

Medicine: Keep out of reach of children.

Each capsule contains Elemental Iron (as Carbonyl Iron) INN 50 mg, Zinc Sulphate Monohydrate BP 61.80 mg (equivalent to Zinc 22.50 mg), Folic Acid BP 0.5 mg, Nicotinamide BP 10 mg, Riboflavin BP 2 mg, Pyridoxine Hydrochloride BP 1 mg, Ascorbic Acid USP 50 mg, and Thiamine Mononitrate BP 2 mg.

Carbonyl Iron is a more effective and safer choice for iron supplementation as it has higher bioavailability, lower toxicity, and better gastrointestinal tolerance.
Folic acid is required to maintain normal, healthy neural tube development and is vital for cell division from a single cell to a fully developed baby.
Vitamin B Complex is essential for the growth and development of unborn babies.
Vitamin C plays a role in collagen structure in the fetal membrane.
Zinc is a critical nutrient for fetal growth and development, central nervous system development and function, and ensures better maternal and infant health.

Prenat-XL® is indicated for the treatment and prophylaxis of iron, folic acid, zinc, vitamin B complex, and vitamin C deficiency, especially during pregnancy and lactation.

Adults: One capsule daily before food or as directed by a physician.