Fevincio Tablet (ferric Citrate 210mg): 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 or cramping
- Black tarry stools
- Difficulty breathing or swelling of face, lips, or throat
- Yellowing of skin or eyes
- Decreased urine output
- Severe dizziness or fainting
If experiencing severe symptoms, call emergency services immediately.
What is fevincio tablet used for?
This medicine is an oral phosphate binder used in chronic kidney disease patients on dialysis to control high phosphate levels and manage iron deficiency anemia. It works by binding phosphate in the gut and providing absorbable iron.
- Generic Name: Ferric Citrate (210mg)
- Manufacturer: Akognos Life Sciences
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 fevincio tablet के बारे में (Hindi Summary)
उपयोग: यह दवा मुख्य रूप से गुर्दे की बीमारी (किडनी डिजीज) वाले मरीजों में फॉस्फेट के स्तर को नियंत्रित करने के लिए इस्तेमाल की जाती है, खासकर उन लोगों में जो डायलिसिस पर हैं। यह दवा खाने के साथ ली जाती है और यह आहार में मौजूद फॉस्फेट को बांधकर शरीर से बाहर निकालने में मदद करती है। इसके अलावा, इसमें मौजूद आयरन शरीर में आयरन की कमी को भी दूर करता है, जिससे खून की कमी (एनीमिया) में सुधार होता है। यह दवा डॉक्टर के पर्चे के बिना नहीं लेनी चाहिए और नियमित रूप से खून की जांच कराते रहना चाहिए।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में दस्त, कब्ज, जी मिचलाना, पेट दर्द और मल का रंग काला होना शामिल है। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। कभी-कभी गंभीर दुष्प्रभाव जैसे पेट में गंभीर दर्द, खूनी दस्त, या एलर्जी की प्रतिक्रिया हो सकती है। अगर आपको ऐसे लक्षण दिखें तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को हमेशा डॉक्टर के बताए अनुसार ही लें। इसे भोजन के साथ लें ताकि यह फॉस्फेट को अच्छी तरह बांध सके और पेट की परेशानी कम हो। टैबलेट को पूरा निगलें, चबाएं नहीं। एंटासिड या आयरन सप्लीमेंट अपने आप न लें। नियमित रूप से खून की जांच कराएं। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। शराब का सेवन न करें। दवा को बच्चों से दूर रखें।
💊 fevincio tablet Uses & Benefits
- [{"condition":"Hyperphosphatemia in chronic kidney disease on dialysis","description":"This medicine is used to control high phosphate levels in adults with chronic kidney disease who are on dialysis.
- It binds phosphate from food in the gut, reducing its absorption and lowering serum phosphate levels.","evidence":"Well-established"},{"condition":"Iron deficiency anemia in chronic kidney disease","description":"The iron content of this medicine can be absorbed and helps treat or prevent iron deficiency anemia, which is common in people with kidney disease.
- It may reduce the need for intravenous iron supplements.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Hyperphosphatemia in non-dialysis chronic kidney disease","description":"Sometimes prescribed off-label for patients with advanced chronic kidney disease not yet on dialysis to manage phosphate levels, but this use is not approved and requires careful monitoring.","evidence":"Limited"}]
Primary treatment for: Hyperphosphatemia in chronic kidney disease on dialysis
Also treats: Iron deficiency anemia in chronic kidney disease
📋 Drug Information
| Generic Name(s) | Ferric Citrate (210mg) |
| Brand Name | fevincio tablet |
| Manufacturer | Akognos Life Sciences |
| 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). Keep away from moisture and heat. Keep in the original container. |
| 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 binding to phosphate in the gastrointestinal tract. The ferric iron in the medicine forms insoluble complexes with dietary phosphate, which cannot be absorbed through the intestinal wall. This bound phosphate is then excreted in the stool, reducing the amount of phosphate that enters the bloodstream. Additionally, a portion of the ferric iron is absorbed, providing a source of iron that can be used by the body to produce red blood cells, helping to manage iron deficiency anemia.
