CTARD*60CAPS 500MG MR FL

C-TARD 500 mg hard prolonged-release capsules
Vitamin C

What it is and what it is used for
C-Tard contains the active ingredient ascorbic acid (vitamin C).

C-Tard is indicated:
• for the prevention and treatment of conditions where the body has a vitamin C deficiency:
- pregnancy
- breastfeeding
- tendency to bleeding caused by capillary fragility.
• as an additional therapy for mouth inflammation (stomatitis) and gum inflammation (gingivitis).

Consult your doctor if you do not feel better or if you feel worse after a short period of treatment.

What you need to know before taking the medicine
DO NOT take C-Tard
• If you are allergic to ascorbic acid (vitamin C) or any of the other ingredients of this medicine (listed in section 6).
• If you suffer from oxalate urolithiasis or hyperoxaluria (kidney stones).
• If you suffer from severe kidney impairment or kidney failure.
• If you are a child under 6 years of age.

Warnings and precautions
Talk to your doctor or pharmacist before taking C-Tard.

Ascorbic acid should not be taken at doses higher or for periods longer than recommended, as an overdose can cause calcium oxalate deposits and acute tubular necrosis and/or kidney failure.

Vitamin C should be used with caution by individuals who suffer, or have suffered in the past, from nephrolithiasis (kidney stones) and by those affected by:
- G6PD deficiency (Glucose-6-phosphate dehydrogenase), anemia due to the destruction of red blood cell walls;
- Hemochromatosis (a disease due to an excessive accumulation of iron in various organs and tissues);
- Thalassemia (a genetic blood disorder caused by reduced or absent hemoglobin synthesis);
- Sideroblastic anemia (anemia caused by the body's inability to accumulate iron in red blood cells).

Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.

The following adverse reactions have been observed with the use of C-Tard and are based on spontaneous reports:

Not known (frequency cannot be estimated from the available data):
• Allergic reactions, including hypersensitivity reactions (such as shortness of breath, facial swelling and skin rashes);
• Headache;
• Nausea, vomiting, diarrhea, dyspepsia (indigestion), abdominal pain.

Reporting of side effects
If you get any side effects, including any not listed in this leaflet, talk to your doctor or pharmacist. You can also report side effects directly via the national reporting system at: https://www.aifa.gov.it/content/segnalazionireazioni-avverse.
By reporting side effects you can help provide more information on the safety of this medicine.