Mvw Modulator Form Mini Capsules
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.
Administration Instructions
You can take this medication with or without food. If it causes stomach upset, take it with food.
For best absorption, take this medication at bedtime. If you have questions about the timing, consult your doctor or pharmacist.
Extended-Release Products: Swallow the tablets whole; do not chew, break, or crush them.
Liquid Formulation: Measure the liquid dose accurately using the provided measuring device. If one is not included, ask your pharmacist for a suitable measuring device.
Chewable Tablets: Chew the tablets thoroughly before swallowing.
Storage and Disposal
Store your medication at room temperature in a dry place, away from the bathroom.
Protect the medication from heat and light.
Keep all medications in a safe location, out of the reach of children and pets.
Missed Dose Instructions
If you miss a dose, take it as soon as you remember.
If the missed dose is close to the time for your next scheduled 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 as directed on the label or by your healthcare provider.
- Do not exceed the recommended dose, as excessive intake of some vitamins can be harmful.
- Maintain a balanced diet rich in fruits, vegetables, and whole grains, as supplements are not a substitute for healthy eating.
- Store in a cool, dry place away from direct light and out of reach of children.
- Inform your healthcare provider about all supplements you are taking, especially if you are on other medications.
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 people may experience severe and potentially life-threatening side effects while taking this medication. If you notice any of the following symptoms, contact your 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
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, contact your doctor for advice:
Common to all products:
+ Upset stomach or vomiting
If your product contains iron:
+ Diarrhea or constipation
+ Change in stool color to green
+ Stomach pain
Reporting Side Effects
This list is not exhaustive, and you may experience other side effects. If you have questions or concerns, don't hesitate to reach out to 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 diarrhea or constipation
- Unusual fatigue or weakness
- Headache or dizziness
- Skin rash or itching
- Yellowing of skin or eyes (jaundice)
- Changes in urination (e.g., increased frequency, pain)
- Muscle or joint pain
- Blurred vision
Before Using This Medicine
It is essential to inform your doctor about the following:
Any allergies you have to this medication, its components, or other substances, including foods and drugs. Describe the allergic reaction you experienced, such as symptoms and signs.
Certain types of anemia, including pernicious anemia, which is characterized by a lack of vitamin B12 in the body.
If you are taking levodopa, as it may interact with this medication.
If you are taking mineral oil, as it may affect the absorption of this medication.
* If your product contains iron:
+ If you have an excessive amount of iron in your body, also known as iron overload.
+ If you have hemolytic anemia, a condition where red blood cells are destroyed faster than they can be made.
This list is not exhaustive, and it is crucial to discuss all your medications, including prescription and over-the-counter drugs, natural products, and vitamins, with your doctor and pharmacist. They will help you determine if it is safe to take this medication with your existing health conditions and other medications. Never start, stop, or change the dose 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. Additionally, if you are allergic to tartrazine (FD&C Yellow No. 5), discuss this with your doctor, as some products may contain this ingredient.
When administering this medication to children, note that different brands may be suitable for different age groups. Therefore, it is crucial to consult with your doctor before giving this medication to a child to ensure you are using the correct brand and dosage.
If you are pregnant, planning to become pregnant, or are breastfeeding, inform your doctor. You and your doctor will need to discuss the potential benefits and risks of taking this medication to you and your baby.
Overdose Information
Overdose Symptoms:
- Nausea, vomiting, diarrhea
- Headache, dizziness
- Fatigue, irritability
- Hair loss, dry skin (Vitamin A toxicity)
- Bone pain, hypercalcemia (Vitamin D toxicity)
- Bleeding tendencies (Vitamin E toxicity)
- Nerve damage (high dose Vitamin B6 toxicity)
What to Do:
If you suspect an overdose, contact your local poison control center immediately (e.g., Call 1-800-222-1222 in the US) or seek emergency medical attention. Bring the product packaging with you.
