Mvw D3000 Complete Chewables

Manufacturer MVW Active Ingredient Multivitamin Chewables (Pediatric) Pronunciation MUL-tee-VYE-tuh-min
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.
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Drug Class
Nutritional Supplement, Vitamin/Mineral
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Pharmacologic Class
Multivitamin/Multimineral Supplement
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Pregnancy Category
Not applicable (Pediatric product)
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FDA Approved
Jan 1970
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DEA Schedule
Not Controlled

Overview

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What is this medicine?

Mvw D3000 Complete Chewables are a type of multivitamin specifically made for children. They contain a mix of essential vitamins and minerals that help your child grow, develop, and stay healthy. These nutrients are important for strong bones, good vision, a healthy immune system, and proper brain function. They are meant to supplement a balanced diet, not replace it.
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How to Use This Medicine

Taking This Medication

To give this medication to your child, you can administer it with or without food. If your child experiences stomach upset, giving the medication with food may help alleviate this issue. However, it's essential to check with your pharmacist to determine the best approach for your child's specific medication, as some medications require administration with food or on an empty stomach.

When giving this medication, make sure your child chews it well before swallowing. Some brands of this medication can be swallowed whole or dissolved in the mouth, so it's crucial to consult with your pharmacist if you have any questions or concerns.

Storing and Disposing of This Medication

To maintain the medication's potency, store it in its original container at room temperature. Keep the container in a dry place, away from the bathroom, to prevent moisture exposure. Additionally, protect the medication from heat and light to ensure its effectiveness.

Missing a Dose

If you miss a dose, administer it as soon as you remember. However, if it's close to the time for your child's next scheduled dose, skip the missed dose and resume the regular dosing schedule. Do not give your child two doses at the same time or extra doses, as this can increase the risk of adverse effects.
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Lifestyle & Tips

  • Encourage a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Multivitamins are supplements, not substitutes for healthy eating.
  • Store in a cool, dry place, out of reach of children, to prevent accidental overdose.
  • Follow the recommended dosage on the label; do not exceed it without consulting a healthcare professional.

Dosing & Administration

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Adult Dosing

Standard Dose: Not applicable (Pediatric product)
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Pediatric Dosing

Neonatal: Not recommended (Chewables typically for older children)
Infant: Not recommended (Chewables typically for older children)
Child: Typically 1 chewable tablet daily, or as directed by a healthcare professional. Dosing varies by specific product formulation and age group (e.g., 2-3 years, 4+ years).
Adolescent: Typically 1 chewable tablet daily, or as directed by a healthcare professional.
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Dose Adjustments

Renal Impairment:

Mild: Not typically adjusted for standard doses; consult physician for severe impairment or specific deficiencies.
Moderate: Not typically adjusted for standard doses; consult physician for severe impairment or specific deficiencies.
Severe: Not typically adjusted for standard doses; consult physician for severe impairment or specific deficiencies.
Dialysis: Not typically adjusted for standard doses; consult physician for severe impairment or specific deficiencies.

Hepatic Impairment:

Mild: Not typically adjusted for standard doses.
Moderate: Not typically adjusted for standard doses.
Severe: Not typically adjusted for standard doses.

Pharmacology

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Mechanism of Action

Multivitamins provide essential vitamins and minerals that act as coenzymes, cofactors, and structural components in various metabolic pathways, cellular functions, and physiological processes necessary for growth, development, and overall health. They help prevent and correct nutritional deficiencies.
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Pharmacokinetics

Absorption:

Bioavailability: Variable (depends on specific vitamin/mineral, formulation, and presence of food)
Tmax: Variable (hours, depends on specific vitamin/mineral)
FoodEffect: Absorption of fat-soluble vitamins (A, D, E, K) is enhanced by dietary fat. Some minerals (e.g., iron) may be better absorbed on an empty stomach but often taken with food to reduce GI upset.

