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This combination of vitamins and selected minerals is used to prevent or treat vitamin deficiency due to poor eating habits, problems that affect the body's ability to absorb nutrition from food, or increased need for vitamins and minerals due to stress or illness. Vitamins are needed for the body to function well.
This vitamin/mineral combination contains high levels of B vitamins (e.g., folic acid, niacin, B-1, B-2, B-6, and B-12) and vitamin C. It also contains other vitamins (A, D, and E) and minerals such as zinc. This medication does not contain iron and has only a small amount of calcium. Therefore, it should not be used to treat "iron-poor" blood (anemia) or to prevent osteoporosis.
Take this medication by mouth with or without food as directed by your doctor, usually once or twice daily. If stomach upset occurs, it may help to take this product with food.
Take this medication 2 to 3 hours before or after taking certain antibiotics (including tetracyclines, quinolones such as ciprofloxacin). The minerals in this product may interfere with the antibiotic, preventing it from being absorbed.
Nausea, stomach upset, diarrhea, flushing and unpleasant taste may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.
If your doctor has prescribed this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Tell your doctor if any of these highly unlikely but serious side effects occur: mental/mood changes, unusual weakness.
A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
Before taking this medication, tell your doctor or pharmacist if you are allergic to it; or to any of its ingredients such as folic acid; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
This product should not be used if you have certain medical conditions. Before using this product, consult your doctor or pharmacist if you have: low blood count (e.g., pernicious anemia, megaloblastic anemia, vitamin B-12 deficiency), high calcium levels, kidney disease, liver disease.
This medication is not recommended for use in children under 12 because of increased risk of some vitamins/minerals building up to harmful levels in the body.
This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor.
This drug passes into breast milk. Consult your doctor before breast-feeding.
Store tightly closed at room temperature between 59-86 degrees F (15-30 degrees C) away from light and moisture. Keep all medicines away from children and pets.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.
Your healthcare professionals (such as your doctor or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop or change the dosage of any medicine before checking with them first.
This product should not be used with the following medications because a very serious interaction may occur: altretamine, cisplatin, levodopa.
If you are currently using any of the medications listed above, tell your doctor or pharmacist before starting this multivitamin.
Before using this product, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: hydantoins (e.g., phenytoin), methotrexate, pyrimethamine, other vitamin/mineral/nutritional supplements.
This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.
If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overuse may include: symptoms of liver disease (e.g., dark urine, persistent nausea/vomiting, stomach/abdominal pain, yellowing of eyes/skin), kidney disease (e.g., back pain, painful urination, change in amount of urine), bone pain, mental/mood changes, severe headache.
If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Use your next dose at the regular time. Do not double the dose to catch up.
Keep all regular medical and laboratory appointments.
Remember that it is best to get your vitamins and minerals from healthy foods. Maintain a well-balanced diet and follow any dietary guidelines as directed by your doctor. B vitamins, including folic acid, are naturally found in leafy greens and other vegetables, and citrus fruits. You will also find folic acid in enriched grains such as bread, pasta and cereal.