Mvw Pediatric Drops
It is used to help growth and good health.
Drug Class
Nutritional Supplement; Vitamin
Pharmacologic Class
Multivitamin preparation
Pregnancy Category
Not applicable for intended use (pediatric); individual vitamins generally Category A/B at recommended doses.
FDA Approved
Jan 1970
DEA Schedule
Not Controlled
Overview
What is this medicine?
Mvw Pediatric Drops are a liquid vitamin supplement designed for infants and young children. They provide essential vitamins needed for healthy growth, strong bones, and overall development, especially when dietary intake might be insufficient.
How to Use This Medicine
Taking This Medication
To ensure your child takes this medication safely and effectively, follow the instructions provided by their doctor and the information included with the medication. Take the medication with or without food, but if it causes stomach upset, give it with food. However, some medications must be taken with food or on an empty stomach, so consult with your pharmacist to determine the best approach for this specific medication.
When measuring liquid doses, use the measuring device that comes with the medication to ensure accuracy. Before administering, shake the medication well. Depending on the product, you may be able to mix it with formula, fruit juice, or other foods and liquids, or you may need to administer it directly into your child's mouth. Be sure to understand the correct method for giving this medication to your child.
Storing and Disposing of This Medication
Store the medication in its original container at room temperature, in a dry location away from bathrooms. Protect the medication from heat and light to preserve its effectiveness.
Missing a Dose
If you miss a dose, administer it as soon as you remember. However, if it 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 extra doses, as this can increase the risk of adverse effects.
To ensure your child takes this medication safely and effectively, follow the instructions provided by their doctor and the information included with the medication. Take the medication with or without food, but if it causes stomach upset, give it with food. However, some medications must be taken with food or on an empty stomach, so consult with your pharmacist to determine the best approach for this specific medication.
When measuring liquid doses, use the measuring device that comes with the medication to ensure accuracy. Before administering, shake the medication well. Depending on the product, you may be able to mix it with formula, fruit juice, or other foods and liquids, or you may need to administer it directly into your child's mouth. Be sure to understand the correct method for giving this medication to your child.
Storing and Disposing of This Medication
Store the medication in its original container at room temperature, in a dry location away from bathrooms. Protect the medication from heat and light to preserve its effectiveness.
Missing a Dose
If you miss a dose, administer it as soon as you remember. However, if it 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 extra doses, as this can increase the risk of adverse effects.
Lifestyle & Tips
- Administer the drops directly into the child's mouth or mix with formula, breast milk, juice, or cereal. Do not mix with hot foods.
- Use the dropper provided with the product for accurate dosing.
- Do not exceed the recommended daily dose.
- Store the bottle upright at room temperature, away from direct light and heat. Keep out of reach of children.
- Ensure a balanced diet for the child in addition to supplementation.
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
Standard Dose:
Not indicated for adult use; consult specific adult multivitamin formulations.
Pediatric Dosing
Neonatal:
Not established; generally not recommended unless specific deficiency identified by physician.
Infant:
Typically 0.5 mL to 1 mL daily, or as directed by physician. Consult product-specific label for exact dosage based on age and specific vitamin content.
Child:
Typically 1 mL daily, or as directed by physician. Consult product-specific label for exact dosage based on age and specific vitamin content.
Adolescent:
Not typically indicated; consider age-appropriate multivitamin formulations for adolescents.
Dose Adjustments
Renal Impairment:
Mild:
No specific adjustments for general multivitamin supplementation at recommended doses.
Moderate:
No specific adjustments for general multivitamin supplementation at recommended doses; consult physician for severe impairment or specific vitamin deficiencies.
Severe:
No specific adjustments for general multivitamin supplementation at recommended doses; consult physician for severe impairment or specific vitamin deficiencies.
Dialysis:
Consult physician; specific vitamin needs may vary in dialysis patients.
Hepatic Impairment:
Mild:
No specific adjustments for general multivitamin supplementation at recommended doses.
