Mvw Grape Chewable Tablets

Manufacturer MVW NUTRITIONALS Active Ingredient Multivitamin Chewables (Pediatric) Pronunciation MUL-tee-VYE-tuh-min CHEW-uh-buls
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 and Mineral Supplement
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Pharmacologic Class
Multivitamin; Essential Micronutrients
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Pregnancy Category
Not applicable (Pediatric formulation)
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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 Grape Chewable Tablets are a daily vitamin and mineral supplement designed for children. They help ensure your child gets enough essential nutrients for healthy growth and development, especially if their diet isn't always balanced.
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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.

It's essential to have your child chew the medication thoroughly before swallowing. Some brands of this medication may be designed to be swallowed whole or dissolved in the mouth. If you're unsure about the proper administration method, discuss it with your pharmacist.

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 the missed dose is 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 or as advised by your pediatrician.

Dosing & Administration

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Adult Dosing

Standard Dose: Not applicable (Pediatric formulation)
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Pediatric Dosing

Neonatal: Not established (Consult pediatrician for infants under 1 year)
Infant: Not established (Consult pediatrician for infants under 1 year)
Child: Typically 1 chewable tablet daily for children 2-3 years old; 1-2 chewable tablets daily for children 4 years and older, or as directed by a healthcare professional.
Adolescent: Typically 1-2 chewable tablets daily, or as directed by a healthcare professional.
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Dose Adjustments

Renal Impairment:

Mild: Generally no specific adjustment for standard doses; caution with high doses of fat-soluble vitamins (A, D, E, K) and certain minerals (e.g., phosphorus, potassium) in severe impairment.
Moderate: Generally no specific adjustment for standard doses; caution with high doses of fat-soluble vitamins (A, D, E, K) and certain minerals (e.g., phosphorus, potassium) in severe impairment.
Severe: Use with caution; avoid high doses of fat-soluble vitamins (especially A and D) and minerals like phosphorus and potassium. Consult a nephrologist.
Dialysis: Specific vitamin/mineral supplementation may be required based on individual needs and dialysis type; standard multivitamins may not be appropriate. Consult a nephrologist.

Hepatic Impairment:

Mild: Generally no specific adjustment for standard doses.
Moderate: Generally no specific adjustment for standard doses; caution with high doses of Vitamin A due to potential for accumulation and hepatotoxicity.
Severe: Use with caution; avoid high doses of Vitamin A. Consult a 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 supplement dietary intake to prevent or correct nutritional deficiencies.
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Pharmacokinetics

Absorption:

Bioavailability: Variable (depends on specific vitamin/mineral, formulation, presence of food, and individual absorption capabilities). Water-soluble vitamins are generally well-absorbed, while fat-soluble vitamins require dietary fat for optimal absorption.
Tmax: Variable (minutes to hours, depending on specific vitamin/mineral and formulation).
FoodEffect: Absorption of fat-soluble vitamins (A, D, E, K) is enhanced by food, especially fatty meals. Some minerals (e.g., iron) may have reduced absorption with certain foods (e.g., dairy, tea, coffee).

Distribution:

Vd: Variable (depends on specific vitamin/mineral). Water-soluble vitamins distribute into body water; fat-soluble vitamins are stored in adipose tissue and liver.
ProteinBinding: Variable (some vitamins/minerals bind to transport proteins, e.g., Vitamin D, iron).
CnssPenetration: Limited for most vitamins/minerals, though some are essential for CNS function and can cross the blood-brain barrier to varying degrees (e.g., B vitamins).

Elimination:

HalfLife: Variable (hours to days for water-soluble vitamins; days to months for fat-soluble vitamins).
Clearance: Variable (renal for water-soluble vitamins; biliary/fecal for fat-soluble vitamins).
ExcretionRoute: Renal (water-soluble vitamins); Biliary/Fecal (fat-soluble vitamins, some minerals).
Unchanged: Variable (significant portion of water-soluble vitamins may be excreted unchanged if intake exceeds body's needs).
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Pharmacodynamics

OnsetOfAction: Not applicable (Nutritional Supplement; effects are generally long-term and cumulative, preventing or correcting deficiencies rather than acute pharmacological action).
PeakEffect: Not applicable
DurationOfAction: Not applicable

Safety & Warnings

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Side Effects

Urgent Side Effects: Seek Medical Help Right Away

Although rare, some people 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 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

Like all medications, this drug can cause side effects. However, many people may not experience any side effects or only minor ones. If your child experiences any of the following side effects or any other symptoms that bother them or persist, contact their doctor or seek medical help:

Common to all products:
+ Upset stomach or 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:

  • Severe stomach upset, nausea, vomiting, or diarrhea (may indicate overdose or intolerance)
  • Headache, dizziness, or unusual fatigue
  • Yellowing of skin or eyes (jaundice, rare, but could indicate liver issues with excessive Vitamin A)
  • Bone pain or muscle weakness (rare, but could indicate toxicity)
  • 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 excess 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 this can increase the risk of adverse effects. If you are unsure about the correct dose or have questions about giving this medication to your child, consult with their doctor.

