Mvw Bubble Gum Chewable Tablets
WARNING: If your product has iron in it:Accidental overdose of drugs that have iron in them is a leading cause of deadly poisoning in children younger than 6 years of age. Keep away from children. If this drug is taken by accident, call a doctor or poison control center right away. @ COMMON USES: All products:It is used to help growth and good health.
Drug Class
Nutritional Supplement, Vitamin Supplement
Pharmacologic Class
Multivitamin, Mineral Supplement
Pregnancy Category
Not applicable for pediatric formulation
FDA Approved
Jan 1970
DEA Schedule
Not Controlled
Overview
What is this medicine?
Mvw Bubble Gum Chewable Tablets are a daily supplement designed for children to help ensure they get enough essential vitamins and minerals for healthy growth and development, especially if their diet isn't always balanced. They taste like bubble gum to make them easy for kids to take.
How to Use This Medicine
Taking This Medication
To take this medication, you can give it to your child with or without food. If it causes stomach upset, giving it with food may help. However, some medications must be taken with food or on an empty stomach, while others have no specific requirements. It's essential to consult with your pharmacist to determine the best way to administer this medication to your child.
When giving this medication, make sure your child chews it well before swallowing. Some brands can be swallowed whole, while others may need to be dissolved in the mouth. If you're unsure, discuss this with your pharmacist.
Storing and Disposing of This Medication
To store this medication, keep it in its original container at room temperature. Choose a dry location, avoiding the bathroom, and protect it from heat and light.
Missing a Dose
If you miss a dose, give it to your child as soon as you remember. However, if it's close to the time for the next scheduled dose, skip the missed dose and continue with the regular dosing schedule. Do not give two doses at the same time or provide extra doses.
To take this medication, you can give it to your child with or without food. If it causes stomach upset, giving it with food may help. However, some medications must be taken with food or on an empty stomach, while others have no specific requirements. It's essential to consult with your pharmacist to determine the best way to administer this medication to your child.
When giving this medication, make sure your child chews it well before swallowing. Some brands can be swallowed whole, while others may need to be dissolved in the mouth. If you're unsure, discuss this with your pharmacist.
Storing and Disposing of This Medication
To store this medication, keep it in its original container at room temperature. Choose a dry location, avoiding the bathroom, and protect it from heat and light.
Missing a Dose
If you miss a dose, give it to your child as soon as you remember. However, if it's close to the time for the next scheduled dose, skip the missed dose and continue with the regular dosing schedule. Do not give two doses at the same time or provide extra doses.
Lifestyle & Tips
- Encourage a balanced diet rich in fruits, vegetables, whole grains, and lean proteins.
- Multivitamins are supplements, not substitutes for a healthy diet.
- Store in a cool, dry place, out of reach of children to prevent accidental overdose.
Available Forms & Alternatives
Available Strengths:
- Mvw Orange Chewable Tablets
- Mvw Complete Formulation Softgels
- Mvw Pediatric Drops
- Mvw D3000 Softgels
- Mvw Bubble Gum Chewable Tablets
- Mvw D5000 Softgel Capsules
- Mvw Grape Chewable Tablets
- Mvw D3000 Orange Chewable Tablets
- Mvw D3000 Complete Chewables
- Mvw D5000 Complete Chewables
- Mvw Modulator Form Mini Capsules
Dosing & Administration
Adult Dosing
Standard Dose:
Not applicable (Pediatric formulation)
Pediatric Dosing
Neonatal:
Not established, generally not recommended without specific medical advice. Infant-specific drops may be used.
Infant:
Not established for chewable tablets; infant-specific liquid drops are typically used. Consult pediatrician.
Child:
Typically 1 chewable tablet daily, or as directed by a healthcare professional. Dosing varies by product and age (e.g., 2-3 years: 1/2 tablet; 4+ years: 1 tablet). Always consult product label.
Adolescent:
Typically 1 chewable tablet daily, or as directed by a healthcare professional. May transition to adult formulations based on age and nutritional needs. Always consult product label.
Dose Adjustments
Renal Impairment:
Mild:
Generally no adjustment for standard doses, but caution with excessive intake of fat-soluble vitamins (A, D, E, K) and minerals like phosphorus.
