Mvw Complete Formulation Softgels
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: It is used to help growth and good health.It may be given to you for other reasons. Talk with the doctor.
Drug Class
Nutritional Supplement; Vitamin Supplement
Pharmacologic Class
Multivitamin; Essential Nutrients
Pregnancy Category
Not available (Varies by specific vitamin content and dose)
FDA Approved
Jan 1970
DEA Schedule
Not Controlled
Overview
What is this medicine?
Mvw Complete Formulation Softgels are a daily multivitamin supplement designed to provide essential vitamins and minerals that your body needs to function properly. They help fill nutritional gaps in your diet and support overall health, energy, and immune function.
How to Use This Medicine
Taking Your Medication Correctly
To get the most benefit from your medication, follow your doctor's instructions carefully. Read all the information provided with your prescription and follow the instructions closely.
You can take this medication with or without food. If it causes stomach upset, taking it with food may help.
For best absorption, take this medication at bedtime. If you have questions about the timing of your dose, consult your doctor or pharmacist.
Extended-Release Products: Swallow the tablets whole; do not chew, break, or crush them.
Liquid Medication: Measure your dose carefully using the measuring device provided with the medication. If one is not included, ask your pharmacist for a suitable measuring device.
Chewable Tablets: Chew the tablets thoroughly before swallowing.
Storing and Disposing of Your Medication
Store your medication at room temperature in a dry place, away from the bathroom.
Protect the medication from heat and light.
Keep all medications in a safe location, out of the reach of children and pets.
What to Do If You Miss a Dose
If you miss a dose, take it as soon as you remember.
If it is close to the time for your next scheduled dose, skip the missed dose and resume your regular dosing schedule.
* Do not take two doses at the same time or take extra doses to make up for a missed dose.
To get the most benefit from your medication, follow your doctor's instructions carefully. Read all the information provided with your prescription and follow the instructions closely.
You can take this medication with or without food. If it causes stomach upset, taking it with food may help.
For best absorption, take this medication at bedtime. If you have questions about the timing of your dose, consult your doctor or pharmacist.
Extended-Release Products: Swallow the tablets whole; do not chew, break, or crush them.
Liquid Medication: Measure your dose carefully using the measuring device provided with the medication. If one is not included, ask your pharmacist for a suitable measuring device.
Chewable Tablets: Chew the tablets thoroughly before swallowing.
Storing and Disposing of Your Medication
Store your medication at room temperature in a dry place, away from the bathroom.
Protect the medication from heat and light.
Keep all medications in a safe location, out of the reach of children and pets.
What to Do If You Miss a Dose
If you miss a dose, take it as soon as you remember.
If it is close to the time for your next scheduled dose, skip the missed dose and resume your regular dosing schedule.
* Do not take two doses at the same time or take extra doses to make up for a missed dose.
Lifestyle & Tips
- Take one softgel daily, preferably with a meal to enhance absorption, especially of fat-soluble vitamins.
- Do not exceed the recommended dose, as excessive intake of certain vitamins (especially A, D, E, K) can be harmful.
- This supplement is intended to complement a balanced diet, not replace it. Continue to eat a variety of fruits, vegetables, and whole grains.
- Store in a cool, dry place, away from direct sunlight and out of reach of children.
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:
One softgel daily, preferably with a meal
Dose Range:
1 - 1 mg
Condition-Specific Dosing:
general_health:
One softgel daily
deficiency_prevention:
One softgel daily
Pediatric Dosing
Neonatal:
Not established
Infant:
Not established
Child:
Not established (Age-appropriate formulations recommended)
Adolescent:
One softgel daily (if formulation is suitable for adolescents)
Dose Adjustments
Renal Impairment:
Mild:
No specific adjustment typically needed
Moderate:
No specific adjustment typically needed, monitor for fat-soluble vitamin accumulation in severe cases
Severe:
Use with caution, monitor for fat-soluble vitamin accumulation (especially A, D) and hyperkalemia (if potassium present)
Dialysis:
Consult physician; specific vitamin needs may vary for dialysis patients
Hepatic Impairment:
Mild:
No specific adjustment typically needed
Moderate:
No specific adjustment typically needed
Severe:
Use with caution, monitor for fat-soluble vitamin accumulation (especially A) due to impaired bile flow
Pharmacology
Mechanism of Action
Vitamins are essential organic compounds that the body needs in small amounts for various metabolic processes. They act as coenzymes, antioxidants, and structural components, playing crucial roles in energy production, immune function, cell growth, and tissue repair. Multivitamins provide a combination of these essential nutrients to supplement dietary intake and prevent deficiencies.
Pharmacokinetics
Absorption:
Bioavailability:
Highly variable depending on the specific vitamin, its form, and presence of other dietary components. Fat-soluble vitamins (A, D, E, K) require dietary fat for absorption. Water-soluble vitamins (B vitamins, C) are generally well-absorbed.
