MULTIVITAMIN

Brand names: Prenatol-M, Folaten, Folixia, Nutralyn, Davimet-M, Lumavex, Vitalux, Multivitamin, Folyra, PNV Prenatol, Davimet, Lunavira, Aflora, Inflamex, Folcyteine, Dexatran, Boostervite, Folartex

Boxed warning

WARNING: Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6. Keep this product out of reach of children. In case of accidental overdose, call a doctor or poison control center immediately. Administration of folate alone is improper therapy for pernicious anemia and other megaloblastic anemias in which vitamin B12 is deficient. PRECAUTIONS: Folate in doses above 0.1 mg daily may obscure pernicious anemia, in that hematologic remission can occur while neurological manifestations remain progressive. There is a potential danger in administering folate to patients with undiagnosed anemia, since folate may obscure the diagnosis of pernicious anemia by alleviating the hematologic manifestations of the disease while allowing the neurologic complications to progress. This may result in severe nervous system damage before the correct diagnosis is made. Adequate doses of vitamin B12 may prevent, halt, or improve the neurologic changes caused by pernicious anemia. The patient’s medical conditions and consumption of other drugs, herbs, and/or supplements should be considered.

Warnings

Warnings: Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6. In case of accidental overdose, call a doctor or poison control center immediately. Administration of folate alone is improper therapy for pernicious anemia and other megaloblastic anemias in which vitamin B12 is deficient. Precautions: Folate in doses above 0.1 mg daily may obscure pernicious anemia, in that hematologic remission can occur while neurological manifestations remain progressive. There is a potential danger in administering folate to patients with undiagnosed anemia since folic acid may obscure the diagnosis of pernicious anemia by alleviating the hematologic manifestations of the disease while allowing the neurologic complications to progress. This may result in severe nervous system damage before the correct diagnosis is made. Adequate doses of vitamin B12 may prevent, halt, or improve the neurologic changes caused by pernicious anemia. The patient’s medical conditions and consumption of other drugs, herbs, and/or supplements should be considered. For use on the order of a licensed healthcare practitioner. Call your doctor about side effects. To report side effects, call PureTek Corporation at 1-877-921-7873 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Contraindications

Nutralyn is contraindicated in patients with a known hypersensitivity to any of the ingredients.

Overdose

OVERDOSE: Iron: Signs and Symptoms: Iron is toxic. Acute overdosage of iron may cause nausea and vomiting and, in severe cases, cardiovascular collapse and death. Other symptoms include pallor and cyanosis, melena, shock, drowsiness and coma. The estimated overdose of orally ingested iron is 300 mg/kg body weight. When overdoses are ingested by children, severe reactions, including fatalities, have resulted. Vitalux™ caplets should be stored beyond the reach of children to prevent against accidental iron poisoning.

Drug interactions

DRUG INTERACTIONS: Vitalux™ caplets is not recommended for and should not be given to patients receiving levodopa because the action of levodopa is antagonized by pyridoxine. There is a possibility of increased bleeding due to pyridoxine interaction with antiplatelet agents (e.g., Aspirin, or Clopidogrel) and anticoagulants (e.g., Heparin).

Uses

Indications and Usage: Prenatol-M™ Indications and Usage: Prenatol-M™ is indicated to provide vitamins and minerals to women throughout pregnancy and during the postnatal period for both lactating and non-lactating mothers, and throughout the childbearing years. Prenatol-M™ may be beneficial in improving the nutritional status of women prior to conception.