Moderate:
Caution advised; monitor levels of fat-soluble vitamins and minerals. Consult physician.
Severe:
Use with caution and under medical supervision; risk of accumulation of certain vitamins/minerals. Consult physician.
Dialysis:
Specific vitamin/mineral supplementation may be required, but general multivitamins may need adjustment. Consult nephrologist.
Hepatic Impairment:
Mild:
Generally no adjustment for standard doses.
Moderate:
Generally no adjustment for standard doses, but caution with excessive intake of fat-soluble vitamins.
Severe:
Generally no adjustment for standard doses, but caution with excessive intake of fat-soluble vitamins, especially Vitamin A, due to potential for liver accumulation.
Confidence:
Medium
Pharmacology
Mechanism of Action
Multivitamins provide essential vitamins and minerals that are crucial cofactors for various metabolic processes, enzyme functions, cellular growth, and overall physiological health. They supplement dietary intake to prevent or correct nutritional deficiencies.
Pharmacokinetics
Absorption:
Bioavailability:
Variable (depends on specific vitamin/mineral, formulation, and presence of food)
Tmax:
Variable (e.g., water-soluble vitamins absorbed relatively quickly, fat-soluble vitamins require bile for absorption and are absorbed more slowly)
FoodEffect:
Absorption of fat-soluble vitamins (A, D, E, K) is enhanced by dietary fat. Some minerals (e.g., iron) are better absorbed on an empty stomach but may cause GI upset.
Distribution:
Vd:
Variable (water-soluble vitamins distribute in body water, fat-soluble vitamins stored in adipose tissue and liver)
ProteinBinding:
Variable (e.g., Vitamin D metabolites are protein-bound)
CnssPenetration:
Limited for most vitamins/minerals, but some (e.g., B vitamins) are essential for neurological function.
Elimination:
HalfLife:
Variable (e.g., water-soluble vitamins have short half-lives and are excreted, fat-soluble vitamins have longer half-lives due to storage)
Clearance:
Variable
ExcretionRoute:
Water-soluble vitamins primarily renal; fat-soluble vitamins primarily biliary/fecal after metabolism.
Unchanged:
Variable
Pharmacodynamics
OnsetOfAction:
Not acutely defined; benefits accrue over time with consistent supplementation.
PeakEffect:
Not acutely defined; reflects sustained nutritional support.
DurationOfAction:
Not acutely defined; reflects ongoing physiological support.
Confidence:
Medium
Safety & Warnings
Side Effects
Urgent Side Effects: Seek Medical Help Right Away
While rare, some people may experience severe and potentially life-threatening side effects when taking this medication. If your child exhibits any of the following symptoms, contact their doctor or seek immediate medical attention:
Signs of an allergic reaction, including:
+ 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. However, many people experience no side effects or only mild ones. If your child experiences any of the following side effects or any other symptoms that concern you or persist, contact their doctor:
Common to all products:
+ Upset stomach
+ Vomiting
If your product contains iron:
+ Diarrhea or constipation
+ Green-colored stools
+ Stomach pain
This list is not exhaustive, and your child may experience other side effects. If you have questions or concerns about side effects, consult your child's doctor for medical advice.
While rare, some people may experience severe and potentially life-threatening side effects when taking this medication. If your child exhibits any of the following symptoms, contact their doctor or seek immediate medical attention:
Signs of an allergic reaction, including:
+ 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. However, many people experience no side effects or only mild ones. If your child experiences any of the following side effects or any other symptoms that concern you or persist, contact their doctor:
Common to all products:
+ Upset stomach
+ Vomiting
If your product contains iron:
+ Diarrhea or constipation
+ Green-colored stools
+ Stomach pain
This list is not exhaustive, and your child may experience other side effects. If you have questions or concerns about side effects, consult your child's doctor for medical advice.