Drug Interactions
Major Interactions
- Warfarin (Coumadin) with high doses of Vitamin K (decreased anticoagulant effect)
- Tetracycline antibiotics (e.g., doxycycline) with calcium, iron, magnesium, zinc (decreased antibiotic absorption)
- Levodopa (Sinemet) with high doses of Vitamin B6 (pyridoxine) (decreased levodopa efficacy, though less common with carbidopa/levodopa formulations)
- Anticoagulants (e.g., aspirin, clopidogrel, warfarin) with high doses of Vitamin E (increased bleeding risk)
- Retinoids (e.g., isotretinoin) with Vitamin A (increased risk of hypervitaminosis A toxicity)
Moderate Interactions
- Thiazide diuretics with calcium (increased risk of hypercalcemia)
- Proton pump inhibitors (PPIs) with Vitamin B12 (decreased B12 absorption)
- Metformin with Vitamin B12 (decreased B12 absorption)
- Cholestyramine, colestipol, orlistat with fat-soluble vitamins (decreased absorption of A, D, E, K)
- Certain anticonvulsants (e.g., phenytoin, phenobarbital) with folate, Vitamin D, Vitamin K (altered metabolism/deficiency)
- Digoxin with calcium (increased risk of arrhythmias with hypercalcemia)
Minor Interactions
- Iron supplements with tea/coffee (decreased iron absorption)
- Vitamin C with iron (enhanced iron absorption)
- Zinc with copper (high zinc can induce copper deficiency)
Monitoring
Baseline Monitoring
Rationale: To identify pre-existing deficiencies or specific needs.
Timing: Prior to initiation, especially if specific deficiencies are suspected.
Rationale: To identify potential drug-nutrient interactions.
Timing: Prior to initiation.
Routine Monitoring
Frequency: Ongoing, at each patient visit.
Target: Absence of deficiency symptoms (e.g., fatigue, skin changes) or toxicity symptoms (e.g., nausea, headache, hypercalcemia).
Action Threshold: Development of new symptoms; consider dose adjustment or discontinuation.
Frequency: Periodically, if deficiency is suspected or being treated, or if patient has malabsorption issues.
Target: Within normal reference ranges for the specific vitamin.
Action Threshold: Levels outside normal range; adjust supplementation or investigate underlying cause.
Symptom Monitoring
- Nausea
- Vomiting
- Diarrhea
- Constipation
- Headache
- Fatigue
- Skin rash or flushing
- Muscle weakness
- Nerve tingling or numbness (paresthesia)
- Changes in urine color (e.g., bright yellow from B vitamins)
- Signs of hypercalcemia (e.g., excessive thirst, frequent urination, confusion) if calcium/Vitamin D are high
Special Patient Groups
Pregnancy
Essential for healthy fetal development, particularly folic acid to prevent neural tube defects. However, high doses of certain vitamins (e.g., Vitamin A in retinol form) can be teratogenic. Use specific prenatal vitamin formulations as recommended by a healthcare provider.
Trimester-Specific Risks:
Lactation
Generally safe and often recommended to ensure adequate nutrient intake for both mother and infant. Specific postnatal or lactation-specific formulations are available. Consult healthcare provider.
Pediatric Use
Specific pediatric formulations (drops, chewables) are available with age-appropriate dosages. Avoid adult formulations due to potential for overdose of certain vitamins. Consult a pediatrician.
Geriatric Use
May have increased needs for certain vitamins (e.g., Vitamin D, B12 due to decreased absorption). May also be at higher risk for drug-nutrient interactions due to polypharmacy. Consult healthcare provider.
Clinical Information
Clinical Pearls
- Multivitamins are intended to supplement, not replace, a healthy diet.
- Absorption of fat-soluble vitamins (A, D, E, K) is enhanced when taken with a meal containing some fat.
- Water-soluble vitamins (B, C) are generally excreted if consumed in excess, but very high doses can still cause adverse effects.
- Patients on specific medications (e.g., warfarin, levodopa, certain antibiotics) should consult their doctor or pharmacist before taking multivitamins due to potential interactions.
- Look for products with third-party verification (e.g., USP Verified) to ensure quality and accurate labeling.
- Symptoms of vitamin toxicity (hypervitaminosis) can be serious, especially for fat-soluble vitamins, due to their accumulation in the body.
Alternative Therapies
- Individual vitamin supplements (e.g., Vitamin D, B12, Iron) for targeted deficiencies
- Dietary modifications to increase nutrient intake from food sources