Mvw D5000 Complete Chewables

Manufacturer MVW Active Ingredient Multivitamin Chewables (Pediatric) Pronunciation MUL-tee-VYE-tuh-min CHEW-uh-buhls
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
Dietary Supplement; Vitamin/Mineral Supplement
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Pharmacologic Class
Multivitamin; Nutritional Supplement
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Pregnancy Category
Not applicable (Generally considered safe when used as directed, but specific formulation for pediatric use)
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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?

Multivitamin chewables are dietary supplements that provide a combination of essential vitamins and minerals your child needs for healthy growth and development. They help fill nutritional gaps that might occur if your child doesn't get enough nutrients from their diet alone.
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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, 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, consult 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 the container 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, as this can increase the risk of adverse effects.
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Lifestyle & Tips

  • Multivitamins are supplements, not substitutes for a balanced diet. Encourage your child to eat a variety of fruits, vegetables, whole grains, and lean proteins.
  • Store chewables safely out of reach of children to prevent accidental overdose, especially those containing iron.
  • Follow the recommended dosage on the product label or as advised by your healthcare provider. More is not always better and can be harmful.
  • Chew the tablet thoroughly before swallowing to ensure proper absorption and prevent choking.

Dosing & Administration

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Adult Dosing

Standard Dose: Not recommended for adult primary use; specific pediatric formulation
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Pediatric Dosing

Neonatal: Not established (Consult pediatrician; specific infant drops usually preferred)
Infant: Not established (Consult pediatrician; specific infant drops usually preferred)
Child: Typically 1 chewable tablet daily, or as directed by a healthcare professional. Dosing varies based on age and specific product formulation (e.g., Vitamin D content). Always follow product label.
Adolescent: Typically 1 chewable tablet daily, or as directed by a healthcare professional. Dosing varies based on age and specific product formulation. Always follow product label.
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Dose Adjustments

Renal Impairment:

Mild: Generally no adjustment needed for standard doses; caution with high doses of fat-soluble vitamins or minerals like phosphorus/potassium if present.
Moderate: Generally no adjustment needed for standard doses; caution with high doses of fat-soluble vitamins or minerals like phosphorus/potassium if present. Consult physician.
Severe: Use with caution; high doses of certain vitamins (e.g., Vitamin A, D) and minerals (e.g., potassium, phosphorus) may accumulate. Consult nephrologist.
Dialysis: Specific vitamin/mineral supplementation may be required, but standard multivitamins may not be appropriate due to specific needs and potential for accumulation. Consult nephrologist.

Hepatic Impairment:

Mild: Generally no adjustment needed for standard doses.
Moderate: Generally no adjustment needed for standard doses; caution with high doses of fat-soluble vitamins (A, D, E, K) due to impaired absorption or metabolism. Consult physician.
Severe: Use with caution; impaired absorption of fat-soluble vitamins may occur, but also potential for accumulation of certain vitamins (e.g., Vitamin A). Consult hepatologist.

Pharmacology

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Mechanism of Action

Multivitamins provide essential vitamins and minerals that are crucial cofactors for numerous metabolic processes, enzyme functions, cellular growth, and overall physiological health. They help prevent and correct nutritional deficiencies, supporting immune function, bone health, energy metabolism, and neurological development.
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Pharmacokinetics

Absorption:

Bioavailability: Varies widely by vitamin/mineral type, chemical form, presence of other dietary components, and individual absorption capacity. Generally, water-soluble vitamins are readily absorbed, while fat-soluble vitamins require dietary fat for absorption.
Tmax: Not applicable for a multivitamin combination; individual vitamins/minerals have varying Tmax (e.g., Vitamin C ~2-3 hours, Vitamin D ~10-24 hours).
FoodEffect: Absorption of fat-soluble vitamins (A, D, E, K) is enhanced by dietary fat. Some minerals (e.g., iron) are better absorbed with Vitamin C. Some components (e.g., calcium, iron) may compete for absorption or be affected by phytates/oxalates.

Distribution:

Vd: Varies widely by vitamin/mineral. Water-soluble vitamins distribute into body water. Fat-soluble vitamins are stored in adipose tissue and liver. Minerals distribute to various tissues (e.g., calcium in bone, iron in hemoglobin).
ProteinBinding: Varies; some vitamins (e.g., Vitamin D, A) are highly protein-bound (e.g., to albumin, specific binding proteins). Water-soluble vitamins are generally not highly protein-bound.
CnssPenetration: Limited for most vitamins/minerals, though some (e.g., B vitamins) are essential for neurological function and cross the blood-brain barrier to varying degrees.

