One Daily Multi-Vitamin Tablets

Multi-vitamins provide essential micronutrients (vitamins and minerals) that the body requires for various metabolic processes, enzyme function, cellular growth, tissue repair, immune function, and overall physiological health. They act as coenzymes, antioxidants, and structural components, supporting numerous biochemical reactions that are vital for life.

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 you notice any of the following symptoms, contact your doctor immediately or seek emergency 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 can cause side effects. While many people may not experience any side effects or only mild 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
+ Green-colored stools
+ Stomach pain

Reporting Side Effects

This list is not exhaustive, and you may experience other side effects. If you have questions or concerns, consult your doctor. You can also report side effects to the FDA at 1-800-332-1088 or online at https://www.fda.gov/medwatch.

Before Taking This Medication: Important Information to Share with Your Doctor

It is essential to inform your doctor about the following conditions before starting this medication:

Any allergies you have, including allergies to this drug, its components, or other substances, and describe the symptoms you experienced.
Certain types of anemia, such as pernicious anemia, where the body lacks sufficient vitamin B12.
If you are taking levodopa.
If you are taking mineral oil.
* If your product contains iron:
+ If you have an excessive amount of iron in your body.
+ If you have hemolytic anemia.

This list is not exhaustive, and it is crucial to discuss all your medications (prescription, over-the-counter, natural products, and vitamins) and health issues with your doctor and pharmacist. They will help determine if it is safe to take this medication with your other drugs and health conditions. Never start, stop, or adjust the dosage of any medication without consulting your doctor first.

It is essential to inform all your healthcare providers, including doctors, nurses, pharmacists, and dentists, that you are taking this medication. This is crucial because this drug may interfere with certain laboratory tests. Therefore, be sure to notify all your healthcare providers and laboratory personnel that you are taking this medication.

If you have a soy allergy, consult with your doctor before taking this medication, as some products may contain soy. Similarly, if you are allergic to tartrazine (also known as FD&C Yellow No. 5), discuss this with your doctor, as some products may contain this ingredient.

When considering administration of this medication to a child, it is important to note that different brands may be approved for use in different age groups. Before giving this drug to a child, consult with your doctor to ensure you are using the appropriate brand and dosage for the child's age.

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 this medication to both you and your baby to make an informed decision.

• Warfarin (Coumadin) + Vitamin K: Vitamin K can reduce the anticoagulant effect of warfarin, increasing the risk of blood clots. Patients on warfarin should maintain consistent Vitamin K intake and consult their physician before starting or stopping multi-vitamins.
• Levodopa (L-Dopa) + Pyridoxine (Vitamin B6): High doses of Vitamin B6 (above 5-10 mg) can reduce the efficacy of levodopa by increasing its peripheral metabolism, unless a peripheral decarboxylase inhibitor (e.g., carbidopa) is co-administered.

• Tetracycline antibiotics (e.g., doxycycline, minocycline) + Calcium/Iron/Magnesium/Zinc: These minerals can chelate tetracyclines, reducing their absorption and efficacy. Separate administration by at least 2-4 hours.
• Fluoroquinolone antibiotics (e.g., ciprofloxacin, levofloxacin) + Calcium/Iron/Magnesium/Zinc: Similar to tetracyclines, these minerals can chelate fluoroquinolones, reducing their absorption. Separate administration by at least 2-4 hours.
• Thyroid hormones (e.g., levothyroxine) + Calcium/Iron: Calcium and iron can impair the absorption of thyroid hormones. Separate administration by at least 4 hours.
• Bisphosphonates (e.g., alendronate) + Calcium/Iron/Magnesium: These minerals can interfere with bisphosphonate absorption. Separate administration by at least 30 minutes to 2 hours.
• Diuretics (e.g., thiazides, loop diuretics) + various vitamins/minerals: Some diuretics can affect the excretion or retention of certain electrolytes (e.g., potassium, magnesium, calcium) or vitamins (e.g., thiamine).
• Retinoids (e.g., isotretinoin, acitretin) + Vitamin A: Concomitant use can increase the risk of Vitamin A toxicity (hypervitaminosis A).

• Orlistat + Fat-soluble vitamins (A, D, E, K): Orlistat reduces fat absorption, which can impair the absorption of fat-soluble vitamins. Administer multi-vitamins at least 2 hours before or after orlistat, or at bedtime.
• Proton Pump Inhibitors (PPIs) / H2 Blockers + Vitamin B12: Long-term use of acid-reducing medications can impair the absorption of Vitamin B12 due to reduced gastric acid production.

• Gastrointestinal upset (nausea, constipation, diarrhea)
• Allergic reactions (rash, itching, swelling, dizziness, trouble breathing)
• Symptoms of hypervitaminosis (rare at recommended doses, but can include headache, fatigue, blurred vision, bone pain, hair loss, liver dysfunction, nerve damage depending on specific vitamin excess)
• Symptoms of specific vitamin deficiencies if not adequately addressed by the multi-vitamin (e.g., fatigue, weakness, skin changes, neurological symptoms)

Generally safe and often recommended, especially prenatal multi-vitamins specifically formulated for pregnancy. These typically contain higher levels of folic acid and iron. However, excessive intake of certain vitamins (e.g., Vitamin A in its retinol form) can be teratogenic. Always consult a healthcare provider before taking any supplements during pregnancy.

Generally safe and often recommended to support maternal nutritional needs and ensure adequate nutrient transfer to breast milk. Specific postnatal multi-vitamins are available. Consult a healthcare provider.

Age-appropriate formulations and dosages are crucial. Children have different nutritional needs than adults, and some adult multi-vitamins may contain excessive amounts of certain vitamins/minerals for children, potentially leading to toxicity (e.g., iron poisoning). Always use products specifically designed for children and follow dosing instructions carefully.

Generally safe and may be beneficial as older adults may have altered absorption, increased needs (e.g., Vitamin B12, Vitamin D), or reduced dietary intake. However, caution with high doses of certain vitamins (e.g., Vitamin A) due to potential for accumulation or interactions with medications. Consult a healthcare provider for personalized recommendations.

• Multi-vitamins are intended to supplement, not replace, a healthy and balanced diet.
• The 'best' multi-vitamin varies by individual needs, age, sex, and specific dietary gaps. Consider consulting a healthcare professional or registered dietitian.
• Pay attention to the 'USP Verified' mark or other third-party certifications (e.g., NSF, ConsumerLab) to ensure product quality, purity, and accurate labeling, as dietary supplements are not as strictly regulated as prescription drugs.
• Be aware of potential interactions with prescription medications, especially anticoagulants (warfarin), certain antibiotics, and thyroid hormones.
• Iron-containing multi-vitamins should be kept out of reach of children due to the risk of accidental iron poisoning.

• Dietary modifications to increase intake of nutrient-rich foods.
• Targeted single vitamin or mineral supplements for specific deficiencies (e.g., Vitamin D, B12, Iron).
• Fortified foods (e.g., cereals, milk).

If your symptoms or health issues persist or worsen, it is essential to contact your doctor promptly. To ensure safe and effective treatment, never share your medication with others or take someone else's medication. Some medications may come with an additional patient information leaflet, so it's a good idea to check with your pharmacist for more information. If you have any questions or concerns about this medication, don't hesitate to discuss them with your doctor, nurse, pharmacist, or other healthcare provider. In the event of a suspected overdose, immediately call your local poison control center or seek emergency medical attention. When reporting the incident, be prepared to provide details about the medication taken, the amount, and the time it occurred.