Mvw D3000 Softgels
Overview
What is this medicine?
How to Use This Medicine
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 device to measure your dose accurately.
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 your 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 dose, skip the missed dose and resume your regular dosing schedule.
* Do not take two doses at the same time or take extra doses.
Lifestyle & Tips
- Take with food, especially a meal containing some fat, to enhance the absorption of fat-soluble vitamins (A, D, E, K).
- Do not exceed the recommended dose unless specifically advised by your healthcare provider.
- Maintain a balanced diet rich in fruits, vegetables, and whole grains.
- Regular exercise and adequate sleep contribute to overall health.
- Inform your healthcare provider about all supplements and medications you are taking.
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
Condition-Specific Dosing:
Pediatric Dosing
Dose Adjustments
Renal Impairment:
Hepatic Impairment:
Pharmacology
Mechanism of Action
Pharmacokinetics
Absorption:
Distribution:
Elimination:
Pharmacodynamics
Safety & Warnings
Side Effects
Although rare, some individuals may experience severe and potentially life-threatening side effects while taking this medication. If you exhibit any of the following symptoms, contact your doctor or seek medical help right away:
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. 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 persist, contact your doctor for guidance:
Common to all products:
+ Upset stomach or vomiting
If your product contains iron:
+ Diarrhea or constipation
+ Change in stool color to green
+ Stomach pain
Important Note
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.
Seek Immediate Medical Attention If You Experience:
- Severe nausea or vomiting
- Persistent constipation or diarrhea
- Unusual fatigue or weakness
- Increased thirst or urination
- Bone or muscle pain
- Headache or dizziness
- Skin rash or itching
- Any signs of allergic reaction (e.g., swelling of face/throat, difficulty breathing)
Before Using This Medicine
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, and describe the symptoms you experienced.
Certain types of anemia, such as pernicious anemia, where the body lacks sufficient vitamin B12.
If you are taking levodopa or mineral oil.
If your product contains iron and you have:
+ Excessive iron levels in your body.
+ Hemolytic anemia.
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 determine if it is safe to take this medication with your other drugs and health problems. Never start, stop, or adjust the dosage of any medication without consulting your doctor first.
Precautions & Cautions
If you have a soy allergy, consult with your doctor before taking this medication, as some products may contain soy. Similarly, 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 it comes to administering this medication to children, it is important to note that different brands may be suitable for different age groups. Before giving this drug to a child, consult with your doctor to ensure you are using the appropriate brand and dosage.
If you are pregnant, planning to become pregnant, or are breastfeeding, it is crucial to discuss the potential benefits and risks of this medication with your doctor. This will help you make an informed decision about taking the medication, considering the potential effects on you and your baby.
Overdose Information
Overdose Symptoms:
- Hypercalcemia (due to excessive Vitamin D): Nausea, vomiting, constipation, loss of appetite, increased thirst, increased urination, muscle weakness, bone pain, confusion, kidney stones, kidney damage.
- Hypervitaminosis A: Dry skin, cracked lips, hair loss, headache, blurred vision, liver damage.
- Hypervitaminosis B6: Nerve damage (neuropathy), numbness, tingling.
- Hypervitaminosis C: Diarrhea, abdominal cramps, kidney stones (rare).
What to Do:
Discontinue use immediately. Seek emergency medical attention or call Poison Control at 1-800-222-1222. Treatment is supportive and may involve hydration and measures to reduce calcium levels if hypercalcemia is present.
Drug Interactions
Contraindicated Interactions
- Not applicable for general multi-vitamins, but specific high-dose vitamins may be contraindicated in certain conditions (e.g., Vitamin K in patients with clotting disorders not on warfarin).
Major Interactions
- Warfarin (Coumadin) + Vitamin K: Vitamin K can reduce the anticoagulant effect of warfarin.
- Anticonvulsants (e.g., phenytoin, phenobarbital) + Vitamin D: May increase Vitamin D metabolism, leading to deficiency.
- Orlistat (Xenical, Alli) + Fat-soluble vitamins (A, D, E, K): Orlistat reduces fat absorption, potentially leading to deficiency of fat-soluble vitamins.
- Tetracyclines/Quinolones + Calcium/Iron/Magnesium (often in multi-vitamins): Reduced absorption of antibiotics due to chelation.
Moderate Interactions
- Thiazide diuretics + Calcium/Vitamin D: May increase risk of hypercalcemia.
