One Daily Multivit W /iron 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: It is used to help growth and good health.It may be given to you for other reasons. Talk with the doctor.
Drug Class
Nutritional Supplement; Vitamin/Mineral Supplement
Pharmacologic Class
Multivitamin; Mineral Supplement (Iron)
Pregnancy Category
Not available (Dietary Supplement, generally considered safe when used as directed)
FDA Approved
Jan 1970
DEA Schedule
Not Controlled
Overview
What is this medicine?
This product is a daily multivitamin and mineral supplement that provides essential nutrients, including iron, to support overall health and prevent deficiencies. It helps your body perform many vital functions, such as energy production, immune support, and red blood cell formation.
How to Use This Medicine
Taking Your Medication Correctly
To get the most benefit from your medication, follow your doctor's instructions and read all the information provided. Take your medication as directed, and follow these guidelines:
You can take this medication with or without food. If it causes stomach upset, take it with food to help minimize discomfort.
For best absorption, take this medication at bedtime. If you have questions about the timing of your dose, consult your doctor or pharmacist.
Extended-Release Products: Swallow the tablet whole; do not chew, break, or crush it.
Liquid Medication: Measure your dose carefully using the provided measuring device. If one is not included, ask your pharmacist for a suitable device to ensure accurate measurement.
Chewable Tablets: Chew the tablet thoroughly before swallowing to ensure proper absorption.
Storing and Disposing of Your Medication
To maintain the effectiveness and safety of your medication:
Store it at room temperature in a dry place, avoiding the bathroom.
Protect it from heat and light to prevent degradation.
Keep all medications in a secure location, out of the reach of children and pets.
What to Do If You Miss a Dose
If you miss a dose, take it as soon as you remember. However, if it's 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 to make up for the missed one.
To get the most benefit from your medication, follow your doctor's instructions and read all the information provided. Take your medication as directed, and follow these guidelines:
You can take this medication with or without food. If it causes stomach upset, take it with food to help minimize discomfort.
For best absorption, take this medication at bedtime. If you have questions about the timing of your dose, consult your doctor or pharmacist.
Extended-Release Products: Swallow the tablet whole; do not chew, break, or crush it.
Liquid Medication: Measure your dose carefully using the provided measuring device. If one is not included, ask your pharmacist for a suitable device to ensure accurate measurement.
Chewable Tablets: Chew the tablet thoroughly before swallowing to ensure proper absorption.
Storing and Disposing of Your Medication
To maintain the effectiveness and safety of your medication:
Store it at room temperature in a dry place, avoiding the bathroom.
Protect it from heat and light to prevent degradation.
Keep all medications in a secure location, out of the reach of children and pets.
What to Do If You Miss a Dose
If you miss a dose, take it as soon as you remember. However, if it's 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 to make up for the missed one.
Lifestyle & Tips
- Take with food to improve absorption of fat-soluble vitamins and minimize stomach upset, especially from iron.
- Do not take with milk, calcium supplements, antacids, or certain medications (e.g., tetracyclines, levothyroxine) as they can interfere with iron absorption. Separate doses by at least 2-4 hours.
- Maintain a balanced diet; supplements are not a substitute for healthy eating.
- Store in a cool, dry place, out of reach of children. Iron overdose is a leading cause of poisoning deaths in young children.
Available Forms & Alternatives
Dosing & Administration
Adult Dosing
Standard Dose:
One tablet orally daily, or as directed by a healthcare professional.
Dose Range:
1 - 1 mg
Condition-Specific Dosing:
general_health:
One tablet daily
deficiency_prevention:
One tablet daily
Pediatric Dosing
Neonatal:
Not established (Product-specific, consult pediatrician)
Infant:
Not established (Product-specific, consult pediatrician)
Child:
Not established (Product-specific, consult pediatrician; risk of iron toxicity)
Adolescent:
One tablet orally daily, or as directed by a healthcare professional (if product is formulated for adolescents)
Dose Adjustments
Renal Impairment:
Mild:
No specific adjustment generally required for typical multivitamin doses.
Moderate:
Caution advised with certain vitamins (e.g., Vitamin A, D) and minerals (e.g., iron) in advanced renal disease. Consult healthcare professional.
Severe:
Caution advised with certain vitamins (e.g., Vitamin A, D) and minerals (e.g., iron) in advanced renal disease. Consult healthcare professional.
Dialysis:
Specific renal vitamin formulations may be preferred. Avoid excessive iron unless deficiency is confirmed. Consult healthcare professional.
Hepatic Impairment:
Mild:
No specific adjustment generally required.
Moderate:
No specific adjustment generally required.
Severe:
No specific adjustment generally required, but monitor for signs of iron overload if liver disease is present.
Pharmacology
Mechanism of Action
Multivitamins provide essential vitamins and minerals that are crucial for various metabolic processes, cellular functions, and overall health. They act as coenzymes, antioxidants, and structural components. Iron is a vital component of hemoglobin, myoglobin, and various enzymes, essential for oxygen transport and cellular respiration.