Moderate:
No specific adjustments for general multivitamin supplementation at recommended doses; consult physician for severe impairment or specific vitamin deficiencies.
Severe:
No specific adjustments for general multivitamin supplementation at recommended doses; consult physician for severe impairment or specific vitamin deficiencies.
Pharmacology
Mechanism of Action
Pediatric Multivitamin Drops provide essential vitamins (e.g., A, C, D, E, B-complex) that act as coenzymes, antioxidants, and structural components vital for various metabolic processes, growth, development, and maintenance of cellular function. They supplement dietary intake to prevent or correct vitamin deficiencies.
Pharmacokinetics
Absorption:
Bioavailability:
Varies significantly by vitamin type (water-soluble vs. fat-soluble), formulation, and presence of food. Generally good for most vitamins.
Tmax:
Not specifically defined for a multivitamin combination; varies by individual vitamin (e.g., 2-4 hours for many B vitamins).
FoodEffect:
Absorption of fat-soluble vitamins (A, D, E, K) is enhanced by dietary fat. Water-soluble vitamins are generally well-absorbed with or without food, but some may be better tolerated with food.
Distribution:
Vd:
Varies by vitamin; water-soluble vitamins distribute into total body water, fat-soluble vitamins accumulate in adipose tissue and liver.
ProteinBinding:
Varies by vitamin (e.g., Vitamin D metabolites are highly protein-bound, Vitamin C is minimally bound).
CnssPenetration:
Limited for some vitamins, while others (e.g., B vitamins) are essential for CNS function and cross the blood-brain barrier.
Elimination:
HalfLife:
Varies widely by vitamin (e.g., minutes to hours for water-soluble, days to months for fat-soluble).
Clearance:
Not specifically defined for a multivitamin combination.
ExcretionRoute:
Water-soluble vitamins primarily renal; fat-soluble vitamins primarily biliary/fecal after hepatic metabolism.
Unchanged:
Varies; significant portion of water-soluble vitamins may be excreted unchanged.
Pharmacodynamics
OnsetOfAction:
Not applicable for chronic nutritional supplementation; benefits accrue over time with consistent use.
PeakEffect:
Not applicable for chronic nutritional supplementation.
DurationOfAction:
Not applicable for chronic nutritional supplementation; continuous intake is required to maintain adequate vitamin levels.
Safety & Warnings
Side Effects
Urgent Side Effects: Seek Medical Help Right Away
It's essential to be aware of rare but potentially severe side effects that can occur when taking this medication. If your child experiences any of the following symptoms, contact their doctor or seek medical attention immediately:
- 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
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 crucial to monitor your child's response to the medication. If your child experiences any of the following side effects or if they persist or bother your child, contact their doctor for advice:
- Upset stomach
- Vomiting (throwing up)
Important Note: This list does not include all possible side effects. If you have questions or concerns about side effects, consult your child's doctor. For medical advice about side effects, you can also contact your child's doctor.
Reporting Side Effects
You can report side effects to the FDA at 1-800-332-1088 or online at https://www.fda.gov/medwatch.
It's essential to be aware of rare but potentially severe side effects that can occur when taking this medication. If your child experiences any of the following symptoms, contact their doctor or seek medical attention immediately:
- 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
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 crucial to monitor your child's response to the medication. If your child experiences any of the following side effects or if they persist or bother your child, contact their doctor for advice:
- Upset stomach
- Vomiting (throwing up)
Important Note: This list does not include all possible side effects. If you have questions or concerns about side effects, consult your child's doctor. For medical advice about side effects, you can also contact your child's doctor.
Reporting Side Effects
You can 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 stomach upset (nausea, vomiting, diarrhea)
- Headache or dizziness
- Unusual tiredness or weakness
- Yellowing of skin or eyes (jaundice)
- Bone or joint pain
- Changes in urination
- Allergic reaction (rash, itching, swelling, severe dizziness, trouble breathing)
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 any allergies your child may have, including:
- An allergy to this medication or any of its components
- An allergy to other medications, foods, or substances
Please describe the allergy and the symptoms your child experienced.