Mechanism Steps
💡 How to Take fevincio tablet
Strength: Ferric citrate 210 mg immediate-release tablet
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one 210 mg tablet taken orally three times daily with meals. The dose may be adjusted by your doctor based on your serum phosphate levels and iron status. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not change the dose without consulting your doctor. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | No specific dose adjustment is required for elderly patients, but they should be monitored closely for side effects and iron overload. |
| Renal Impairment | No dose adjustment is required for renal impairment, as this medicine is used in patients with chronic kidney disease. However, regular monitoring of kidney function is advised. |
| Hepatic Impairment | No specific dose adjustment is established for hepatic impairment. Use with caution and monitor liver function. |
| Maximum Daily Dose | The maximum recommended daily dose is 630 mg (three 210 mg tablets) per day, but this may vary based on clinical judgment. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of fevincio tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Antacids (aluminum/magnesium) | Major | |
| Iron supplements | Major | |
| Tetracycline | Moderate | |
| Fluoroquinolones | Moderate | |
| Levothyroxine | Moderate | |
| Calcium supplements | Minor |
🚨 Major Interactions
- Antacids containing aluminum or magnesium
- Iron supplements
⚡ Moderate Interactions
- Tetracycline antibiotics
- Fluoroquinolone antibiotics
- Levothyroxine
🍷 Alcohol Interaction
Alcohol may increase the risk of gastrointestinal bleeding and can worsen stomach irritation. It is advisable to avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Iron overload conditions such as hemochromatosis","Active severe gastrointestinal bleeding","Bowel obstruction","Known hypersensitivity to ferric citrate or any component of the tablet"]
⚠️ 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 concomitant use with antacids containing aluminum or magnesium.","Inform your doctor if you are taking antibiotics, thyroid hormones, or other medications.","Do not exceed the prescribed dose.","Keep out of reach of children."]
🤱 Lactation Safety
It is not known whether ferric citrate passes into breast milk. Consult your doctor before breastfeeding while taking this medicine.
💊 Overdose Management
Overdose may cause severe gastrointestinal symptoms, iron overload, or other complications. Seek immediate medical attention. Treatment is symptomatic and supportive, and may include measures to remove unabsorbed medicine and manage iron toxicity.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember if it is within a few hours of the scheduled time. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor, usually with meals to help it bind phosphate from your food 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. Do not take antacids or iron supplements without consulting your doctor, as they may interact with this medicine. Keep all scheduled blood tests to monitor your phosphate, calcium, iron, and kidney function. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Avoid alcohol while taking this medicine as it can increase the risk of stomach bleeding. Do not share this medicine with others, even if they have similar symptoms. Store it at room temperature away from moisture and heat, and keep it out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more susceptible to side effects and iron overload. Regular monitoring is advised, and dose adjustments may be needed based on kidney and liver function.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. The safety of this medicine during pregnancy is not fully established.
🏥 Post-Surgery Considerations
After surgery, inform your surgeon and anesthesiologist that you are taking this medicine. It may need to be temporarily stopped or adjusted based on your condition.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine. No specific precautions are usually needed, but good oral hygiene is important.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Exercise is generally safe while taking this medicine. However, if you experience dizziness or fatigue, avoid strenuous activities until you feel better. Consult your doctor before starting any new exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fatigue in some people. If affected, avoid driving or operating heavy machinery until you know how it affects you. Otherwise, it should not significantly impact your daily activities.
🛑 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 instructions. Stopping abruptly may cause phosphate levels to rise.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to iron overload, which can affect the liver, heart, and other organs. Regular monitoring of iron levels, liver function, and kidney function is essential. It is important to follow up with your doctor regularly to adjust the dose and monitor for any complications.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Limiting high-phosphate foods can help manage phosphate levels.
Evidence: Well-establishedMedications like calcium acetate or sevelamer can also bind phosphate.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are known. However, patients with chronic kidney disease should stay up to date with recommended vaccinations, including influenza and pneumococcal vaccines.
📦 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 along 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, continue taking it with meals as usual; no major adjustments are needed. Check customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: The phosphate-lowering effect begins with the first dose, but it may take a few weeks to see full benefits on blood tests. Iron levels may improve over several weeks.
A: Some medications may interact. Always inform your doctor about all medicines you take, especially antacids, antibiotics, and thyroid hormones.
A: Consult your doctor if you are pregnant or planning to become pregnant. The safety is not fully established.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: This medicine can be taken without food.
Fact: It should be taken with meals to effectively bind phosphate from food. - Myth: This medicine is a cure for kidney disease.
Fact: It manages phosphate levels but does not cure kidney disease.
🔄 Alternative Options
Generic Alternatives
- Ferric citrate generic tablets
Brand Alternatives
- Fevincio Tablet