Elimination:

HalfLife: Varies widely (e.g., Vitamin C ~2 hours, Vitamin D ~15-30 days, Vitamin B12 ~6 days).
Clearance: Varies widely; primarily renal for water-soluble vitamins, biliary/fecal for some fat-soluble vitamins and minerals.
ExcretionRoute: Primarily renal for water-soluble vitamins; fecal/biliary for fat-soluble vitamins and some minerals.
Unchanged: Varies; significant portions of water-soluble vitamins may be excreted unchanged if intake exceeds needs.
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Pharmacodynamics

OnsetOfAction: Chronic supplementation; effects are gradual and cumulative, not acute. Correction of deficiency may take weeks to months.
PeakEffect: Not applicable for chronic nutritional supplementation.
DurationOfAction: Effects persist as long as adequate intake is maintained; body stores vary for different vitamins/minerals.

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 while taking this medication. If your child exhibits any of the following symptoms, contact their 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

As with all medications, side effects can occur. However, many individuals do not experience any side effects or only have mild ones. If your child experiences any of the following side effects or any other symptoms that bother them or do not resolve, 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.
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Seek Immediate Medical Attention If You Experience:

  • Signs of overdose: severe nausea, vomiting, diarrhea, abdominal pain, headache, dizziness, blurred vision, unusual fatigue, muscle weakness, joint pain, hair loss, skin peeling, yellowing of skin or eyes.
  • Signs of allergic reaction: rash, itching, swelling (especially of face/tongue/throat), 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 use, verify that it is safe to administer this medication with all of your child's other medications and health conditions. Never start, stop, or change the dosage 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 for this medication. Giving more than the prescribed amount or administering it more often than directed can be harmful. If you are unsure about the correct dose or have questions, consult with your child's doctor.

Interactions with Lab Tests

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 to ensure accurate test results.

Age-Related 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 doctor. Additionally, some brands of this medication may not be suitable for children under the age of 4 due to the risk of choking. If you are considering giving this medication to a child under 4, discuss the potential risks and benefits with their doctor.

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 doctor. This will help you make an informed decision about the best course of treatment for your child and the baby.
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Overdose Information

Overdose Symptoms:

  • Acute overdose (especially with iron-containing products): severe gastrointestinal distress (nausea, vomiting, diarrhea, abdominal pain), lethargy, pallor, shock, metabolic acidosis, liver damage.
  • Chronic overdose (hypervitaminosis): specific symptoms depend on the vitamin/mineral (e.g., hypervitaminosis A: dry skin, hair loss, liver damage; hypervitaminosis D: hypercalcemia, kidney stones, nausea, vomiting).

What to Do:

Immediately contact 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 (if present in high amounts): Vitamin K can reduce the anticoagulant effect of warfarin, increasing the risk of blood clots.
  • Tetracycline antibiotics (e.g., doxycycline, minocycline) and Quinolone antibiotics (e.g., ciprofloxacin, levofloxacin) with Calcium, Iron, Magnesium, Zinc (if present): These minerals can chelate with the antibiotics, reducing their absorption and effectiveness. Separate administration by at least 2-4 hours.
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Moderate Interactions

  • Thyroid hormones (e.g., levothyroxine) with Calcium, Iron (if present): These minerals can impair the absorption of thyroid hormones. Separate administration by at least 4 hours.
  • Bisphosphonates (e.g., alendronate) with Calcium, Iron, Magnesium (if present): These minerals can reduce bisphosphonate absorption. Separate administration by at least 30 minutes to 2 hours.
  • Diuretics (e.g., thiazides, loop diuretics) with Calcium, Potassium, Magnesium (if present): Can alter mineral excretion, potentially leading to hypercalcemia (thiazides) or hypokalemia/hypomagnesemia (loop diuretics).
  • Anticonvulsants (e.g., phenytoin, carbamazepine, phenobarbital) with Folic Acid, Vitamin D, Vitamin K: Can increase metabolism or reduce absorption of these vitamins, potentially leading to deficiency.
  • Cholestyramine, Colestipol, Orlistat with Fat-soluble vitamins (A, D, E, K): Can reduce absorption of fat-soluble vitamins.
  • Proton Pump Inhibitors (PPIs) and H2-receptor antagonists with Vitamin B12, Calcium, Iron: Can reduce absorption of these nutrients due to decreased stomach acid.
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Minor Interactions

  • Certain foods (e.g., high fiber, phytates, oxalates) with mineral absorption (e.g., iron, calcium).
  • Alcohol with B vitamins, Folic Acid: Can impair absorption or increase excretion.

