Mvw D5000 Complete Chewables
Overview
What is this medicine?
How to Use This Medicine
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.
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.
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
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 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.
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.
Before Using This Medicine
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.
Precautions & Cautions
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.
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
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.
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.
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
Baseline Monitoring
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.
Rationale: To assess overall nutritional status and identify any underlying issues that might require specific nutrient intervention.
Timing: Routine pediatric check-ups.
Routine Monitoring
Frequency: Each visit/as needed
Target: As per product label/healthcare provider recommendation
Action Threshold: Deviation from recommended dose (under- or over-dosing)
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)
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
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:
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.
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.
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
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.
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).