Seek Immediate Medical Attention If You Experience:
- Nausea, vomiting, diarrhea (especially with high doses)
- Headache, dizziness
- Skin rash or itching
- Unusual fatigue or weakness
- Changes in urination (e.g., increased frequency, dark urine)
- Yellowing of skin or eyes (jaundice - rare, but possible with severe Vitamin A toxicity)
- Bone or joint pain (rare, with severe toxicity)
Before Using This Medicine
Before Giving This Medication to Your Child: Important Information to Share with Your Doctor
It is essential to inform your doctor about the following:
If your child is allergic to this medication, any of its components (including polysorbate 80), or any other medications, foods, or substances (including polyethylene glycol). Please describe the allergic reaction and the symptoms your child experienced.
If your child's product contains iron:
+ If your child has an excessive amount of iron in their body.
This list is not exhaustive, and it is crucial to discuss all potential interactions with your doctor. Please inform your doctor and pharmacist about all medications your child is taking, including:
Prescription and over-the-counter (OTC) medications
Natural products
Vitamins
Any existing health problems
To ensure safe treatment, it is vital to verify that this medication can be given safely with all your child's other medications and health conditions. Never start, stop, or change the dose of any medication your child is taking without first consulting with your doctor.
It is essential to inform your doctor about the following:
If your child is allergic to this medication, any of its components (including polysorbate 80), or any other medications, foods, or substances (including polyethylene glycol). Please describe the allergic reaction and the symptoms your child experienced.
If your child's product contains iron:
+ If your child has an excessive amount of iron in their body.
This list is not exhaustive, and it is crucial to discuss all potential interactions with your doctor. Please inform your doctor and pharmacist about all medications your child is taking, including:
Prescription and over-the-counter (OTC) medications
Natural products
Vitamins
Any existing health problems
To ensure safe treatment, it is vital to verify that this medication can be given safely with all your child's other medications and health conditions. Never start, stop, or change the dose of any medication your child is taking without first consulting with your doctor.
Precautions & Cautions
Important Information for Parents and Caregivers
It is essential to inform all of your child's healthcare providers, including doctors, nurses, pharmacists, and dentists, that your child is taking this medication. This ensures that everyone involved in your child's care is aware of their treatment.
Dosage and Administration
Do not exceed the recommended dose or frequency of administration, as specified by your child's healthcare provider. The dosage may vary depending on your child's age, so it is crucial to consult with the doctor if you are unsure about the correct dose for your child.
Interference with Lab Tests
This medication may affect the results of certain laboratory tests. Therefore, it is vital to inform all of your child's healthcare providers and laboratory personnel that your child is taking this medication.
Age-Specific Considerations
Different brands of this medication may be suitable for children of various ages. Before administering this medication to a child under 4 years of age, consult with the doctor to determine if it is appropriate, as the risk of choking may be increased.
Pregnancy and Breastfeeding
If your child is pregnant, becomes pregnant, or is breastfeeding, it is essential to discuss the potential benefits and risks of this medication with the doctor. This will help you make an informed decision about your child's treatment and ensure the best possible outcome for both your child and the baby.
It is essential to inform all of your child's healthcare providers, including doctors, nurses, pharmacists, and dentists, that your child is taking this medication. This ensures that everyone involved in your child's care is aware of their treatment.
Dosage and Administration
Do not exceed the recommended dose or frequency of administration, as specified by your child's healthcare provider. The dosage may vary depending on your child's age, so it is crucial to consult with the doctor if you are unsure about the correct dose for your child.
Interference with Lab Tests
This medication may affect the results of certain laboratory tests. Therefore, it is vital to inform all of your child's healthcare providers and laboratory personnel that your child is taking this medication.
Age-Specific Considerations
Different brands of this medication may be suitable for children of various ages. Before administering this medication to a child under 4 years of age, consult with the doctor to determine if it is appropriate, as the risk of choking may be increased.
Pregnancy and Breastfeeding
If your child is pregnant, becomes pregnant, or is breastfeeding, it is essential to discuss the potential benefits and risks of this medication with the doctor. This will help you make an informed decision about your child's treatment and ensure the best possible outcome for both your child and the baby.
Overdose Information
Overdose Symptoms:
- Acute overdose: Nausea, vomiting, diarrhea, abdominal pain, headache, dizziness, irritability.
- Chronic overdose (hypervitaminosis): Specific symptoms depend on the vitamin/mineral (e.g., Vitamin A: dry skin, hair loss, liver damage; Vitamin D: hypercalcemia, kidney stones; Iron: severe GI upset, liver damage, metabolic acidosis).