Additionally, this medication may interact with other health conditions or medications. To ensure safe use, tell your doctor and pharmacist about:
- All prescription and over-the-counter (OTC) medications your child is taking
- Any natural products or vitamins your child is using
- Your child's existing health problems
Before making any changes to your child's medication regimen, consult with your doctor to confirm it is safe. Do not start, stop, or adjust the dose of any medication without first discussing it with your doctor. This will help prevent potential interactions and ensure the safe use of this medication.
It is essential to inform your doctor about any allergies your child may have, including:
- An allergy to this medication or any of its components
- An allergy to other medications, foods, or substances
Please describe the allergy and the symptoms your child experienced.
Additionally, this medication may interact with other health conditions or medications. To ensure safe use, tell your doctor and pharmacist about:
- All prescription and over-the-counter (OTC) medications your child is taking
- Any natural products or vitamins your child is using
- Your child's existing health problems
Before making any changes to your child's medication regimen, consult with your doctor to confirm it is safe. Do not start, stop, or adjust the dose of any medication without first discussing it with your doctor. This will help prevent potential interactions and ensure the safe use of this medication.
Precautions & Cautions
Important Information for Patients Taking This Medication
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. Note that different brands of this medication may be approved for use in different age groups, so it is crucial to consult with your child's doctor before administering this medication to ensure the correct formulation is used.
Administration and Dosage
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 administering this medication to your child, consult with your child's doctor.
Lab Tests and Interactions
This medication may interfere with certain laboratory tests, so it is vital to inform all of your child's healthcare providers and laboratory personnel that your child is taking this medication.
Pediatric Dosage
The dose of this medication may vary depending on your child's age. If you are unsure about the correct dose for your child, consult with your child's doctor to determine the appropriate dosage.
Pregnancy and Breastfeeding
If your child is pregnant, becomes pregnant, or is breastfeeding, it is essential to discuss the potential benefits and risks of this medication with your child's doctor. This will help you make an informed decision about the use of this medication during pregnancy or breastfeeding.
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. Note that different brands of this medication may be approved for use in different age groups, so it is crucial to consult with your child's doctor before administering this medication to ensure the correct formulation is used.
Administration and Dosage
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 administering this medication to your child, consult with your child's doctor.
Lab Tests and Interactions
This medication may interfere with certain laboratory tests, so it is vital to inform all of your child's healthcare providers and laboratory personnel that your child is taking this medication.
Pediatric Dosage
The dose of this medication may vary depending on your child's age. If you are unsure about the correct dose for your child, consult with your child's doctor to determine the appropriate dosage.
Pregnancy and Breastfeeding
If your child is pregnant, becomes pregnant, or is breastfeeding, it is essential to discuss the potential benefits and risks of this medication with your child's doctor. This will help you make an informed decision about the use of this medication during pregnancy or breastfeeding.
Overdose Information
Overdose Symptoms:
- Nausea
- Vomiting
- Diarrhea
- Abdominal pain
- Headache
- Irritability
- Fatigue
- Loss of appetite
- Skin rash
- Hair loss
- Bone pain
- Blurred vision
- Increased urination
- Muscle weakness
What to Do:
If an overdose is suspected, seek immediate medical attention or call a poison control center (e.g., 1-800-222-1222 in the US).
