Mvw Orange Chewable Tablets

Manufacturer MVW NUTRITIONALS Active Ingredient Multivitamin Chewables (Pediatric) Pronunciation M-V-W (as in 'M' 'V' 'W') Orange Chewable Tablets
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; Multivitamin
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Pharmacologic Class
Vitamin and Mineral Supplement
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Pregnancy Category
Not assigned (Dietary Supplement, intended 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?

Mvw Orange Chewable Tablets are a daily vitamin and mineral supplement designed for children. They help ensure your child gets enough essential nutrients for healthy growth, strong bones, and overall well-being, 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 specific instructions for your child's medication, discuss it 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 sources.

Managing Missed Doses

If you miss giving your child a dose, administer it as soon as you remember. However, if the missed dose is close to the time for the 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 provide extra doses to make up for the missed one.
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Lifestyle & Tips

  • Take with food to improve absorption and reduce stomach upset.
  • Do not exceed the recommended dose, as excessive intake of some vitamins and minerals can be harmful.
  • Store in a cool, dry place, out of reach of children, to prevent accidental overdose.
  • Encourage a balanced diet rich in fruits, vegetables, and whole grains; supplements are not a substitute for healthy eating.

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 specific needs)
Infant: Not established (Consult pediatrician for specific needs, typically liquid drops for infants)
Child: 1 chewable tablet daily, or as directed by a healthcare professional. Dosing varies by product and age group (e.g., 2-3 years: 1/2 tablet; 4+ years: 1 tablet). Refer to product label.
Adolescent: 1 chewable tablet daily, or as directed by a healthcare professional. Refer to product label.
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Dose Adjustments

Renal Impairment:

Mild: Not typically adjusted for standard multivitamin doses. Use with caution in severe cases.
Moderate: Not typically adjusted for standard multivitamin doses. Use with caution in severe cases.
Severe: Caution advised, especially with fat-soluble vitamins (A, D, E, K) and minerals (e.g., phosphorus, potassium) if present in high amounts. Consult nephrologist.
Dialysis: Specific supplementation may be required, but standard multivitamins may not be appropriate due to altered mineral balance. Consult nephrologist.

Hepatic Impairment:

Mild: Not typically adjusted for standard multivitamin doses.
Moderate: Not typically adjusted for standard multivitamin doses.
Severe: Caution advised, especially with fat-soluble vitamins (A, D, E, K) due to altered absorption/metabolism. Consult hepatologist.

Pharmacology

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Mechanism of Action

Multivitamin chewable tablets provide essential vitamins and minerals that are crucial cofactors for numerous metabolic processes, enzyme functions, and cellular activities. They help prevent and correct nutritional deficiencies, support growth and development, immune function, bone health, and energy metabolism by supplying micronutrients that may be lacking in the diet.
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Pharmacokinetics

Absorption:

Bioavailability: Variable, dependent on individual vitamin/mineral, formulation, and presence of other dietary components.
Tmax: Variable (typically 2-6 hours for water-soluble vitamins, longer for fat-soluble vitamins)
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. Food can reduce gastrointestinal upset.

Distribution:

Vd: Variable, dependent on individual vitamin/mineral.
ProteinBinding: Variable (e.g., vitamin D metabolites are protein-bound, vitamin B12 binds to intrinsic factor)
CnssPenetration: Limited for most, but essential for specific functions (e.g., B vitamins for neurotransmitter synthesis).

Elimination:

HalfLife: Variable (minutes to days for water-soluble; weeks to months for fat-soluble stored in liver/adipose tissue)
Clearance: Variable, dependent on individual vitamin/mineral.
ExcretionRoute: Primarily renal for water-soluble vitamins; biliary/fecal for fat-soluble vitamins and some minerals.
Unchanged: Variable
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Pharmacodynamics

OnsetOfAction: Not acutely measurable; benefits are long-term, related to correction/prevention of deficiencies.
PeakEffect: Not acutely measurable; benefits are long-term.
DurationOfAction: Continuous with regular supplementation; body stores vary for different nutrients.

Safety & Warnings

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Side Effects

Serious 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, 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 may cause side effects. However, many people 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 go away, contact their doctor or seek medical help:

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).
  • Unusual fatigue, muscle weakness, or bone pain (could be signs of hypervitaminosis, especially Vitamin D or A).
  • Yellowing of skin or eyes (jaundice, rare but serious).
  • Any allergic reaction (rash, itching, swelling, difficulty breathing).
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Before Using This Medicine

Before Giving Your Child This Medication: 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 treatment, always verify with your doctor that it is safe to give this medication alongside 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, consult with your child's doctor.