Tmax:
Not applicable (chronic supplementation, not acute drug effect)
FoodEffect:
Generally enhanced absorption for fat-soluble vitamins when taken with food; water-soluble vitamins can be taken with or without food.
Distribution:
Vd:
Not applicable (distributed throughout body tissues and fluids)
ProteinBinding:
Varies by vitamin (e.g., Vitamin D binds to DBP, Vitamin B12 to transcobalamins)
CnssPenetration:
Limited for some, essential for others (e.g., B vitamins for neurological function)
Elimination:
HalfLife:
Highly variable (minutes to months, depending on vitamin and body stores)
Clearance:
Varies by vitamin; water-soluble vitamins are primarily renally cleared, fat-soluble vitamins are stored and slowly eliminated.
ExcretionRoute:
Renal (water-soluble), Biliary/Fecal (some fat-soluble and metabolites)
Unchanged:
Varies (significant for some water-soluble vitamins)
Pharmacodynamics
OnsetOfAction:
Not applicable (effects are cumulative over time, preventing or correcting deficiencies)
PeakEffect:
Not applicable
DurationOfAction:
Not applicable
Safety & Warnings
Side Effects
Urgent Side Effects: Seek Medical Attention Immediately
While rare, some people may experience severe and potentially life-threatening side effects when 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
Most people do not experience significant side effects, but some may occur. If you are bothered by any of the following side effects or if they do not go away, contact your doctor:
Common to all products:
+ Upset stomach
+ Nausea or vomiting
If your product contains iron:
+ Diarrhea or constipation
+ Green-colored stools
+ Stomach pain
Reporting Side Effects
This is not an exhaustive list of possible side effects. 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.
While rare, some people may experience severe and potentially life-threatening side effects when 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
Most people do not experience significant side effects, but some may occur. If you are bothered by any of the following side effects or if they do not go away, contact your doctor:
Common to all products:
+ Upset stomach
+ Nausea or vomiting
If your product contains iron:
+ Diarrhea or constipation
+ Green-colored stools
+ Stomach pain
Reporting Side Effects
This is not an exhaustive list of possible side effects. 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.
Seek Immediate Medical Attention If You Experience:
- Severe nausea or vomiting
- Persistent diarrhea or constipation
- Unusual fatigue or weakness
- Yellowing of skin or eyes
- Severe headache
- Muscle or joint pain
- Changes in urination frequency or volume
Before Using This Medicine
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 use of this medication:
Any allergies you have, including allergies to this drug, its components, or other substances, such as foods or medications. Be sure to describe the symptoms you experienced as a result of the allergy.
Certain types of anemia, including 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 product 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, including prescription and over-the-counter drugs, natural products, and vitamins, with your doctor and pharmacist. They will help you determine if it is safe to take this medication with your existing health conditions and medications. Never start, stop, or adjust the dosage of any medication without consulting your doctor first.
It is essential to inform your doctor about the following conditions to ensure safe use of this medication:
Any allergies you have, including allergies to this drug, its components, or other substances, such as foods or medications. Be sure to describe the symptoms you experienced as a result of the allergy.
Certain types of anemia, including 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 product 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, including prescription and over-the-counter drugs, natural products, and vitamins, with your doctor and pharmacist. They will help you determine if it is safe to take this medication with your existing health conditions and medications. Never start, stop, or adjust the dosage of any medication without consulting your doctor first.
Precautions & Cautions
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 contain soy. Additionally, if you are allergic to tartrazine (FD&C Yellow No. 5), discuss this with your doctor, as some products may contain this ingredient.
When considering administering this medication to a child, it is crucial to consult with the doctor first, as different brands of this drug may be approved for use in children of varying ages.
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 taking this medication to ensure the best outcome for both you and your baby.
If you have a soy allergy, consult with your doctor before taking this medication, as some products contain soy. Additionally, if you are allergic to tartrazine (FD&C Yellow No. 5), discuss this with your doctor, as some products may contain this ingredient.
When considering administering this medication to a child, it is crucial to consult with the doctor first, as different brands of this drug may be approved for use in children of varying ages.
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 taking this medication to ensure the best outcome for both you and your baby.
Overdose Information
Overdose Symptoms:
- Hypervitaminosis A (nausea, vomiting, headache, blurred vision, hair loss, dry skin, liver damage)
- Hypervitaminosis D (nausea, vomiting, weakness, frequent urination, kidney stones, bone pain)
- Excess Iron (stomach pain, vomiting, diarrhea, liver damage, heart problems)
- Excess Vitamin B6 (nerve damage, numbness, tingling)
- Excess Vitamin C (diarrhea, stomach cramps, kidney stones)
What to Do:
Discontinue use immediately. Seek emergency medical attention or call a poison control center (1-800-222-1222). Treatment is supportive and may involve fluid replacement and monitoring of organ function.
