Cisfera-D2 Tablet

Composition of Cisfera-D2 Tablet

Cisfera-D2 Tablet contains Ferrous ascorbate, Folic acid, Cyanocobalamin (Vitamin B12), Cholecalciferol (Vitamin D3) (strengths unknown). It belongs to the Iron supplement + Vitamins (folate/B12) + Vitamin D3 class of medicines.

Uses of Cisfera-D2 Tablet

Prevention and treatment of nutritional deficiencies such as iron deficiency anaemia; supplementation in pregnancy/lactation or during periods of increased requirement; supports red blood cell formation and vitamin D deficiency supplementation.

Key benefits

• Helps treat and prevent iron deficiency anaemia
• Supports haemoglobin and red blood cell formation
• Reduces fatigue/weakness due to deficiency
• Supports fetal/maternal nutritional needs
• Helps correct vitamin D deficiency and supports bone health

How Cisfera-D2 Tablet works

Ferrous ascorbate replenishes iron needed for haemoglobin and red blood cell production, while folic acid and vitamin B12 support DNA synthesis and maturation of red blood cells. Vitamin D3 helps improve calcium absorption and corrects vitamin D deficiency, supporting bone and muscle health.

How to take Cisfera-D2 Tablet

Take as directed by physician. Typically taken orally with water, preferably after food to reduce stomach upset; avoid taking with tea/coffee, calcium or antacids close to the dose. Do not crush/chew unless advised.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.

If you take too much

An overdose of this medicine can cause vomiting and stomach pain, and with iron can be dangerous, especially in children. It is unlikely to cause serious harm, because the body passes surplus B vitamins out in the urine. It can raise blood calcium dangerously, causing thirst, frequent urination, vomiting, confusion and kidney damage. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Cisfera-D2 Tablet

Most side effects of Cisfera-D2 are mild and settle as the body adjusts. Reported side effects include:

• Nausea
• vomiting
• abdominal pain
• constipation
• diarrhoea
• dark/black stools
• metallic taste
• heartburn
• bloating

Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.

Safety advice for Cisfera-D2 Tablet

Warnings and precautions

Use with caution in patients with peptic ulcer disease, inflammatory bowel disease, liver disease, or history of iron overload (hemochromatosis/hemosiderosis). Do not use for anaemia not caused by iron deficiency unless prescribed. Vitamin D excess can cause hypercalcaemia—avoid additional high-dose vitamin D/calcium unless advised. Keep out of reach of children (iron overdose can be dangerous).

Do not take Cisfera-D2 if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people with a high blood calcium level, or with certain kidney stones.

Interactions with other medicines

Antacids, calcium supplements, dairy products, tea/coffee (reduce iron absorption); tetracyclines and quinolone antibiotics (separate by 2–4 hours); levothyroxine (separate by 4 hours); bisphosphonates (separate dosing); methyldopa, penicillamine (reduced absorption); anticonvulsants (phenytoin/phenobarbital) may reduce folate levels; cholestyramine/orlistat may reduce vitamin D absorption

How to store Cisfera-D2 Tablet

Store below 25°C in a cool, dry place away from moisture and direct sunlight. Keep in original blister pack.

Expert advice for Cisfera-D2 Tablet

Take it with food unless the pack says otherwise. Have deficiencies confirmed and rechecked by blood test rather than supplementing indefinitely. A supplement corrects a deficiency; it is not a general energy tonic. If you are on it for nerve symptoms, keep your review appointment so the underlying cause is looked for. Take calcium with food, and split the day's total if you take a large amount. Sunlight helps your body make its own vitamin D. Have your level rechecked as your doctor advises rather than continuing high doses indefinitely.

Manufacturer and class

Manufacturer:

GROMAX FORMULATIONS PVT LTD

Therapeutic class:

Haematinic / Nutritional supplement

Drug class:

Iron supplement + Vitamins (folate/B12) + Vitamin D3