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Canadian Pharmacist Qualifying Exam Practice · Question

Which of the following is a key counseling point for a patient starting a new prescription for ferrous fumarate for iron deficiency anemia?

Iron supplements commonly cause dark or black stools, which is a normal and expected side effect. Vitamin C enhances iron absorption, and antacids should be avo

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Question: Which of the following is a key counseling point for a patient starting a new prescription for ferrous fumarate for iron deficiency anemia?

Answer options:

  • Take with antacids to prevent stomach upset
  • Avoid vitamin C as it can decrease absorption ✅ Expect dark stools as a common side effect
  • Take on an empty stomach to maximize absorption, but food can be taken if stomach upset occurs

Correct answer: Expect dark stools as a common side effect

Explanation: Iron supplements commonly cause dark or black stools, which is a normal and expected side effect. Vitamin C enhances iron absorption, and antacids should be avoided as they decrease absorption.

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