Drug Interactions
Major Interactions
- Warfarin (Coumadin) with high doses of Vitamin K (not typically in pediatric drops, but important interaction)
- Tetracycline antibiotics / Quinolone antibiotics with high doses of Iron or Calcium (present in some multivitamin formulations, can chelate and reduce antibiotic absorption)
Moderate Interactions
- Antacids / Proton Pump Inhibitors / H2 Blockers (may reduce absorption of Vitamin B12)
- Cholestyramine / Orlistat (may reduce absorption of fat-soluble vitamins A, D, E, K)
- Diuretics (e.g., Thiazides may increase calcium reabsorption; Loop diuretics may increase excretion of some B vitamins)
- Phenytoin / Phenobarbital (may increase metabolism of Vitamin D and Folic Acid)
- Isoniazid (may interfere with Vitamin B6 metabolism)
Minor Interactions
- Alcohol (may impair absorption of some B vitamins and folate)
- Caffeine (may increase excretion of some B vitamins)
Monitoring
Baseline Monitoring
Dietary intake assessment
Rationale: To determine baseline nutritional status and identify potential deficiencies.
Timing: Prior to initiation of supplementation.
Routine Monitoring
Growth and development milestones
Frequency: Regular pediatric check-ups
Target: Age-appropriate growth charts and developmental assessments
Action Threshold: Failure to thrive or developmental delays may indicate persistent nutritional issues.
Symptoms of deficiency or toxicity
Frequency: Ongoing
Target: Absence of symptoms
Action Threshold: Appearance of symptoms (e.g., rash, nausea, fatigue, bone pain) warrants medical evaluation.
Symptom Monitoring
- Nausea
- Vomiting
- Diarrhea
- Constipation
- Headache
- Fatigue
- Irritability
- Skin rash
- Yellowing of skin (carotenemia from excess Vitamin A)
- Bone pain (excess Vitamin D)
- Muscle weakness
Special Patient Groups
Pregnancy
Not indicated for pregnant individuals. Pregnant women should use prenatal vitamins specifically formulated for their needs under medical supervision.
Trimester-Specific Risks:
First Trimester:
Not applicable for intended use.
Second Trimester:
Not applicable for intended use.
Third Trimester:
Not applicable for intended use.
Lactation
Not indicated for lactating individuals. Breastfeeding mothers should use postnatal or general multivitamins appropriate for their needs under medical supervision.
Infant Risk:
Not applicable for intended use.
Pediatric Use
This product is specifically formulated for pediatric use. Dosage must be carefully followed based on age and product instructions to prevent under- or over-supplementation. Consult a pediatrician for specific needs.
Geriatric Use
Not indicated for geriatric individuals. Older adults have different nutritional needs and should use age-appropriate multivitamin formulations.
Clinical Information
Clinical Pearls
- Always use the provided dropper for accurate dosing; household spoons are not accurate.
- Administering with food or milk can help minimize gastrointestinal upset and enhance absorption of fat-soluble vitamins.
- Educate parents on the importance of not exceeding the recommended dose, especially for fat-soluble vitamins (A, D, E, K), which can accumulate and cause toxicity.
- Store out of reach of children to prevent accidental overdose.
- This supplement is intended to complement, not replace, a balanced diet.
Alternative Therapies
- Dietary modifications to increase vitamin intake from food sources
- Single vitamin supplements (e.g., Vitamin D drops for breastfed infants)
- Iron supplements (if iron deficiency is present and not adequately covered by multivitamin)
Cost & Coverage
Average Cost:
Price range varies widely ($5 - $25) per 50 mL bottle
Generic Available:
Yes
Insurance Coverage:
Typically not covered by prescription insurance plans; may be eligible for FSA/HSA reimbursement.
General Drug Facts
If your child's symptoms or health issues persist or worsen, it is essential to contact their doctor promptly. To ensure safety and efficacy, never share your child's medication with others, and do not administer someone else's medication to your child. For comprehensive information about this medication, consult the patient information leaflet that may accompany it. If you have any questions or concerns, discuss them with your child's doctor, nurse, pharmacist, or other healthcare provider. Additionally, you can check with your pharmacist to see if there is a separate patient information leaflet available for this drug. In the event of a suspected overdose, immediately call the poison control center or seek emergency medical attention. When seeking help, be prepared to provide details about the medication taken, the quantity, and the time it occurred.