Interactions with Lab Tests

This medication may interfere with certain laboratory tests. Be sure to inform all healthcare providers and lab personnel that your child is taking this medication to avoid any potential interactions or inaccurate 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 an increased risk of choking. If you have any concerns or questions, discuss them with your child's doctor to determine the best course of treatment.

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 their treatment and ensure the best possible outcome for both your child and the baby.
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Overdose Information

Overdose Symptoms:

  • Nausea, vomiting, diarrhea, abdominal pain
  • Headache, dizziness
  • Fatigue, irritability
  • Hair loss, dry skin (Vitamin A toxicity)
  • Bone pain, hypercalcemia (Vitamin D toxicity)
  • Metallic taste, liver damage (Iron toxicity - particularly dangerous in children)

What to Do:

Immediately call 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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Contraindicated Interactions

  • Not typically contraindicated with standard doses, but caution with specific conditions (e.g., hemochromatosis with iron-containing multivitamins).
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Major Interactions

  • Warfarin (Coumadin): Vitamin K can reduce the anticoagulant effect of warfarin.
  • Tetracycline/Quinolone antibiotics: Calcium, iron, magnesium, zinc can chelate these antibiotics, reducing their absorption. Separate administration by at least 2-4 hours.
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Moderate Interactions

  • Antacids/PPIs/H2 blockers: May impair absorption of certain vitamins (e.g., B12, iron) due to altered gastric pH.
  • Diuretics (Thiazide/Loop): May affect excretion of certain minerals (e.g., calcium, potassium).
  • Phenytoin/Phenobarbital: May increase metabolism of folic acid and vitamin D.
  • Cholestyramine/Orlistat: May reduce absorption of fat-soluble vitamins (A, D, E, K).
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Minor Interactions

  • None commonly reported for standard pediatric multivitamin doses.

Monitoring

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Baseline Monitoring

Dietary intake assessment

Rationale: To determine if supplementation is necessary and to identify specific deficiencies.

Timing: Prior to initiation, periodically thereafter.

Growth and development milestones (for pediatric patients)

Rationale: To assess overall health and identify potential underlying nutritional issues.

Timing: Routine pediatric check-ups.

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Routine Monitoring

Clinical signs of deficiency or toxicity

Frequency: Ongoing

Target: Absence of signs/symptoms

Action Threshold: Appearance of symptoms (e.g., fatigue, skin changes, bone pain, GI upset) warrants re-evaluation of diet and supplement use.

Adherence to dosing instructions

Frequency: Periodically

Target: Consistent daily use as directed

Action Threshold: Inconsistent use or overuse requires patient/parent education.

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Symptom Monitoring

  • Gastrointestinal upset (nausea, constipation, diarrhea)
  • Headache
  • Unusual fatigue or weakness
  • Skin rash or itching
  • Changes in urine color (e.g., bright yellow from riboflavin)
  • Signs of hypervitaminosis (e.g., blurred vision, hair loss, bone pain, liver dysfunction - rare with standard doses)

Special Patient Groups

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Pregnancy

Not intended for use in pregnant individuals. 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 intended for use in lactating individuals. Lactating individuals should use postnatal or general adult multivitamins as advised by a healthcare provider.

Infant Risk: Not applicable
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Pediatric Use

Specifically formulated for pediatric use. Dosing must be strictly adhered to based on age and product instructions to prevent overdose, especially of fat-soluble vitamins and iron, which can be toxic in high amounts. Keep out of reach of children.

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Geriatric Use

Not specifically formulated for geriatric use. Older adults may have different nutritional needs and absorption patterns; adult or senior-specific multivitamins are generally more appropriate.

Clinical Information

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Clinical Pearls

  • Emphasize that multivitamins are supplements, not substitutes for a healthy diet.
  • Educate parents on the importance of child-resistant packaging and storing supplements out of reach to prevent accidental overdose, especially with iron-containing products.
  • Advise parents to consult a pediatrician before starting any new supplement, especially if the child has underlying health conditions or is taking other medications.
  • Chewable tablets should be fully chewed before swallowing to ensure proper absorption and prevent choking hazards in young children.
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Alternative Therapies

  • Dietary modifications to ensure adequate intake of vitamins and minerals from food sources.
  • Targeted single-nutrient supplements if a specific deficiency is identified (e.g., Vitamin D, Iron).
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Cost & Coverage

Average Cost: $5 - $25 per 60-120 tablets
Generic Available: Yes
Insurance Coverage: Typically Over-the-Counter (OTC), not covered by most prescription 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 come with 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 amount, and the time it occurred.