Mvw D3000 Orange 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/Mineral Supplement
Pharmacologic Class
Multivitamin, Mineral Supplement
Pregnancy Category
Not applicable (Pediatric formulation)
FDA Approved
Jan 1970
DEA Schedule
Not Controlled
Overview
What is this medicine?
This medicine is a chewable tablet that provides essential vitamins and minerals your child needs for healthy growth and development. It helps fill any nutritional gaps in their diet.
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, it's best to give the medication with food. However, some medications have specific requirements regarding food intake. Consult with your pharmacist to determine the best approach for your child's medication.
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. If you're unsure about the specific instructions for your child's medication, discuss it with your pharmacist.
Storing and Disposing of This Medication
To maintain the medication's effectiveness, store it in its original container at room temperature. Keep it in a dry place, away from the bathroom, to prevent moisture exposure. Additionally, protect the medication from heat and light to preserve its potency.
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 to make up for the missed one.
To give this medication to your child, you can administer it with or without food. If your child experiences stomach upset, it's best to give the medication with food. However, some medications have specific requirements regarding food intake. Consult with your pharmacist to determine the best approach for your child's medication.
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. If you're unsure about the specific instructions for your child's medication, discuss it with your pharmacist.
Storing and Disposing of This Medication
To maintain the medication's effectiveness, store it in its original container at room temperature. Keep it in a dry place, away from the bathroom, to prevent moisture exposure. Additionally, protect the medication from heat and light to preserve its potency.
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 to make up for the missed one.
Lifestyle & Tips
- Encourage a balanced diet rich in fruits, vegetables, whole grains, and lean proteins.
- Do not exceed the recommended dose, as too much of certain vitamins and minerals can be harmful.
- Store out of reach of children, as accidental overdose, especially of iron, can be fatal.
- Chew the tablet thoroughly before swallowing.
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 indicated for adult use; refer to adult multivitamin formulations.
Pediatric Dosing
Neonatal:
Not established; generally not recommended unless specifically formulated and prescribed by a physician.
Infant:
Refer to product label for age-appropriate dosing (e.g., 6 months to 2 years: 1 chewable tablet daily, or as directed by physician).
Child:
Refer to product label for age-appropriate dosing (e.g., 2-4 years: 1 chewable tablet daily; 4+ years: 1-2 chewable tablets daily, or as directed by physician).
Adolescent:
Refer to product label for age-appropriate dosing; often similar to older children or specific adolescent formulations.
Dose Adjustments
Renal Impairment:
Mild:
Generally no adjustment needed for standard doses.
Moderate:
Generally no adjustment needed for standard doses; caution with specific minerals (e.g., phosphorus, potassium) if present in high amounts. Consult physician.
Severe:
Use with caution; accumulation of certain fat-soluble vitamins (A, D, E, K) or minerals (e.g., phosphorus, potassium) may occur. Consult physician.
Dialysis:
Specific formulations for dialysis patients may be required to avoid accumulation of certain vitamins/minerals and to supplement others. Consult nephrologist.
Hepatic Impairment:
Mild:
Generally no adjustment needed for standard doses.
Moderate:
Generally no adjustment needed for standard doses; caution with fat-soluble vitamins (A, D, E, K) in severe cholestasis. Consult physician.
Severe:
Use with caution; impaired absorption of fat-soluble vitamins may occur, requiring supplementation, while impaired metabolism/excretion may lead to accumulation of others. Consult physician.
Pharmacology
Mechanism of Action
Multivitamins provide essential vitamins and minerals that act as coenzymes, cofactors, antioxidants, and structural components necessary for various metabolic processes, growth, development, and maintenance of normal physiological functions. They help prevent and treat vitamin and mineral deficiencies.
Pharmacokinetics
Absorption:
Bioavailability:
Variable (depends on specific vitamin/mineral, formulation, and presence of food). Water-soluble vitamins (B, C) are generally well-absorbed but not stored. Fat-soluble vitamins (A, D, E, K) require dietary fat for absorption and are stored in the body. Minerals vary in absorption rates.
Tmax:
Variable (typically 1-4 hours for most water-soluble vitamins; longer for fat-soluble vitamins).
FoodEffect:
Absorption of fat-soluble vitamins is enhanced by food, especially fatty meals. Some minerals (e.g., iron) are better absorbed on an empty stomach but may cause GI upset; absorption can be affected by other dietary components (e.g., vitamin C enhances iron absorption, calcium inhibits iron absorption).
Distribution:
Vd:
Variable (water-soluble vitamins distribute into total body water; fat-soluble vitamins distribute into adipose tissue and liver).
ProteinBinding:
Variable (e.g., Vitamin D metabolites are highly protein-bound; Vitamin B12 binds to intrinsic factor and transcobalamins).
CnssPenetration:
Limited for most vitamins/minerals at physiological concentrations; specific transporters exist for some (e.g., thiamine, folate).