Dosage forms & strengths

TABLET TABLET, CHEWABLE CAPSULE

BETA CAROTENE 300 ug/1 ASCORBIC ACID 60 mg/1 CHOLECALCIFEROL 10 ug/1 .ALPHA.-TOCOPHEROL ACETATE, DL- 4.5 mg/1 PYRIDOXINE HYDROCHLORIDE 26 mg/1 BIOTIN .28 mg/1 FOLIC ACID 1.67 mg/1 CYANOCOBALAMIN .013 mg/1 CALCIUM CARBONATE 80 mg/1 MAGNESIUM OXIDE 25 mg/1 FERROUS BISGLYCINATE 20 mg/1 POTASSIUM IODIDE .15 mg/1 BETA CAROTENE .3 mg/1 CHOLECALCIFEROL .1 mg/1 CHOLECALCIFEROL 20 ug/1 FERROUS FUMARATE 27 mg/1 MOLYBDENUM 50 ug/1 ASCORBIC ACID 120 mg/1 ZINC OXIDE 25 mg/1 CHOLINE BITARTRATE 55 mg/1 RIBOFLAVIN 3.4 mg/1 MAGNESIUM OXIDE 200 mg/1 .ALPHA.-TOCOPHEROL ACETATE, DL- 13.5 mg/1 VITAMIN A ACETATE 1500 ug/1 SELENIUM 70 ug/1 NIACINAMIDE 20 mg/1 PYRIDOXINE HYDROCHLORIDE 50 mg/1 CALCIUM CARBONATE 200 mg/1 CHROMIUM NICOTINATE 45 ug/1 MANGANESE SULFATE 2.6 mg/1 POTASSIUM IODIDE 150 ug/1 METHYLCOBALAMIN 10 ug/1 LEVOMEFOLATE CALCIUM 2040 ug/1 THIAMINE MONONITRATE 3 mg/1 VITAMIN A 750 ug/1 ASCORBIC ACID 24 mg/1 SODIUM ASCORBATE 36 mg/1 .ALPHA.-TOCOPHEROL ACETATE, DL- 10 mg/1 PYRIDOXINE HYDROCHLORIDE 1.05 mg/1 THIAMINE MONONITRATE 1.05 mg/1 RIBOFLAVIN 1.2 mg/1 NIACIN 13.5 mg/1 LEVOMEFOLATE CALCIUM 1000 ug/1 METHYLCOBALAMIN 4.5 ug/1 THIAMINE HYDROCHLORIDE 5 mg/1 NIACINAMIDE 35.7 mg/1 PYRIDOXINE HYDROCHLORIDE 25 mg/1 ASCORBIC ACID 65 mg/1 PANTOTHENIC ACID 20 mg/1 RIBOFLAVIN 5 mg/1 METHYLCOBALAMIN .5 mg/1 .ALPHA.-TOCOPHEROL ACETATE, DL- 30 mg/1 LEVOMEFOLIC ACID 1000 ug/1 CYANOCOBALAMIN 10 ug/1 FOLIC ACID 1667 ug/1 CYANOCOBALAMIN 4.5 ug/1 FOLIC ACID 1 mg/1 BLACK PEPPER 5 mg/1 NIACINAMIDE 25 mg/1 GARLIC 10 mg/1 TURMERIC 100 mg/1 LEVOMEFOLATE CALCIUM 1700 ug/1 CALCIUM CITRATE 47 mg/1 CHOLECALCIFEROL 800 [iU]/1 FOLIC ACID 1000 ug/1 ACETYLCYSTEINE 200 mg/1 MAGNESIUM CITRATE 16 mg/1 MAGNESIUM SULFATE HEPTAHYDRATE 6.9 mg/1 RIBOFLAVIN 6 mg/1 NIACINAMIDE 30 mg/1 PYRIDOXINE HYDROCHLORIDE 5 mg/1 CYANOCOBALAMIN 15 ug/1 CALCIUM PANTOTHENATE 10 mg/1 SODIUM ASCORBATE 200 mg/1 THIAMINE MONONITRATE 10 mg/1 ZINC SULFATE 18.2 mg/1 MANGANESE SULFATE 1.3 mg/1 FERROUS FUMARATE 18 mg/1 CUPRIC SULFATE .8 mg/1 PANTOTHENIC ACID 50 mg/1 ORANGE JUICE 2.5 mg/1 BIOTIN 300 ug/1 RIBOFLAVIN 10 mg/1 NIACINAMIDE 10 mg/1 ASCORBIC ACID 100 mg/1 METHYLCOBALAMIN 100 ug/1 PYRIDOXINE HYDROCHLORIDE 10 mg/1 BROCCOLI SPROUT 2.5 mg/1 PRUNUS CERASUS (BITTER CHERRY) FRUIT EXTRACT 2.5 mg/1 KALE 2.5 mg/1 WITHANIA SOMNIFERA ROOT 60 mg/1

One tablet daily or as directed by a physician.

All identified pills

Side effects

Adverse Reactions: Folate: Allergic sensitizations have been reported following both oral and parenteral administration of folate. Ferrous Fumarate: Gastrointestinal disturbances (anorexia, nausea, diarrhea, constipation) occur occasionally but are usually mild and may subside with continuation of therapy. Although the absorption of iron is best when taken between meals, giving Prenatol-M™ after meals may control occasional gastrointestinal disturbances. Prenatol-M™ is best absorbed when taken at bedtime. Adverse reactions have been reported with specific vitamins and minerals but generally at levels substantially higher than those contained herein. However, allergic, and idiosyncratic reactions are possible at lower levels. Iron, even at the usual recommended levels, has been associated with gastrointestinal intolerance in some patients.

Official source

DailyMed