Ferrous sulfate with ascorbic acid

SCOPE — this record covers Ferrograd C prolonged-release tablets, the only brand this page names and the exact ferrous sulfate plus ascorbic acid combination in the page id. The UK SPC has now been found and is the source above; the homeopathic openFDA record is still present in the bundle and is still not used. ⚠️ WHAT IS STILL NOT SOURCED — the ELEMENTAL IRON content per tablet does not appear anywhere in the fetched sections. The two strengths appear only in the product title as '325 mg + 562.4 mg'; the fetched text nowhere states which strength belongs to which component and nowhere gives an elemental iron equivalent, so neither is asserted here. Any elemental-iron statement must be sourced separately. §4.1 (the licensed indication wording) was also not captured in this bundle, which is why the dose above is described by what the SPC actually says rather than by a quoted indication. FORMULATION HAZARDS, §4.4: 'The prolonged release tablet and its inert plastic matrix may cause a safety hazard in some elderly or other patients suffering from delayed intestinal transit.' And: 'Aspiration of iron sulfate tablets can cause necrosis of the bronchial mucosa… Elderly patients and patients who have difficulties swallowing should only be treated with iron sulfate tablets after a careful evaluation of the individual patient's risk of aspiration. Alternative formulations should be considered.' ADMINISTRATION SPACING, §4.5: oral iron should not be taken within one hour before or two hours after antacids, calcium supplements, tea, coffee, eggs, food or products containing bicarbonates, carbonate, oxalates or phosphates, milk or milk products, wholegrain breads and cereals or dietary fibre; tetracycline should be given three hours after or two hours before oral iron; oral iron should not be taken with or within two hours of an oral quinolone; and penicillamine should be given at least two hours apart.

§4.2 'Children' quoted in full: 'Not recommended for children under 12 years. Above this age, as for adults.' So from 12 years the dose is the adult dose — 1 tablet daily, taken before food and swallowed whole — and under 12 years this product is not recommended at all. The dose is NOT weight-based, so dosePerKg is deliberately null and the weight calculator is left unset; no mg/kg figure appears anywhere in this SPC. ⚠️ §4.4 verbatim: 'Ferrograd C tablets should be kept out of children's reach. Acute iron poisoning occurs rarely in adults, however it could happen if children swallow this medication.' The label carries the warning 'Important warning: Contains iron. Keep out of the reach and sight of children, as overdose may be fatal'. Iron dosing for a child under 12 must be prescribed against a children's formulary using an age-appropriate preparation.