Pharmacokinetics
Absorption:
Bioavailability:
Variable (depends on specific vitamin/mineral, formulation, and individual factors)
Tmax:
Variable (typically 1-4 hours for most water-soluble vitamins; fat-soluble vitamins absorbed with dietary fat)
FoodEffect:
Enhanced absorption for fat-soluble vitamins (A, D, E, K) with food. Iron absorption is enhanced by Vitamin C and inhibited by calcium, phytates, and tannins.
Distribution:
Vd:
Variable (water-soluble vitamins distribute in body water; fat-soluble vitamins stored in adipose tissue and liver; iron bound to transferrin)
ProteinBinding:
Variable (e.g., Vitamin D metabolites, Vitamin B12, iron bound to specific transport proteins)
CnssPenetration:
Limited for most, but some vitamins (e.g., B vitamins) are essential for neurological function.
Elimination:
HalfLife:
Variable (minutes to days for water-soluble; weeks to months for fat-soluble vitamins; iron has no specific elimination pathway, primarily lost through shedding of cells)
Clearance:
Variable
ExcretionRoute:
Renal (water-soluble vitamins); Biliary/Fecal (some fat-soluble vitamins); Iron is conserved and recycled.
Unchanged:
Variable
Pharmacodynamics
OnsetOfAction:
Not applicable (nutritional support, not acute drug effect)
PeakEffect:
Not applicable
DurationOfAction:
Not applicable
Safety & Warnings
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 you notice any of the following symptoms, contact your doctor immediately or seek 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 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 that bother you or persist, contact your doctor:
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, 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.
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 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 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 that bother you or persist, contact your doctor:
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, 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.
Seek Immediate Medical Attention If You Experience:
- Severe stomach pain, nausea, vomiting, or diarrhea (may indicate overdose, especially with iron)
- Black, tarry stools (common with iron, but report if accompanied by other severe symptoms)
- Allergic reaction symptoms (rash, itching, swelling, severe dizziness, trouble breathing)
- Unusual fatigue, weakness, or pallor (if symptoms persist despite supplementation, consult doctor)
Before Using This Medicine
Before Taking This Medication: Important Information to Share with Your Doctor
It is essential to inform your doctor about the following conditions to ensure safe treatment:
Any allergies you have, including allergies to this medication, its components, or other substances, such as foods or drugs. Be sure to describe the signs and symptoms you experienced.
Certain types of anemia, including pernicious anemia, which is characterized by a lack of vitamin B12 in the body.
If you are currently taking levodopa.
If you are taking mineral oil.
* If your medication contains iron:
+ If you have an excessive amount of iron in your body (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 (prescription, over-the-counter, natural products, and vitamins) and health problems with your doctor and pharmacist. They will help you determine if it is safe to take this medication with your other treatments. Never start, stop, or change the dosage of any medication without consulting your doctor first.
It is essential to inform your doctor about the following conditions to ensure safe treatment:
Any allergies you have, including allergies to this medication, its components, or other substances, such as foods or drugs. Be sure to describe the signs and symptoms you experienced.
Certain types of anemia, including pernicious anemia, which is characterized by a lack of vitamin B12 in the body.
If you are currently taking levodopa.
If you are taking mineral oil.
* If your medication contains iron:
+ If you have an excessive amount of iron in your body (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 (prescription, over-the-counter, natural products, and vitamins) and health problems with your doctor and pharmacist. They will help you determine if it is safe to take this medication with your other treatments. Never start, stop, or change the dosage of any medication without consulting your doctor first.
Precautions & Cautions
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 it comes to administering this medication to children, it is vital to note that different brands may be suitable for different age groups. Before giving this drug to a child, consult with your doctor to ensure you are using the appropriate 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 make an informed decision about its use.
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 it comes to administering this medication to children, it is vital to note that different brands may be suitable for different age groups. Before giving this drug to a child, consult with your doctor to ensure you are using the appropriate 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 make an informed decision about its use.
Overdose Information
Overdose Symptoms:
- Initial symptoms (within 6 hours): severe stomach pain, nausea, vomiting, diarrhea (may be bloody), lethargy, pale or clammy skin, rapid/weak pulse, low blood pressure.
- Latent period (6-24 hours): apparent improvement.
- Later symptoms (12-48 hours): metabolic acidosis, shock, liver damage, kidney failure, seizures, coma.
What to Do:
Seek immediate medical attention. Call 911 or Poison Control (1-800-222-1222). Do NOT induce vomiting unless instructed by medical personnel. Treatment may involve gastric lavage, whole bowel irrigation, and chelation therapy (e.g., deferoxamine) for severe iron overdose.