Interactions with Lab Tests

This medication may interfere with 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 avoid any potential interactions or misinterpretations of test results.

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 doctor. 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 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:

  • Nausea
  • Vomiting
  • Diarrhea
  • Stomach pain
  • Headache
  • Dizziness
  • Fatigue
  • Irritability
  • Loss of appetite
  • Hair loss (chronic excess Vitamin A)
  • Bone pain (chronic excess Vitamin D)
  • Increased urination and thirst (hypercalcemia from excess Vitamin D)
  • In severe cases: liver damage, kidney damage, coma, death (especially with very high doses of fat-soluble vitamins or iron).

What to Do:

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

Drug Interactions

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Major Interactions

  • Warfarin (with high doses of Vitamin K, which can reduce anticoagulant effect)
  • Tetracycline antibiotics (with calcium, iron, magnesium, zinc, which can chelate and reduce antibiotic absorption)
  • Quinolone antibiotics (with calcium, iron, magnesium, zinc, which can chelate and reduce antibiotic absorption)
  • Levothyroxine (with calcium, iron, which can reduce thyroid hormone absorption)
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Moderate Interactions

  • Antacids (with iron, calcium, magnesium, which can reduce mineral absorption)
  • Proton Pump Inhibitors (PPIs) / H2 Blockers (may reduce absorption of Vitamin B12, calcium, magnesium)
  • Diuretics (e.g., thiazides can increase calcium reabsorption; loop diuretics can increase excretion of calcium, magnesium, potassium)
  • Cholestyramine, Colestipol (can reduce absorption of fat-soluble vitamins A, D, E, K)
  • Orlistat (can reduce absorption of fat-soluble vitamins A, D, E, K)
  • Phenytoin, Phenobarbital, Carbamazepine (may increase metabolism of Vitamin D, K, and folic acid, potentially leading to deficiencies)
  • Bisphosphonates (with calcium, iron, magnesium, which can reduce bisphosphonate absorption)
  • Digoxin (with high doses of calcium, which can increase risk of arrhythmias)
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Minor Interactions

  • Fiber supplements (may reduce absorption of some minerals if taken concurrently)
  • Caffeine (may increase excretion of calcium)

Monitoring

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Baseline Monitoring

Dietary intake assessment

Rationale: To determine if supplementation is truly needed and to identify potential deficiencies or excessive intake from other sources.

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

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Routine Monitoring

Growth and development (for pediatric use)

Frequency: Regular pediatric check-ups

Target: Age-appropriate growth curves and developmental milestones

Action Threshold: Deviation from normal growth patterns or developmental delays may indicate underlying nutritional issues or other health problems.

Symptoms of deficiency or toxicity

Frequency: Ongoing observation by parents/caregivers

Target: Absence of symptoms

Action Threshold: Appearance of symptoms like fatigue, skin changes, vision problems, bone pain, nausea, vomiting, constipation, or diarrhea.

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Symptom Monitoring

  • Nausea
  • Vomiting
  • Diarrhea
  • Constipation
  • Stomach upset
  • Headache
  • Unusual fatigue
  • Changes in urine color (e.g., bright yellow from riboflavin)
  • Symptoms of hypervitaminosis (e.g., hypercalcemia from excess Vitamin D, liver toxicity from excess Vitamin A)

Special Patient Groups

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Pregnancy

Not applicable. This formulation is for pediatric use. 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. This formulation is for pediatric use. 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. Adhere strictly to age-appropriate dosing recommendations. Ensure chewable tablets are given only to children old enough to chew safely to prevent choking hazards. Keep out of reach of children to prevent accidental overdose, especially of iron-containing products.

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Geriatric Use

Not applicable. This formulation is for pediatric use. Geriatric patients have different nutritional needs and should use adult or senior-specific multivitamin formulations.

Clinical Information

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Clinical Pearls

  • Educate parents that multivitamins are supplements, not replacements for a healthy, balanced diet.
  • Emphasize the importance of storing chewable vitamins out of reach of children due to the risk of accidental overdose, particularly with iron-containing formulations.
  • Advise parents to consult a pediatrician before starting any new supplement, especially for infants or children with underlying health conditions.
  • Be aware that some children may experience mild gastrointestinal upset (e.g., nausea, constipation) when starting multivitamins.
  • Remind parents that bright yellow urine is a common and harmless side effect due to the excretion of riboflavin (Vitamin B2).
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Alternative Therapies

  • Dietary counseling to improve nutritional intake through food sources
  • Targeted single-vitamin or mineral supplements if a specific deficiency is identified (e.g., Vitamin D drops, iron supplements)
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Cost & Coverage

Average Cost: $5 - $25 per 60-120 chewable tablets
Generic Available: Yes
Insurance Coverage: Generally Over-The-Counter (OTC) and not covered by most health insurance plans. May be eligible for FSA/HSA.
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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 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 urgent medical attention. When reporting the incident, be prepared to provide detailed information, including the substance taken, the quantity, and the time it occurred.