Distribution:

Vd: Variable (depends on specific vitamin/mineral)
ProteinBinding: Variable (e.g., Vitamin D binds to DBP, Vitamin B12 to transcobalamins)
CnssPenetration: Limited for most, but some vitamins (e.g., B vitamins) are essential for neurological function and cross the blood-brain barrier.

Elimination:

HalfLife: Variable (hours to days, depends on specific vitamin/mineral)
Clearance: Variable
ExcretionRoute: Renal (water-soluble vitamins), Biliary/Fecal (some fat-soluble vitamins and metabolites)
Unchanged: Variable (e.g., excess water-soluble vitamins are largely excreted unchanged)
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Pharmacodynamics

OnsetOfAction: Gradual, cumulative effect (not an acute pharmacological effect)
PeakEffect: Not acutely defined; reflects sustained nutritional support
DurationOfAction: Continuous with regular daily intake
Confidence: Medium

Safety & Warnings

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Side Effects

Urgent Side Effects: Seek Medical Attention Immediately

Although rare, some individuals 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 medical help right away:

Allergic reaction symptoms, 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

As with all medications, side effects can occur. However, many individuals do not experience side effects or only have mild ones. If your child experiences any of the following side effects or any other symptoms that concern you or do not resolve, contact their doctor or seek medical help:

All products:
+ Upset stomach
+ Vomiting
If your product contains iron:
+ Diarrhea or constipation
+ Green-colored stool
+ Stomach pain

This list is not exhaustive, and you may experience other side effects. If you have questions or concerns about side effects, consult your child's doctor for medical advice.
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Seek Immediate Medical Attention If You Experience:

  • Severe stomach upset (nausea, vomiting, diarrhea)
  • Headache or dizziness
  • Unusual fatigue or weakness
  • Yellowing of skin or eyes (jaundice)
  • Dark urine or pale stools
  • Signs of allergic reaction (rash, itching, swelling, severe dizziness, trouble breathing)
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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 is not an exhaustive list of all potential interactions with this medication. Therefore, it is crucial to discuss the following with your doctor and pharmacist:

All medications your child is taking, including prescription and over-the-counter drugs, natural products, and vitamins.
Any health problems your child may have.

To ensure safe treatment, always verify with your doctor that it is safe to give this medication with all of 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.
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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 instructed 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.

Interactions with Lab Tests

This medication may interfere with certain laboratory tests. Therefore, it is vital to inform all healthcare providers and lab personnel that your child is taking this drug to ensure accurate test results.

Age-Specific Considerations

Different brands of this medication may be suitable for children of various ages. Before giving this medication to a child, consult with the doctor to determine the appropriate brand and dosage. Additionally, some brands may not be recommended for children under 4 years of age due to an increased risk of choking. If you are unsure about the suitability of this medication for your child, discuss your concerns with the doctor.

Pregnancy and Breastfeeding

If your child is pregnant, becomes pregnant, or is breastfeeding, it is essential to consult with the doctor to discuss the potential benefits and risks of this medication to both your child and the baby. This will help you make an informed decision about your child's treatment.
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Overdose Information

Overdose Symptoms:

  • Nausea, vomiting, diarrhea, abdominal pain
  • Headache, dizziness, irritability
  • Fatigue, weakness
  • Hypervitaminosis A (e.g., dry skin, hair loss, liver damage - chronic high doses)
  • Hypervitaminosis D (e.g., hypercalcemia, kidney stones, nausea, vomiting - chronic high doses)
  • Iron toxicity (especially dangerous in children: severe GI upset, lethargy, shock, liver failure, coma)

What to Do:

Immediately call a poison control center (1-800-222-1222) or seek emergency medical attention. Bring the product container with you.