- Cholestyramine/Colestipol + Fat-soluble vitamins: May reduce absorption of fat-soluble vitamins.
- Mineral oil + Fat-soluble vitamins: May reduce absorption of fat-soluble vitamins.
- Antiplatelet/Anticoagulant drugs + High-dose Vitamin E: May increase risk of bleeding.
- Proton Pump Inhibitors (PPIs) + Vitamin B12: Long-term PPI use may impair B12 absorption.
- Metformin + Vitamin B12: May impair B12 absorption.
Minor Interactions
- Alcohol + B vitamins: Chronic alcohol consumption can deplete B vitamins.
Monitoring
Baseline Monitoring
Rationale: To identify potential dietary gaps and determine the need for supplementation.
Timing: Prior to initiation of supplementation.
Rationale: If specific deficiencies are suspected or to establish baseline for high-dose supplementation.
Timing: Prior to initiation, especially for high-dose Vitamin D (3000 IU).
Routine Monitoring
Frequency: Ongoing, patient self-monitoring.
Target: Absence of symptoms.
Action Threshold: Report any new or worsening symptoms to healthcare provider.
Frequency: Every 3-6 months initially, then annually, or as clinically indicated.
Target: 30-100 ng/mL (75-250 nmol/L).
Action Threshold: Levels below 30 ng/mL may indicate insufficient dosing; levels above 100 ng/mL may indicate excessive dosing and risk of toxicity.
Frequency: Annually or as clinically indicated, especially if high doses are used or renal impairment is present.
Target: Calcium: 8.5-10.2 mg/dL; Phosphorus: 2.5-4.5 mg/dL.
Action Threshold: Elevated calcium or phosphorus may indicate Vitamin D toxicity.
Symptom Monitoring
- Fatigue
- Weakness
- Nausea
- Vomiting
- Constipation
- Diarrhea
- Headache
- Dizziness
- Muscle pain
- Bone pain
- Increased thirst
- Increased urination
- Loss of appetite
- Skin rash
- Itching
- Yellowing of skin/eyes (jaundice)
- Numbness or tingling (paresthesias)
- Changes in vision
- Unusual bleeding or bruising
Special Patient Groups
Pregnancy
Consult a healthcare provider before use. While essential vitamins are crucial during pregnancy, excessive intake of certain vitamins (e.g., Vitamin A in high doses) can be harmful. A prenatal vitamin specifically formulated for pregnancy is generally recommended.
Trimester-Specific Risks:
Lactation
Consult a healthcare provider before use. Vitamins are excreted in breast milk. While essential for infant health, excessive intake of certain vitamins by the mother could potentially lead to high levels in breast milk. A postnatal or general multi-vitamin at recommended doses is usually safe.
Pediatric Use
Not typically recommended for children without specific guidance from a pediatrician. Dosing and specific vitamin needs vary significantly by age and weight. Pediatric-specific multi-vitamins are available.
Geriatric Use
Generally safe and potentially beneficial, as older adults may have reduced absorption or increased needs for certain vitamins (e.g., Vitamin D, B12). However, monitor for potential interactions with multiple medications and pre-existing conditions. High-dose Vitamin D (3000 IU) is often appropriate for older adults to maintain bone health.
Clinical Information
Clinical Pearls
- Mvw D3000 Softgels is a dietary supplement, not a prescription drug. Its efficacy and safety are not evaluated by the FDA to the same extent as pharmaceuticals.
- The 'D3000' in the name likely indicates 3000 IU of Vitamin D3, which is a higher dose than typically found in standard multi-vitamins and may be beneficial for individuals with Vitamin D deficiency or at risk of deficiency (e.g., limited sun exposure, older adults).
- Always take multi-vitamins with food to improve absorption, especially for fat-soluble vitamins.
- Educate patients that supplements are not a substitute for a healthy, balanced diet.
- Advise patients to disclose all supplements they are taking to their healthcare providers to avoid potential drug-nutrient interactions or excessive intake of certain vitamins.
- Symptoms of hypervitaminosis (vitamin toxicity) can be subtle and mimic other conditions; encourage patients to report any unusual symptoms.
Alternative Therapies
- Dietary modifications to increase vitamin intake from food sources.
- Individual vitamin supplements for specific deficiencies (e.g., Vitamin D alone, B-complex, Vitamin C).
- Sun exposure for Vitamin D synthesis (with appropriate sun protection).