Udamin Sp 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; Essential Micronutrients
Pregnancy Category
Varies by specific vitamin and dose; generally Category A or B for typical doses, but consult healthcare provider for specific product.
FDA Approved
Jan 1970
DEA Schedule
Not Controlled
Overview
What is this medicine?
Udamin Sp Tablets are a type of multivitamin supplement that provides a combination of essential vitamins and minerals your body needs to function properly. They are used to help fill nutritional gaps in your diet and support overall health and well-being.
How to Use This Medicine
Taking Your Medication Correctly
To get the most benefit from your medication, follow your doctor's instructions carefully. Read all the information provided with your medication and follow the instructions closely.
Administration Guidelines
You can take this medication with or without food. If it causes stomach upset, take it with food to help minimize discomfort.
For optimal absorption, take this medication at bedtime. If you have questions about the best time to take your medication, consult with your doctor or pharmacist.
Special Instructions for Different Forms of the Medication
Extended-Release Products: Swallow these whole; do not chew, break, or crush them.
Liquid: Measure your dose carefully using the measuring device provided with the medication. If one is not included, ask your pharmacist for a suitable measuring device.
* Chewable Tablets: Chew these well before swallowing to ensure proper digestion and absorption.
Storage and Disposal
Store your medication at room temperature in a dry place, away from the bathroom. Protect it from heat and light to preserve its effectiveness. Keep all medications in a safe 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 continue with your regular dosing schedule. Do not take two doses at the same time or take extra doses to make up for a missed dose.
To get the most benefit from your medication, follow your doctor's instructions carefully. Read all the information provided with your medication and follow the instructions closely.
Administration Guidelines
You can take this medication with or without food. If it causes stomach upset, take it with food to help minimize discomfort.
For optimal absorption, take this medication at bedtime. If you have questions about the best time to take your medication, consult with your doctor or pharmacist.
Special Instructions for Different Forms of the Medication
Extended-Release Products: Swallow these whole; do not chew, break, or crush them.
Liquid: Measure your dose carefully using the measuring device provided with the medication. If one is not included, ask your pharmacist for a suitable measuring device.
* Chewable Tablets: Chew these well before swallowing to ensure proper digestion and absorption.
Storage and Disposal
Store your medication at room temperature in a dry place, away from the bathroom. Protect it from heat and light to preserve its effectiveness. Keep all medications in a safe 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 continue with your regular dosing schedule. Do not take two doses at the same time or take extra doses to make up for a missed dose.
Lifestyle & Tips
- Take with food to enhance absorption of fat-soluble vitamins and minimize stomach upset.
- Do not exceed the recommended dose, as excessive intake of certain vitamins and minerals 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 moisture, out of reach of children.
Available Forms & Alternatives
Available Strengths:
Dosing & Administration
Adult Dosing
Standard Dose:
Typically one tablet orally once daily, or as directed by a healthcare professional.
Dose Range:
1 - 2 mg
Condition-Specific Dosing:
general_health_maintenance:
One tablet daily
dietary_deficiency:
Dosage may be adjusted based on specific deficiencies, consult healthcare provider.
Pediatric Dosing
Neonatal:
Not established (specific pediatric formulations required)
Infant:
Not established (specific pediatric formulations required)
Child:
Dosing varies significantly by age and specific product formulation. Consult product label or pediatrician.
Adolescent:
Dosing varies by age and specific product formulation. Typically adult dose for older adolescents, consult product label.
Dose Adjustments
Renal Impairment:
Mild:
Generally no specific adjustment for typical doses. Caution with high doses of water-soluble vitamins (e.g., Vitamin C) or fat-soluble vitamins (e.g., Vitamin A) in severe impairment.
Moderate:
Generally no specific adjustment for typical doses. Caution with high doses of water-soluble vitamins (e.g., Vitamin C) or fat-soluble vitamins (e.g., Vitamin A) in severe impairment.
Severe:
Caution advised, especially with fat-soluble vitamins (A, D, E, K) and certain minerals (e.g., phosphorus, potassium). Consult healthcare provider.
Dialysis:
Specific supplementation may be required, but general multivitamins may need adjustment. Consult nephrologist.
Hepatic Impairment:
Mild:
Generally no specific adjustment for typical doses.