Drug Interactions

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Major Interactions

  • Warfarin (Coumadin) with Vitamin K: Vitamin K can reduce the anticoagulant effect of warfarin.
  • Tetracycline antibiotics (e.g., doxycycline, minocycline) with Iron/Calcium/Magnesium: These minerals can chelate tetracyclines, reducing their absorption.
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Moderate Interactions

  • Levothyroxine (Synthroid) with Calcium/Iron: Calcium and iron can impair levothyroxine absorption; separate administration by at least 4 hours.
  • Bisphosphonates (e.g., alendronate) with Calcium/Iron/Magnesium: Minerals can reduce bisphosphonate absorption; separate administration by at least 30 minutes to 2 hours.
  • Quinolone antibiotics (e.g., ciprofloxacin) with Iron/Calcium/Magnesium: Minerals can chelate quinolones, reducing their absorption.
  • Diuretics (e.g., thiazides, loop diuretics) with certain minerals: May affect excretion of potassium, magnesium, calcium.
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Minor Interactions

  • Antacids with Iron: May reduce iron absorption.
  • Cholestyramine (Questran) with Fat-soluble vitamins: May impair absorption of vitamins A, D, E, K.

Monitoring

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Baseline Monitoring

Dietary intake assessment

Rationale: To determine if supplementation is truly needed or if dietary changes are sufficient.

Timing: Prior to initiating supplementation, especially if concerns about deficiency exist.

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Routine Monitoring

Growth and development (for children)

Frequency: Regular pediatric check-ups

Target: Age-appropriate growth curves

Action Threshold: Significant deviations from growth curves or developmental milestones may warrant further investigation.

Symptoms of deficiency or toxicity

Frequency: Ongoing observation by parents/caregivers

Target: Absence of symptoms

Action Threshold: Appearance of symptoms like fatigue, skin changes, neurological issues, or gastrointestinal upset.

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Symptom Monitoring

  • Gastrointestinal upset (nausea, vomiting, diarrhea, constipation)
  • Headache
  • Fatigue
  • Skin rash or itching
  • Changes in urine color (e.g., bright yellow from B vitamins)
  • Signs of hypervitaminosis (e.g., hypercalcemia from excess Vitamin D, liver issues from excess Vitamin A - rare with standard doses)

Special Patient Groups

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Pregnancy

Not applicable (Pediatric product). Pregnant individuals should use prenatal vitamins specifically formulated for pregnancy.

Trimester-Specific Risks:

First Trimester: Not applicable
Second Trimester: Not applicable
Third Trimester: Not applicable
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Lactation

Not applicable (Pediatric product). Lactating individuals should use postnatal or general adult multivitamins as advised by a healthcare professional.

Infant Risk: Not applicable
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Pediatric Use

This product is specifically formulated for pediatric use. Ensure age-appropriate dosing as indicated on the product label. Chewables are generally suitable for children who can safely chew and swallow without choking risk (typically ages 2-4 and older). For younger children, liquid drops or dissolvable forms may be more appropriate.

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Geriatric Use

Not applicable (Pediatric product). Geriatric patients have different nutritional needs and may require specific adult or senior multivitamin formulations.

Clinical Information

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Clinical Pearls

  • Multivitamins are intended to supplement, not replace, a healthy and balanced diet. Emphasize dietary sources of nutrients first.
  • For children, chewable forms are convenient but ensure the child can chew safely to prevent choking hazards.
  • Educate parents on the importance of storing all vitamins, especially those containing iron, out of reach of children due to the risk of accidental overdose.
  • Consider individual nutritional needs; some children may benefit from specific single-nutrient supplements (e.g., Vitamin D, Iron) rather than a broad multivitamin.
  • Always check the specific formulation of the multivitamin, as nutrient content can vary significantly between brands and products.
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Alternative Therapies

  • Dietary modifications to increase nutrient intake
  • Single vitamin/mineral supplements for specific deficiencies (e.g., Vitamin D, Iron, B12)
  • Fortified foods (e.g., cereals, milk)
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Cost & Coverage

Average Cost: $5 - $30 per 60-120 chewables
Generic Available: Yes
Insurance Coverage: Often Over-The-Counter (OTC) and not covered by insurance. Some Flexible Spending Accounts (FSAs) or Health Savings Accounts (HSAs) may cover them.
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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 emergency medical attention. When reporting the incident, be prepared to provide details about the medication taken, the quantity, and the time it occurred.