Drug Interactions
Major Interactions
- Levothyroxine (Iron can decrease absorption)
- Tetracycline antibiotics (Iron can chelate and decrease absorption)
- Quinolone antibiotics (Iron can chelate and decrease absorption)
- Bisphosphonates (Iron can decrease absorption)
- Warfarin (Vitamin K can reduce anticoagulant effect)
Moderate Interactions
- Antacids (Can decrease iron absorption)
- Calcium supplements (Can decrease iron absorption)
- Proton Pump Inhibitors (PPIs) / H2 Blockers (May reduce absorption of iron and Vitamin B12)
- Cholestyramine / Orlistat (Can decrease absorption of fat-soluble vitamins)
- Phenytoin / Phenobarbital (May increase metabolism of Vitamin D, K, and folate)
- Diuretics (Thiazide diuretics may increase calcium levels; loop diuretics may increase excretion of some B vitamins)
Minor Interactions
- Dietary fiber (May slightly reduce iron absorption)
- Coffee/Tea (Tannins can inhibit iron absorption)
Monitoring
Baseline Monitoring
Dietary intake assessment
Rationale: To determine if supplementation is necessary or if dietary changes are sufficient.
Timing: Prior to initiation of supplementation
Hemoglobin/Hematocrit (if iron deficiency suspected)
Rationale: To assess for anemia and guide iron supplementation.
Timing: Prior to initiation if clinically indicated
Routine Monitoring
Clinical symptoms (e.g., fatigue, pallor)
Frequency: Periodically, as needed
Target: Resolution of deficiency symptoms
Action Threshold: Persistent or worsening symptoms may indicate inadequate supplementation or other underlying conditions.
Adverse effects (e.g., GI upset, constipation)
Frequency: As needed, especially during initial use
Target: Absence of significant side effects
Action Threshold: If severe or persistent, consider dose adjustment or alternative product.
Symptom Monitoring
- Gastrointestinal upset (nausea, constipation, diarrhea, stomach cramps)
- Dark stools (due to iron)
- Allergic reactions (rash, itching, swelling, severe dizziness, trouble breathing)
- Symptoms of overdose (e.g., severe stomach pain, vomiting, diarrhea, lethargy, pale/clammy skin, rapid/weak pulse, hyperventilation, seizures - especially with iron)
Special Patient Groups
Pregnancy
Essential vitamins and minerals, including iron, are crucial during pregnancy for maternal and fetal health. This product, if formulated as a prenatal vitamin, is generally safe and recommended. However, excessive intake of certain vitamins (e.g., Vitamin A in high doses) can be harmful. Consult a healthcare professional for appropriate prenatal supplementation.
Trimester-Specific Risks:
First Trimester:
Crucial for neural tube development (folate) and overall fetal organogenesis. Avoid excessive Vitamin A.
Second Trimester:
Continued need for iron to support increased maternal blood volume and fetal growth.
Third Trimester:
Continued need for iron and other nutrients for rapid fetal growth and preparation for delivery.
Lactation
Vitamins and minerals are transferred into breast milk. Supplementation is generally safe and often recommended to ensure adequate nutrient intake for both mother and infant. Consult a healthcare professional.
Infant Risk:
Low risk with appropriate dosing; high doses of certain vitamins/minerals could potentially be harmful to the infant.
Pediatric Use
Multivitamins with iron should be used with extreme caution in children, especially young children, due to the high risk of accidental iron overdose, which can be fatal. Use only age-appropriate formulations and keep out of reach of children. Consult a pediatrician for specific dosing.
Geriatric Use
Older adults may have increased needs for certain vitamins (e.g., Vitamin D, B12) due to decreased absorption or dietary intake. However, they may also be more susceptible to toxicity from fat-soluble vitamins or iron if not needed. Consult a healthcare professional for appropriate supplementation.
Clinical Information
Clinical Pearls
- Iron is a common cause of accidental poisoning in children; emphasize safe storage.
- Advise patients to take iron-containing supplements with Vitamin C (e.g., orange juice) to enhance absorption, but avoid taking with calcium-rich foods/drinks or antacids.
- Educate patients about potential stool darkening and constipation due to iron, and recommend adequate fluid and fiber intake.
- Remind patients that supplements are meant to complement, not replace, a healthy diet.
Alternative Therapies
- Dietary modifications to increase nutrient intake
- Individual vitamin/mineral supplements for specific deficiencies (e.g., iron supplements for iron deficiency anemia, Vitamin D supplements for deficiency)
Cost & Coverage
Average Cost:
$5 - $30 per 30 tablets
Generic Available:
Yes
Insurance Coverage:
Not typically covered by prescription drug plans; may be covered by FSA/HSA.
General Drug Facts
If your symptoms or health issues persist or worsen, it's essential to contact your doctor for further guidance. To ensure your safety, never share your medication with others or take someone else's medication. Some medications may come with an additional patient information leaflet, so be sure to check with your pharmacist for more information. If you have any questions or concerns about your medication, don't hesitate to reach out to your doctor, nurse, pharmacist, or other healthcare provider. In the event of a suspected overdose, immediately call your local poison control center or seek medical attention. When seeking help, be prepared to provide details about the medication taken, the amount, and the time it happened.