Feroact Tablet (Ferric Citrate 1g): Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Blood in stool or vomit
- Severe abdominal pain
- Chest pain or difficulty breathing
- Severe headache with visual changes
- Sudden swelling of face, lips, or throat
- Yellowing of skin or eyes
- Decreased urine output
- Persistent diarrhea or constipation that does not improve
If experiencing severe symptoms, call emergency services immediately.
What is feroact tablet used for?
This medicine is a phosphate binder used to lower high phosphate levels in adults with chronic kidney disease on dialysis. It also provides iron to treat anemia. It is taken with meals, usually three times a day.
- Generic Name: Ferric Citrate (1gm)
- Manufacturer: Edallia Pharmaceuticals Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 feroact tablet के बारे में (Hindi Summary)
उपयोग: यह दवा मुख्य रूप से गुर्दे की बीमारी (क्रोनिक किडनी डिजीज) वाले मरीजों में खून में फॉस्फेट के स्तर को कम करने के लिए इस्तेमाल की जाती है। यह दवा आयरन की कमी को भी पूरा करती है। इसे भोजन के साथ लिया जाता है ताकि यह भोजन में मौजूद फॉस्फेट को बांध सके और शरीर से बाहर निकाल सके। यह दवा डॉक्टर के पर्चे के बिना नहीं लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में दस्त, कब्ज, जी मिचलाना, उल्टी, पेट दर्द और मल का रंग काला होना शामिल है। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर आपको गंभीर पेट दर्द, खूनी दस्त, या सांस लेने में तकलीफ हो तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को हमेशा भोजन के साथ लें। टैबलेट को पानी के साथ पूरा निगलें, चबाएं नहीं। अपने डॉक्टर द्वारा बताई गई खुराक का ही पालन करें। नियमित रूप से खून की जांच कराते रहें ताकि फॉस्फेट और आयरन के स्तर की निगरानी हो सके। एल्युमिनियम या मैग्नीशियम युक्त एंटासिड के साथ इस दवा को न लें। अगर आप गर्भवती हैं या स्तनपान करा रही हैं तो डॉक्टर को बताएं।
💊 feroact tablet Uses & Benefits
[{"condition":"Hyperphosphatemia in chronic kidney disease","description":"This medicine is used to lower high phosphate levels in adults with chronic kidney disease who are on dialysis by binding phosphate in the gastrointestinal tract.","evidence":"Well-established"},{"condition":"Iron deficiency anemia in chronic kidney disease","description":"The iron content in this medicine helps to treat and prevent iron deficiency anemia in patients with chronic kidney disease.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Hyperphosphatemia in non-dialysis chronic kidney disease","description":"Sometimes prescribed off-label to manage high phosphate levels in patients with chronic kidney disease who are not on dialysis.","evidence":"Limited"}]
Primary treatment for: Hyperphosphatemia in chronic kidney disease
Also treats: Iron deficiency anemia, Chronic kidney disease
📋 Drug Information
| Generic Name(s) | Ferric Citrate (1gm) |
| Brand Name | feroact tablet |
| Manufacturer | Edallia Pharmaceuticals Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GYNAECOLOGICAL |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F) in a dry place. Keep the tablets in their original container, tightly closed. Protect from light and moisture. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by releasing ferric iron in the stomach, which then binds to dietary phosphate to form insoluble ferric phosphate complexes. These complexes are too large to be absorbed through the intestinal wall and are excreted in the stool, thereby reducing serum phosphate levels. Additionally, a portion of the ferric iron is absorbed into the bloodstream and incorporated into hemoglobin and other iron-containing proteins, helping to treat iron deficiency.