Elimination:
HalfLife:
Variable (minutes to days for water-soluble vitamins; weeks to months for fat-soluble vitamins).
Clearance:
Variable (renal for water-soluble vitamins; biliary/fecal for fat-soluble vitamins and some minerals).
ExcretionRoute:
Renal (water-soluble vitamins, some minerals), Biliary/Fecal (fat-soluble vitamins, some minerals).
Unchanged:
Variable (significant for water-soluble vitamins; less for fat-soluble vitamins).
Pharmacodynamics
OnsetOfAction:
Not acutely defined for nutritional supplementation; benefits accrue over time with consistent use.
PeakEffect:
Not acutely defined.
DurationOfAction:
Not acutely defined; ongoing supplementation is required to maintain adequate levels.
Safety & Warnings
Side Effects
Urgent Side Effects: Seek Medical Help Right Away
Although 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
All medications can cause side effects, but many people experience none or only mild symptoms. If your child experiences any of the following side effects or any other unusual symptoms that bother them or persist, contact their doctor or seek medical help:
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.
Although 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
All medications can cause side effects, but many people experience none or only mild symptoms. If your child experiences any of the following side effects or any other unusual symptoms that bother them or persist, contact their doctor or seek medical help:
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:
- Severe stomach pain
- Persistent nausea or vomiting
- Diarrhea or constipation that doesn't resolve
- Unusual fatigue or weakness
- Yellowing of skin or eyes
- Changes in urination (e.g., increased frequency, dark urine)
- Bone or joint pain
- Headache or dizziness
- Any signs of allergic reaction (rash, itching, swelling, severe dizziness, trouble breathing)
Before Using This Medicine
Before Giving This Medication to Your Child: Inform Your Doctor About the Following:
Any allergies your child has, including:
+ An allergy to this medication or any of its components, such as polysorbate 80
+ An allergy to any other medications, foods, or substances, including polyethylene glycol
+ The symptoms your child experienced due to the allergy
If the product contains iron:
+ If your child has an excess of iron in their body
This is not an exhaustive list of all potential interactions with this medication. It is essential to discuss the following with your doctor and pharmacist:
+ All prescription and over-the-counter medications your child is taking
+ Any natural products or vitamins your child is using
+ Any health problems your child has
To ensure safe use, verify that it is safe to administer this medication with all of your child's other medications and health conditions. Do not initiate, discontinue, or modify the dosage of any medication your child is taking without first consulting your doctor.
Any allergies your child has, including:
+ An allergy to this medication or any of its components, such as polysorbate 80
+ An allergy to any other medications, foods, or substances, including polyethylene glycol
+ The symptoms your child experienced due to the allergy
If the product contains iron:
+ If your child has an excess of iron in their body
This is not an exhaustive list of all potential interactions with this medication. It is essential to discuss the following with your doctor and pharmacist:
+ All prescription and over-the-counter medications your child is taking
+ Any natural products or vitamins your child is using
+ Any health problems your child has
To ensure safe use, verify that it is safe to administer this medication with all of your child's other medications and health conditions. Do not initiate, discontinue, or modify the dosage of any medication your child is taking without first consulting 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 this medication. Always follow the dosage instructions provided by your child's healthcare provider. If you are unsure about the correct dose or have questions, consult with the doctor before administering the medication to your child.
Lab Tests and Interactions
This medication may affect the results of certain laboratory tests. Be sure to inform all of your child's healthcare providers and laboratory personnel that your child is taking this medication.
Age-Specific Considerations
The dosage of this medication may vary depending on your child's age. If you are unsure about the correct dose for your child, consult with their healthcare provider. Additionally, some brands of this medication may not be suitable for children under the age of 4 due to an increased risk of choking. If you are considering giving this medication to a child under 4, discuss the potential risks and benefits with their healthcare provider.
Pregnancy and Breastfeeding
If your child is pregnant, becomes pregnant, or is breastfeeding, it is crucial to discuss the potential benefits and risks of this medication with their healthcare provider. This will help you make an informed decision about the best course of treatment for 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 this medication. Always follow the dosage instructions provided by your child's healthcare provider. If you are unsure about the correct dose or have questions, consult with the doctor before administering the medication to your child.
Lab Tests and Interactions
This medication may affect the results of certain laboratory tests. Be sure to inform all of your child's healthcare providers and laboratory personnel that your child is taking this medication.
Age-Specific Considerations
The dosage of this medication may vary depending on your child's age. If you are unsure about the correct dose for your child, consult with their healthcare provider. Additionally, some brands of this medication may not be suitable for children under the age of 4 due to an increased risk of choking. If you are considering giving this medication to a child under 4, discuss the potential risks and benefits with their healthcare provider.
Pregnancy and Breastfeeding
If your child is pregnant, becomes pregnant, or is breastfeeding, it is crucial to discuss the potential benefits and risks of this medication with their healthcare provider. This will help you make an informed decision about the best course of treatment for your child and the baby.