Drug Interactions
Major Interactions
- Warfarin + Vitamin K (decreased anticoagulant effect)
- Tetracyclines/Quinolones + Iron/Calcium/Magnesium (decreased antibiotic absorption)
- Levothyroxine + Calcium/Iron (decreased thyroid hormone absorption)
- Retinoids (e.g., isotretinoin) + Vitamin A (increased risk of hypervitaminosis A)
Moderate Interactions
- Diuretics (thiazide, loop) + Calcium/Potassium (altered electrolyte balance)
- Antacids/PPIs/H2 blockers + Vitamin B12 (decreased B12 absorption)
- Cholestyramine/Orlistat + Fat-soluble vitamins (decreased absorption of A, D, E, K)
- Phenytoin/Phenobarbital + Folic Acid/Vitamin D (altered metabolism/absorption)
Minor Interactions
- Alcohol + B vitamins (increased B vitamin excretion)
Monitoring
Baseline Monitoring
Dietary intake assessment
Rationale: To determine if supplementation is truly needed or if dietary changes are sufficient.
Timing: Prior to initiation
Baseline vitamin levels (if deficiency suspected)
Rationale: To confirm deficiency and guide specific supplementation, not typically for general multivitamin use.
Timing: Prior to initiation (if clinically indicated)
Routine Monitoring
Clinical symptoms of deficiency/toxicity
Frequency: Ongoing
Target: Absence of symptoms
Action Threshold: Development of new or worsening symptoms
Symptom Monitoring
- Nausea
- Vomiting
- Diarrhea
- Constipation
- Headache
- Fatigue
- Skin rash
- Yellowing of skin (carotenemia from excess beta-carotene)
- Muscle weakness
- Nerve tingling/numbness (peripheral neuropathy, e.g., from excess B6)
- Bone pain (from excess Vitamin A or D)
- Increased urination (from excess Vitamin C)
Special Patient Groups
Pregnancy
Multivitamins are often recommended during pregnancy, especially those formulated as 'prenatal vitamins' which contain specific amounts of folic acid, iron, and other nutrients crucial for fetal development. However, excessive intake of certain vitamins, particularly Vitamin A (retinol form), can be teratogenic. Consult a healthcare provider for appropriate prenatal supplementation.
Trimester-Specific Risks:
First Trimester:
High doses of Vitamin A (retinol) are teratogenic. Folic acid is crucial to prevent neural tube defects.
Second Trimester:
Generally safe at recommended doses; continued need for iron and calcium.
Third Trimester:
Generally safe at recommended doses; continued need for iron and calcium.
Lactation
Generally considered safe and often beneficial during lactation to ensure adequate nutrient intake for both mother and infant. Specific vitamin needs may be higher during breastfeeding. Consult a healthcare provider.
Infant Risk:
Low risk at recommended doses. Excessively high doses of certain vitamins in the mother could theoretically lead to high levels in breast milk, but this is rare with standard multivitamin use.
Pediatric Use
Multivitamins for children should be age-appropriate and specifically formulated for pediatric use to ensure correct dosing and avoid toxicity. Accidental overdose of iron-containing multivitamins is a leading cause of poisoning in young children.
Geriatric Use
Older adults may have specific nutritional needs, such as increased Vitamin D for bone health and Vitamin B12 due to decreased absorption. Multivitamins can be beneficial, but formulations should be chosen carefully to address specific deficiencies without causing excess.
Clinical Information
Clinical Pearls
- Multivitamins are dietary supplements, not a substitute for a healthy diet. Emphasize whole foods first.
- Advise patients to check the specific vitamin and mineral content of their multivitamin, especially if taking other supplements or medications.
- Warn about the risk of iron poisoning in children; keep iron-containing supplements out of reach.
- Educate patients that 'more is not always better' with vitamins, particularly fat-soluble ones (A, D, E, K) which can accumulate and cause toxicity.
- Patients on anticoagulants (e.g., warfarin) should be cautious with multivitamins containing Vitamin K and maintain consistent intake.
Alternative Therapies
- Dietary modifications to increase nutrient intake
- Individual vitamin/mineral supplements for specific deficiencies (e.g., Vitamin D, Iron, B12)
Cost & Coverage
Average Cost:
$10 - $30 per 30-90 softgels
Generic Available:
Yes
Insurance Coverage:
Often OTC, generally not covered by prescription insurance plans. May be eligible for FSA/HSA.
General Drug Facts
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 medical attention. When seeking help, be prepared to provide details about the medication taken, the amount, and the time it happened.