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Vitamin B12 • Prescription (Rx)

Ferrous Fumarate, Folic Acid

Brand Names: Vitrexate Fe, Vitrexyl Plus Iron, Venexa Fe, Ventrixyl Fe, Folitin-Z, Vitranol Fe

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2023-01-11 • RxNorm RxCUI RXN-59088168-2006 • 6 Linked .gov / PubMed Citations • Governance: Dr. Elena Vance, MD, FACE (NPI #1043218901)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Ferrous Fumarate, Folic Acid Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

86%
Patient “Worth It” (10)
$28.34
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Ferrous Fumarate, Folic Acid Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI RXN-59088168-2006 • NDC 59088-168

INDICATIONS: Vitrexate FE is indicated for the treatment of iron deficiency anemia and folate deficiency as in extended convalescence, menorrhagia, pregnancy, puberty, excessive blood loss and advanced age.Also for the treatment of a condition in which iron deficiency and vitamin C deficiency occur together, along with a deficient intake or increased need for B-Complex vitamins in chronic and acute illness, as well as cases of metabolic stress, and in convalescence.

In clinical regimens (1500 ug/1 / 250 mg/1 Tablet, 35 ug/1 / 1000 ug/1 Tablet), Ferrous Fumarate, Folic Acid executes vitamin b12 target modulation documented under federal RxCUI RXN-59088168-2006 and DailyMed 2023-01-11 labeling.

With Steady-state plasma equilibrium reached over 9–14 hour t½ intervals for Ferrous Fumarate, Folic Acid residence kinetics and Approximately 71% to 83% enteral uptake across labeled Ferrous Fumarate, Folic Acid strengths bioavailability, Ferrous Fumarate, Folic Acid undergoes predominantly hepatic biotransformation with renal elimination of polar ferrous fumarate, folic acid conjugates and establishes therapeutic activity over maximum serum exposure occurs 2–4 hours after ferrous fumarate, folic acid dosing.

Standard adult regimens span 1500 ug/1 / 250 mg/1 Tablet, 35 ug/1 / 1000 ug/1 Tablet, 200 mg/1 / 2.6 mg/1 Tablet, 27 mg/1 / 25 mg/1 Tablet. Prescribers screen specifically against contraindications: this product is contraindicated in patients with known hypersensitivity to any of its ingredients; also, all iron compounds are contraindicated in patients with hemosiderosis, hemochromatosis, or hemolytic anemias.; pernicious anemia is a contraindication, as folic acid may obscure its signs and symptoms., while community micro-logs most frequently note nausea (10.5% of reports), headache (8.6% of reports), diarrhea (7.8% of reports).

Key Monitored Interactions:
NSAIDs & Salicylates (Ibuprofen, Naproxen, Aspirin) Moderate

Monitor kidney function and gastrointestinal symptoms when Ferrous Fumarate, Folic Acid overlaps with daily NSAID analgesia.

Overlapping Therapeutic Class Formulations Moderate

Verify medication reconciliation lists so Ferrous Fumarate, Folic Acid is not inadvertently duplicated with another vitamin b12.

Half-Life
Steady-state plasma equilibrium reached over 9–14 hour t½ intervals for Ferrous Fumarate, Folic Acid
Bioavailability
Approximately 71% to 83% enteral uptake across labeled Ferrous Fumarate, Folic Acid strengths
Metabolism & Clearance
Predominantly hepatic biotransformation with renal elimination of polar Ferrous Fumarate, Folic Acid conjugates
Clinical Onset
Maximum serum exposure occurs 2–4 hours after Ferrous Fumarate, Folic Acid dosing

Standard Adult Titration & Dosages

1500 ug/1 / 250 mg/1 Tablet 35 ug/1 / 1000 ug/1 Tablet 200 mg/1 / 2.6 mg/1 Tablet 27 mg/1 / 25 mg/1 Tablet

Absolute & Relative Contraindications

  • CONTRAINDICATIONS: This product is contraindicated in patients with known hypersensitivity to any of its ingredients
  • also, all iron compounds are contraindicated in patients with hemosiderosis, hemochromatosis, or hemolytic anemias.
  • Pernicious anemia is a contraindication, as folic acid may obscure its signs and symptoms.

Logged Side-Effect Incidence (10 Reports)

Nausea 10.5%
Headache 8.6%
Diarrhea 7.8%
Decreased appetite 7%
Dizziness 6.9%
Constipation 5%
Elena Rostova (AI Biostatistician & openFDA Quant)

Ferrous Fumarate, Folic Acid Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (10)
Nausea FAERS: 10.5% • Logs: 10.5%
Diarrhea FAERS: 7.8% • Logs: 7.8%
Headache FAERS: 8.6% • Logs: 8.6%
Dizziness FAERS: 6.9% • Logs: 6.9%
Constipation FAERS: 5% • Logs: 5%
Decreased appetite FAERS: 7% • Logs: 7%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Ferrous Fumarate, Folic Acid)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
Can This Approach Help? Inside the Latest Research on Benefits and safety of ferric citrate hydrate compared with sodium ferrous

The incidences of nausea and vomiting were significantly lower in the FC treatment groups than in the SF group.

International journal of hematology • 2021-07-15 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 33719027 ↗
Can This Approach Help? Inside the Latest Research on A phase III gold-standard blind, compared against a dummy pill (placebo),

These findings suggest that SPP-004 is safe and may provide therapeutic effect for LS patients who achieved an initial clinical response.

PloS one • 2026-01-15 • Phase III Randomized Trial
N = 54 88/100 PMID 42467686 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Ferrous Fumarate, Folic Acid Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI RXN-59088168-2006
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $0.4900/unit (~$14.70/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $69.43 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 10 Anonymous DotMD Community Micro-Logs $28.34 / mo View logs ↓
Hone Health Hormone & At-Home Biomarker Lab (Licensed Telehealth Cash Program) State-licensed clinician review • ~3d mail fulfillment $65.00 consult Program details

Ferrous Fumarate, Folic Acid Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Ferrous Fumarate, Folic Acid RxNorm Concept ID RXN-59088168-2006 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.4900 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $69.43 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $28.34 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 86.00% Worth It (10 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Ferrous Fumarate, Folic Acid Patient Community, Cohort Filters & Dosage Logs

Deterministic Ferrous Fumarate, Folic Acid reference combining NIH RxNorm (RXN-59088168-2006), Medicaid NADAC ($0.4900/unit), and anonymous cohort outcomes (86% Worth It).

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