Overdose Information
Overdose Symptoms:
- Severe nausea and vomiting
- Diarrhea
- Abdominal pain
- Drowsiness or lethargy
- Irritability
- Headache
- Dizziness
- Muscle weakness
- Bone pain
- Increased thirst or urination
- Yellowing of skin (especially palms/soles) or eyes
- In severe cases (especially iron overdose): shock, metabolic acidosis, liver damage, coma, death.
What to Do:
In case of suspected overdose, immediately contact a poison control center (1-800-222-1222) or seek emergency medical attention. Bring the product container with you.
Drug Interactions
Major Interactions
- Warfarin + Vitamin K (high doses): Vitamin K can antagonize the anticoagulant effect of warfarin, increasing risk of thrombosis.
- Tetracyclines/Quinolones + Calcium/Iron/Magnesium/Zinc: Reduced absorption of antibiotics due to chelation. Separate administration by at least 2-4 hours.
Moderate Interactions
- Levothyroxine + Calcium/Iron: Reduced absorption of levothyroxine. Separate administration by at least 4 hours.
- Bisphosphonates + Calcium/Iron/Magnesium: Reduced absorption of bisphosphonates. Separate administration by at least 30-60 minutes.
- Diuretics (Thiazide) + Calcium: Increased risk of hypercalcemia.
- Diuretics (Loop) + Thiamine: Increased urinary excretion of thiamine.
- Anticonvulsants (e.g., Phenytoin, Carbamazepine) + Folic Acid/Vitamin D: May increase metabolism of folic acid and vitamin D, potentially leading to deficiency.
- Cholestyramine/Orlistat + Fat-soluble vitamins (A, D, E, K): Reduced absorption of fat-soluble vitamins.
- Vitamin C (high doses) + Iron: Enhances iron absorption, which can be problematic in conditions like hemochromatosis.
Minor Interactions
- Fiber + Minerals: May slightly reduce mineral absorption.
- Caffeine + Calcium: May slightly increase calcium excretion.
Monitoring
Baseline Monitoring
Dietary intake assessment
Rationale: To identify potential dietary gaps or excesses that multivitamin supplementation aims to address.
Timing: Prior to initiation of supplementation.
Growth parameters (height, weight, BMI)
Rationale: To assess overall nutritional status and development in children.
Timing: Routine pediatric check-ups.
Routine Monitoring
Clinical signs of deficiency or toxicity
Frequency: Ongoing, at each pediatric visit.
Target: Absence of signs/symptoms.
Action Threshold: Presence of new or worsening symptoms warrants further investigation and potential dose adjustment or discontinuation.
Dietary intake reassessment
Frequency: Annually or as needed.
Target: Balanced diet with adequate nutrient intake.
Action Threshold: Persistent poor dietary habits may require counseling or adjustment of supplementation.
Symptom Monitoring
- Nausea
- Vomiting
- Diarrhea
- Constipation
- Abdominal pain
- Headache
- Fatigue
- Irritability
- Skin rash
- Yellowing of skin/eyes (hypercarotenemia from excess Vitamin A)
- Bone pain (excess Vitamin D)
- Muscle weakness
- Changes in urination (excess Vitamin C, D)
Special Patient Groups
Pregnancy
Not applicable for this pediatric formulation. 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
Lactation
Not applicable for this pediatric formulation. Lactating individuals should use 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. Accidental overdose, particularly of iron-containing multivitamins, is a leading cause of poisoning in young children and requires immediate medical attention.
Geriatric Use
Not applicable for this pediatric formulation. Geriatric patients have different nutritional needs and may require specific adult or senior multivitamin formulations.
Clinical Information
Clinical Pearls
- Pediatric multivitamins are generally intended to supplement, not replace, a balanced diet. Emphasize healthy eating habits.
- Chewable tablets should be chewed thoroughly to ensure proper absorption and prevent choking hazards, especially in younger children.
- Educate parents on the importance of child-resistant caps and storing multivitamins out of reach and sight of children due to the risk of accidental overdose, particularly with iron.
- The need for routine multivitamin supplementation in healthy, well-nourished children is debated; it is often recommended for picky eaters, children with chronic diseases, or those on restrictive diets.
- Be aware of the specific vitamin and mineral content of the product, as formulations vary widely. Some may contain higher doses of certain nutrients (e.g., Vitamin D in 'D3000' implies 3000 IU, which is higher than typical daily recommendations for young children and should be used with caution or under medical guidance).
Alternative Therapies
- Dietary counseling to improve nutrient intake from food sources
- Targeted single vitamin/mineral supplements for specific deficiencies (e.g., Vitamin D drops, Iron supplements)
Cost & Coverage
Average Cost:
$5 - $25 per 60-120 tablets
Generic Available:
Yes
Insurance Coverage:
Often not covered by insurance as it's an over-the-counter dietary supplement; may be eligible for FSA/HSA.
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 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.