CitafER-XT Tablet belongs to a class of medications called 'vitamins' used to treat or prevent anaemia (lack of blood) caused due to deficiency of folic acid, anaemia in pregnancy, anaemia due to damaged red blood cells, anaemia in kidney dialysis patients and anaemia that occurs as a side effect of certain medicines. CitafER-XT Tablet may be used in women before and during pregnancy to prevent spina bifida (abnormality of the spine) in babies. Anaemia is a condition in which the body does not have enough red blood cells to carry the adequate oxygen required to various body tissues.

The CitafER-XT Tablet contains Folic acid (a form of vitamin B9) that increases healthy red blood cell (RBC) production in the body that carries oxygen throughout the body. As a result, an adequate amount of haemoglobin (Hb) is produced in the body so that body's each tissue gets a sufficient supply of oxygen.

Take CitafER-XT Tablet as recommended by your doctor. You may experience nausea, black stool, constipation, loss of appetite, bloating or flatulence (gas) in some cases. Most of these side effects of CitafER-XT Tablet do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor. 

If you are allergic to CitafER-XT Tablet or any other medicines, please tell your doctor. If you are pregnant or breastfeeding, consult a doctor before using CitafER-XT Tablet . CitafER-XT Tablet should be used with caution in children and only if recommended by a doctor. If you have an allergy to any sugars, inform your doctor before taking CitafER-XT Tablet as it may contain lactose. If you have a stomach ulcer, vitamin B12 deficiency, any blood disorder, repeated blood transfusions, ulcerative colitis (inflammation of the colon), pernicious anaemia (anaemia due to lack of vitamin B12) or folate-dependent tumour, inform your doctor before taking CitafER-XT Tablet . 

The CitafER-XT Tablet contains Folic acid (a form of vitamin B9) that increases red blood cells (RBC) production in the body that carries oxygen around the body. As a result, an adequate number of RBCs is produced in the body, so that body's each tissue gets a sufficient supply of oxygen. Also, folic acid is necessary for pregnancy as it plays a role in developing the brain and spinal cord in the unborn baby. Additionally, CitafER-XT Tablet may be used to decrease the adverse effects of methotrexate (a drug used to treat severe arthritis, psoriasis, or Crohn’s disease). 

• Nausea
• Loss of appetite
• Black stool
• Bloating
• Flatulence (gas)
• Constipation 
• Bitter or unpleasant taste in your mouth
• Feeling excited or irritable

If you are allergic to CitafER-XT Tablet or any other medicines, please tell your doctor. Avoid taking CitafER-XT Tablet if you have cancer. CitafER-XT Tablet should be used with caution in children and only if recommended by a doctor. If you are breastfeeding, please consult a doctor before using CitafER-XT Tablet . If you have pernicious anaemia (anaemia due to lack of vitamin B12), a tumour or if you are receiving a stent in the heart or undergoing haemodialysis due to kidney failure, inform your doctor before taking CitafER-XT Tablet . You are recommended to maintain a time gap of a minimum of 2 hours between taking CitafER-XT Tablet and indigestion remedies such as antacids containing magnesium or aluminium and edible clay. Inform your doctor if you are allergic to any sugars as CitafER-XT Tablet contains lactose. 

Drug-Drug Interaction: CitafER-XT Tablet may have interaction with anticonvulsants (phenobarbital, primidone, phenytoin), antibiotics (trimethoprim), high cholesterol-lowering medicine (cholestyramine), anti-inflammatory drugs (sulfasalazine), anticancer drug (fluorouracil).

Drug-Food Interaction: Inform your doctor if you are taking any zinc supplements or medicines containing zinc.  

Drug-Disease Interaction: Avoid taking CitafER-XT Tablet if you have cancer. If you have pernicious anaemia (anaemia due to lack of vitamin B12), tumour or if you are receiving a stent in the heart or undergoing haemodialysis due to kidney failure, inform your doctor before taking CitafER-XT Tablet .

• PHENOBARBITAL
• PRIMIDONE
• PHENYTOIN
• TRIMETHOPRIM
• CHOLESTYRAMINE
• SULFASALAZINE
• FLUOROURACIL

• Eat a healthy diet, especially green leafy vegetables, and do regular physical exercise.
• Limit junk food items from outside and stick to freshly prepared home-cooked meals.
• Eat cabbage, spinach, broccoli, asparagus, kale, brussels sprouts, lentils, peas, and beans. Also include beef and yeast extracts, poultry, liver, shellfish, and pork.
• Drink plenty of fluids to stay hydrated.
• Avoid consumption of alcohol.

You are recommended to maintain a time gap of a minimum of 2 hours between taking CitafER-XT Tablet and indigestion remedies such as antacids containing magnesium or aluminum and edible clay.

Anemia: It is a condition in which the body does not have enough red blood cells for carrying adequate oxygen to various body tissues. Anemia can be temporary, which can be treated with the help of supplements, and it can also be long-term, which might require medical procedures. It makes you feel tired very quickly due to a lack of oxygen supply in the body. It is one of the most common blood disorders.

Folate deficiency: The deficiency of folic acid in the body is known as folate deficiency. It generally occurs when your diet does not have sufficient food that has more folic acid (citrus fruits, green leafy vegetables). Folate deficiency, if left untreated, can lead to anemia.