What to Do:
Immediately contact a poison control center (1-800-222-1222) or seek emergency medical attention. Bring the product container with you. Treatment is supportive and may involve activated charcoal, gastric lavage, or specific antidotes depending on the components and amount ingested.
Drug Interactions
Major Interactions
- Vitamin K with Warfarin (antagonizes anticoagulant effect)
- High doses of Vitamin A with Retinoids (increased risk of toxicity)
- Iron with Tetracycline/Quinolone antibiotics (decreased absorption of antibiotics)
- Calcium with Tetracycline/Quinolone antibiotics (decreased absorption of antibiotics)
- High doses of Vitamin D with Digoxin (increased risk of hypercalcemia and digoxin toxicity)
Moderate Interactions
- Calcium/Iron with Thyroid hormones (decreased absorption of thyroid hormones)
- Vitamin B6 (Pyridoxine) with Levodopa (can reduce efficacy of levodopa, though less common with carbidopa/levodopa combinations)
- Folic Acid with Methotrexate (can reduce efficacy of methotrexate, depending on dose and indication)
- Zinc with Copper (high zinc intake can induce copper deficiency)
- Vitamin E with Anticoagulants/Antiplatelets (may increase bleeding risk at very high doses)
Minor Interactions
- Various vitamins/minerals with antacids (may affect absorption)
- Biotin with certain lab tests (can interfere with immunoassay results)
Monitoring
Symptom Monitoring
- Signs of vitamin/mineral deficiency (e.g., fatigue, skin changes, vision problems, poor growth)
- Signs of vitamin/mineral toxicity (e.g., nausea, vomiting, diarrhea, headache, rash, hypercalcemia, liver dysfunction)
- Changes in appetite or energy levels
Special Patient Groups
Pregnancy
Not applicable for pediatric formulation. Pregnant individuals should take prenatal vitamins specifically formulated for pregnancy.
Trimester-Specific Risks:
First Trimester:
Not applicable
Second Trimester:
Not applicable
Third Trimester:
Not applicable
Lactation
Not applicable for pediatric formulation. Lactating individuals should take postnatal or general adult multivitamins as advised by a healthcare provider.
Infant Risk:
Not applicable
Pediatric Use
This product is specifically formulated for pediatric use. Dosing must be strictly adhered to based on age and product instructions to prevent both deficiencies and toxicities. Always keep out of reach of young children to prevent accidental overdose, which can be serious, especially with iron-containing products.
Geriatric Use
Not applicable for pediatric formulation. Geriatric patients have different nutritional needs and may require specific adult or senior multivitamin formulations.
Clinical Information
Clinical Pearls
- Always emphasize that multivitamins are supplements, not replacements for a healthy, balanced diet.
- Educate parents on the importance of storing chewable vitamins out of reach of children, as they can be mistaken for candy, leading to accidental overdose, especially with iron-containing formulations.
- Advise parents to consult a pediatrician before starting any new supplement, especially for infants or children with underlying health conditions.
- Be aware of potential interactions with other medications the child may be taking.
- Chewable tablets should be chewed thoroughly before swallowing to ensure proper absorption and prevent choking hazards.
Alternative Therapies
- Dietary counseling to improve nutritional intake through food sources
- Targeted single vitamin/mineral supplementation for specific deficiencies (e.g., Vitamin D, Iron)
Cost & Coverage
Average Cost:
$5 - $25 per 30-100 tablets
Generic Available:
Yes
Insurance Coverage:
Generally Over-The-Counter (OTC) and not covered by most insurance plans, unless prescribed for a specific medical condition.
General Drug Facts
If your child's symptoms or health issues persist or worsen, it is essential to contact their doctor promptly. To ensure safe and effective treatment, never share your child's medication with others, and do not administer someone else's medication to your child. Some medications may come with an additional patient information leaflet; if you have any questions or concerns about this medication, consult with your child's doctor, nurse, pharmacist, or other healthcare provider. In the event of a suspected overdose, immediately call the poison control center or seek medical attention. When reporting the incident, be prepared to provide detailed information, including the substance taken, the amount, and the time it occurred.