Monitoring

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Baseline Monitoring

Dietary intake assessment

Rationale: To determine if supplementation is necessary and to identify potential deficiencies or excessive intake from diet.

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

Growth and development parameters (height, weight, BMI)

Rationale: To assess overall nutritional status and identify any underlying issues that might require specific nutrient intervention.

Timing: Routine pediatric check-ups.

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Routine Monitoring

Adherence to recommended dosage

Frequency: Each visit/as needed

Target: As per product label/healthcare provider recommendation

Action Threshold: Deviation from recommended dose (under- or over-dosing)

Symptoms of deficiency or toxicity

Frequency: Ongoing, at each visit

Target: Absence of symptoms

Action Threshold: Appearance of new or worsening symptoms (e.g., fatigue, skin changes, GI upset, neurological symptoms)

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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 riboflavin)
  • Unusual thirst or urination (potential hypercalcemia from excessive Vitamin D)
  • Bone or joint pain (potential hypervitaminosis A or D)
  • Hair loss (potential hypervitaminosis A)
  • Yellowing of skin (carotenemia from excessive beta-carotene)

Special Patient Groups

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Pregnancy

This product is formulated for pediatric use. Pregnant individuals should use prenatal vitamins specifically designed for pregnancy, which contain appropriate levels of folic acid, iron, and other nutrients essential for fetal development.

Trimester-Specific Risks:

First Trimester: Not applicable for this product; general multivitamin use in pregnancy should be prenatal specific.
Second Trimester: Not applicable for this product; general multivitamin use in pregnancy should be prenatal specific.
Third Trimester: Not applicable for this product; general multivitamin use in pregnancy should be prenatal specific.
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Lactation

This product is formulated for pediatric use. Lactating individuals should use postnatal or general adult multivitamins, ensuring adequate intake of nutrients like Vitamin D, B vitamins, and calcium, as advised by a healthcare professional.

Infant Risk: Not applicable for this product; general multivitamin use in lactation should be appropriate for the lactating individual.
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Pediatric Use

This product is specifically designed for pediatric use. Dosing must be age-appropriate and adhere to the product label or healthcare provider's recommendations. Ensure chewable form is suitable for the child's age to prevent choking hazards. Iron-containing products pose a significant risk of accidental overdose in young children.

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Geriatric Use

This product is formulated for pediatric use. Geriatric individuals have different nutritional needs and may require specific formulations (e.g., higher Vitamin D, B12, calcium) or may have drug interactions. Consult a healthcare provider for appropriate adult or geriatric multivitamin supplementation.

Clinical Information

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Clinical Pearls

  • Pediatric multivitamins are generally safe when used as directed, but accidental overdose, especially with iron-containing products, is a leading cause of poisoning in young children. Always store safely.
  • Not all children need a multivitamin. A balanced diet is the primary source of nutrients. Supplementation is most beneficial for picky eaters, children with restricted diets (e.g., vegetarian, vegan), chronic medical conditions, or malabsorption issues.
  • Chewable tablets may contain sugar or artificial sweeteners; consider dental hygiene. Some formulations may contain allergens (e.g., soy, dairy, gluten); check labels for sensitivities.
  • Educate parents on the importance of following the recommended dosage and not exceeding it, as fat-soluble vitamins (A, D, E, K) can accumulate and cause toxicity.
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Alternative Therapies

  • Dietary counseling and nutritional education to improve food intake.
  • Targeted single vitamin/mineral supplements for specific deficiencies (e.g., Vitamin D drops, iron supplements).
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Cost & Coverage

Average Cost: Varies widely ($5 - $30+) per bottle (e.g., 60-120 chewables)
Generic Available: Yes
Insurance Coverage: Not typically covered by insurance unless prescribed for a specific medical deficiency (e.g., bariatric surgery, malabsorption syndromes).
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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 include 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 urgent medical attention. When reporting the incident, be prepared to provide detailed information, including the substance taken, the amount, and the time it occurred.