Mechanism Steps
💡 How to Take feroact tablet
Strength: Each tablet contains 1 gram of ferric citrate.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one 1-gram tablet taken three times daily with meals. However, the exact dose and frequency must be individualized by a qualified clinician based on your serum phosphate levels, iron status, and overall clinical condition. Do not adjust the dose without your doctor's guidance. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatric nephrologist for appropriate dosing. |
| Elderly Dosage | Elderly patients may require dose adjustments based on renal function and iron levels. Regular monitoring is advised. Dose must be individualized by a qualified clinician. |
| Renal Impairment | This medicine is primarily used in patients with chronic kidney disease. No specific dose adjustment is required for renal impairment, but monitoring of phosphate and iron levels is essential. Dose must be individualized by a qualified clinician. |
| Hepatic Impairment | No specific dose adjustment is established for hepatic impairment. Use with caution and monitor liver function. Dose must be individualized by a qualified clinician. |
| Maximum Daily Dose | The maximum recommended daily dose is 3 grams (three 1-gram tablets) per day, but this may vary based on clinical judgment. Do not exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of feroact tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Aluminum-containing antacids | Major | |
| Magnesium-containing antacids | Major | |
| Tetracycline antibiotics | Moderate | |
| Fluoroquinolone antibiotics | Moderate | |
| Levothyroxine | Moderate | |
| Calcium supplements | Minor |
🚨 Major Interactions
- Aluminum-containing antacids
- Magnesium-containing antacids
⚡ Moderate Interactions
- Tetracycline antibiotics
- Fluoroquinolone antibiotics
- Levothyroxine
🍷 Alcohol Interaction
Alcohol may increase the risk of gastrointestinal irritation and bleeding when taken with this medicine. It is advisable to limit or avoid alcohol consumption while on this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to ferric citrate or any component of the tablet","Iron overload conditions such as hemochromatosis","Active severe gastrointestinal bleeding","Bowel obstruction or severe constipation","Patients with any condition that increases the risk of iron overload"]
⚠️ Warnings & Precautions
["Use with caution in patients with gastrointestinal disorders such as peptic ulcer disease or inflammatory bowel disease.","Monitor for signs of iron overload, especially with long-term use.","Avoid concurrent use with aluminum- or magnesium-containing antacids.","Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding.","Do not exceed the prescribed dose without medical advice.","Keep out of reach of children."]
🤱 Lactation Safety
It is not known whether ferric citrate is excreted in human breast milk. Consult your doctor before breastfeeding while taking this medicine.
💊 Overdose Management
Overdose may cause symptoms of iron toxicity such as nausea, vomiting, abdominal pain, and bloody diarrhea. In severe cases, it can lead to shock, liver failure, and coma. Seek immediate medical attention if you suspect an overdose. Treatment is supportive and may include gastric lavage, chelation therapy, and management of symptoms.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine with meals to help it bind phosphate effectively and to reduce stomach upset. Swallow the tablet whole with a full glass of water; do not crush, chew, or break it unless your doctor advises otherwise. Maintain a consistent schedule and do not skip doses. Your doctor will monitor your phosphate and iron levels regularly through blood tests. Avoid taking antacids or other medicines containing aluminum or magnesium within two hours of this medicine, as they can interact. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Do not start or stop any other medicine without consulting your doctor. Keep this medicine out of reach of children and store it at room temperature away from moisture and heat. If you miss a dose, take it as soon as you remember unless it is almost time for your next dose; do not double the dose.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more susceptible to side effects and iron overload. Regular monitoring of renal function, iron levels, and liver function is recommended. Dose adjustments may be necessary.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. It should be used during pregnancy only if clearly needed and prescribed by a doctor.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine before any surgery. It may need to be temporarily stopped, especially if you are at risk of bleeding.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. No specific precautions are usually needed, but good oral hygiene is important.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause dizziness or fatigue in some people. Avoid strenuous exercise if you feel unsteady. Consult your doctor before starting any new exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fatigue, which could affect your ability to drive or operate machinery. Avoid these activities if you are affected. Otherwise, it should not significantly impact your daily work life if taken as prescribed.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience severe side effects or your doctor advises discontinuation, follow their guidance. Stopping abruptly may cause phosphate levels to rise.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to iron accumulation in the body, which can affect the liver, heart, and other organs. Regular monitoring of iron levels, liver function, and kidney function is essential. Your doctor may adjust the dose based on these tests. Do not stop or change the dose without consulting your doctor.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Limiting high-phosphate foods can help control phosphate levels.
Evidence: Well-establishedMedicines like calcium acetate or sevelamer may be alternatives.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are known. However, inform your doctor about this medicine before receiving any vaccine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store at room temperature and protect from moisture. If crossing time zones, adjust your dosing schedule to coincide with meals. Check customs regulations for carrying prescription medicines. Carry enough supply for your entire trip.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: The phosphate-lowering effect begins within days, but it may take several weeks to see full benefits on iron levels.
A: Some medicines may interact. Always inform your doctor about all medicines you take, especially antacids, antibiotics, and thyroid medicines.
A: Take it as soon as you remember if it's not almost time for your next dose. Otherwise, skip it and continue your regular schedule. Do not double dose.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: Ferric citrate is a calcium supplement.
Fact: Ferric citrate is a phosphate binder and iron supplement, not a calcium supplement. - Myth: You can take ferric citrate at any time of day.
Fact: It should be taken with meals to effectively bind phosphate from food.
🔄 Alternative Options
Generic Alternatives
- Ferric citrate 1 g tablet
Brand Alternatives
- Feroact Tablet