Certavite W/antioxidantstablets

Vitamins are organic compounds essential for normal growth, metabolism, and physiological function. They act as coenzymes, enzyme precursors, antioxidants, and structural components. Antioxidants (e.g., Vitamins C, E, Beta-carotene, Selenium) protect cells from oxidative damage caused by free radicals.

Serious Side Effects: Seek Medical Attention Immediately

Although rare, some people may experience severe and potentially life-threatening side effects while taking this medication. If you notice any of the following symptoms, contact your doctor or seek medical help right away:

Signs of an allergic reaction, such as:
+ Rash
+ Hives
+ Itching
+ Red, swollen, blistered, or peeling skin with or without fever
+ Wheezing
+ Tightness in the chest or throat
+ Trouble breathing, swallowing, or talking
+ Unusual hoarseness
+ Swelling of the mouth, face, lips, tongue, or throat
If your product contains iron:
+ Black, tarry, or bloody stools
+ Fever
+ Vomiting blood or coffee ground-like material
+ Stomach cramps

Other Possible Side Effects

Like all medications, this drug can cause side effects. While many people may not experience any side effects or only minor ones, it's essential to discuss any concerns with your doctor. If you experience any of the following side effects or any other unusual symptoms that bother you or do not go away, contact your doctor:

Common to all products:
+ Upset stomach or vomiting
If your product contains iron:
+ Diarrhea or constipation
+ Change in stool color to green
+ Stomach pain

Reporting Side Effects

This list is not exhaustive, and you may experience other side effects not mentioned here. If you have questions or concerns about side effects, consult your doctor. You can also report side effects to the FDA at 1-800-332-1088 or online at https://www.fda.gov/medwatch.

Before Taking This Medication: Important Information to Share with Your Doctor

It is essential to inform your doctor about the following conditions to ensure safe treatment:

Any allergies you have, including allergies to this medication, its components, or other substances. Be sure to describe the allergic reaction you experienced.
Certain types of anemia, such as pernicious anemia, which is characterized by a lack of vitamin B12 in the body.
If you are currently taking levodopa.
If you are taking mineral oil.
* If your medication contains iron:
+ If you have an excessive amount of iron in your body (iron overload).
+ If you have hemolytic anemia, a condition where red blood cells are destroyed faster than they can be made.

This list is not exhaustive, and it is crucial to discuss all your medications (prescription, over-the-counter, natural products, and vitamins) and health conditions with your doctor and pharmacist. They will help you determine if it is safe to take this medication with your other treatments. Never start, stop, or change the dosage of any medication without consulting your doctor first.

It is essential to inform all your healthcare providers, including doctors, nurses, pharmacists, and dentists, that you are taking this medication. This drug may interfere with certain laboratory tests, so be sure to notify your healthcare providers and laboratory personnel that you are taking it.

If you have a soy allergy, consult with your doctor before taking this medication, as some products may contain soy. Additionally, if you are allergic to tartrazine (also known as FD&C Yellow No. 5), discuss this with your doctor, as some products may contain this ingredient.

When administering this medication to a child, it is crucial to consult with your doctor first, as different brands may be suitable for different age groups.

If you are pregnant, planning to become pregnant, or are breastfeeding, inform your doctor. You and your doctor will need to discuss the potential benefits and risks of this medication to both you and your baby.

• Warfarin (Coumadin, Jantoven) with Vitamin K (can reduce anticoagulant effect)
• Tetracycline antibiotics (e.g., doxycycline, minocycline) with calcium, iron, magnesium, zinc (reduced antibiotic absorption)
• Fluoroquinolone antibiotics (e.g., ciprofloxacin, levofloxacin) with calcium, iron, magnesium, zinc (reduced antibiotic absorption)
• Retinoids (e.g., isotretinoin, acitretin) with high-dose Vitamin A (increased risk of hypervitaminosis A)

• Antiplatelet drugs (e.g., aspirin, clopidogrel) and Anticoagulants (e.g., heparin, dabigatran) with high-dose Vitamin E (potential increased bleeding risk)
• Diuretics (e.g., thiazides, loop diuretics) with certain minerals (e.g., potassium, magnesium, calcium - can alter levels)
• Proton pump inhibitors (e.g., omeprazole) and H2 blockers (e.g., ranitidine) with Vitamin B12 (reduced absorption)
• Levothyroxine (Synthroid) with calcium, iron (reduced thyroid hormone absorption)
• Phenytoin (Dilantin) with folic acid (reduced phenytoin levels, reduced folic acid efficacy)
• Methotrexate with folic acid (folic acid can reduce methotrexate efficacy, but often co-administered to reduce side effects)

• Orlistat (Xenical, Alli) with fat-soluble vitamins (reduced absorption of A, D, E, K)
• Cholestyramine (Questran) with fat-soluble vitamins (reduced absorption of A, D, E, K)

• Gastrointestinal upset (nausea, constipation, diarrhea)
• Headache
• Skin rash or flushing
• Unusual fatigue or weakness
• Changes in urine color (e.g., bright yellow from B vitamins)
• Signs of hypervitaminosis (e.g., blurred vision, hair loss, bone pain for Vitamin A; hypercalcemia for Vitamin D)

Generally safe and often recommended (e.g., prenatal vitamins containing folic acid) at recommended doses. However, high doses of certain vitamins, particularly Vitamin A (retinol form), can be teratogenic. Consult a healthcare provider for appropriate prenatal supplementation.

Generally safe and often beneficial at recommended doses. Vitamins are excreted in breast milk, providing nutrients to the infant. High doses of certain vitamins should be avoided.

Specific pediatric formulations are available and recommended for children. Dosing must be age-appropriate to avoid toxicity, especially with fat-soluble vitamins and iron. Consult a pediatrician before administering multi-vitamins to children.

May have increased needs for certain vitamins (e.g., Vitamin B12 due to malabsorption, Vitamin D due to reduced skin synthesis and dietary intake). May also be at higher risk for drug-nutrient interactions due to polypharmacy. Consult a healthcare provider.

• Multi-vitamins are intended to supplement, not replace, a healthy diet.
• Take with food to enhance absorption and minimize gastrointestinal upset.
• Be aware of specific vitamin/mineral content, especially if taking other supplements or medications, to avoid excessive intake or interactions.
• Patients with specific deficiencies or medical conditions may require targeted single-vitamin supplements rather than a general multi-vitamin.
• Educate patients that 'more is not always better' with vitamins, as excessive intake of certain vitamins (especially fat-soluble ones) can be harmful.

• Dietary modifications to increase intake of nutrient-rich foods (fruits, vegetables, whole grains, lean proteins)
• Targeted single-vitamin or mineral supplements for specific deficiencies (e.g., Vitamin D, Iron, B12)

If your symptoms or health issues persist or worsen, it's essential to contact your doctor for further guidance. To ensure your safety, never share your medication with others or take someone else's medication. Some medications may come with an additional patient information leaflet, so be sure to check with your pharmacist for more information. If you have any questions or concerns about your medication, don't hesitate to reach out to your doctor, nurse, pharmacist, or other healthcare provider. In the event of a suspected overdose, immediately call your local poison control center or seek emergency medical attention. When seeking help, be prepared to provide details about the medication taken, the amount, and the time it occurred.