Moderate:
Generally no specific adjustment for typical doses.
Severe:
Caution advised, especially with fat-soluble vitamins (A, D, E, K) due to altered metabolism and storage. Consult healthcare provider.
Pharmacology
Mechanism of Action
Multivitamins provide essential vitamins and minerals that are crucial cofactors for numerous enzymatic reactions, metabolic pathways, and physiological processes. They support cellular function, energy production, immune response, bone health, vision, nerve function, and overall growth and development, compensating for dietary inadequacies.
Pharmacokinetics
Absorption:
Bioavailability:
Varies widely by individual vitamin/mineral component, formulation, and presence of food. Generally, water-soluble vitamins are well-absorbed, while fat-soluble vitamins require dietary fat for optimal absorption.
Tmax:
Varies by individual vitamin/mineral component (e.g., 2-4 hours for many water-soluble vitamins).
FoodEffect:
Absorption of fat-soluble vitamins (A, D, E, K) is enhanced by food, especially fatty meals. Some minerals (e.g., iron) may be better absorbed on an empty stomach but are often taken with food to reduce gastrointestinal upset. Water-soluble vitamins are generally not significantly affected by food.
Distribution:
Vd:
Varies by individual vitamin/mineral component. Water-soluble vitamins distribute into total body water; fat-soluble vitamins are stored in adipose tissue and liver.
ProteinBinding:
Varies by individual vitamin/mineral component (e.g., Vitamin D and A are highly protein-bound).
CnssPenetration:
Limited for many, but some vitamins (e.g., B vitamins) are essential for neurological function and cross the blood-brain barrier.
Elimination:
HalfLife:
Varies widely by individual vitamin/mineral component (e.g., hours for Vitamin C, days to months for Vitamin D).
Clearance:
Varies by individual vitamin/mineral component.
ExcretionRoute:
Water-soluble vitamins are primarily excreted renally (urine); fat-soluble vitamins are primarily excreted via bile/feces.
Unchanged:
Varies by individual vitamin/mineral component (e.g., significant portion of Vitamin C excreted unchanged).
Pharmacodynamics
OnsetOfAction:
Gradual; nutritional benefits accrue over days to weeks with consistent use.
PeakEffect:
Not acutely defined; sustained physiological support.
DurationOfAction:
Sustained as long as supplementation continues and body stores are maintained.
Safety & Warnings
Side Effects
Urgent Side Effects: Seek Medical Attention Immediately
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 contact 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 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 contact 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:
- Signs of allergic reaction: rash, itching, swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. Seek immediate medical attention.
- Severe stomach upset, persistent nausea, vomiting, or diarrhea.
- Unusual fatigue, muscle weakness, or bone pain (may indicate excessive intake of certain vitamins).
- Dark or tarry stools (may indicate gastrointestinal bleeding, though rare with multivitamins).
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. Be sure to describe the symptoms you experienced.
Certain types of anemia, such as 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.
Please note that this is not an exhaustive list of potential interactions. It is crucial to discuss all your medications (prescription, over-the-counter, natural products, and vitamins) and health conditions with your doctor and pharmacist to ensure safe use. Always consult your doctor before starting, stopping, or changing the dosage of any medication to avoid potential interactions and ensure your safety.
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. Be sure to describe the symptoms you experienced.
Certain types of anemia, such as 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.
Please note that this is not an exhaustive list of potential interactions. It is crucial to discuss all your medications (prescription, over-the-counter, natural products, and vitamins) and health conditions with your doctor and pharmacist to ensure safe use. Always consult your doctor before starting, stopping, or changing the dosage of any medication to avoid potential interactions and ensure your safety.
Precautions & Cautions
It is essential to inform all your healthcare providers, including doctors, nurses, pharmacists, and dentists, that you are taking this medication. This drug may interfere with certain laboratory tests, so be sure to notify your healthcare providers and lab personnel that you are taking it.
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 administering this medication to a child, it is crucial to consult with the doctor first, as different brands may be suitable for different age groups.
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.
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 administering this medication to a child, it is crucial to consult with the doctor first, as different brands may be suitable for different age groups.
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.
Overdose Information
Overdose Symptoms:
- Nausea, vomiting, diarrhea, stomach cramps
- Headache, dizziness, blurred vision
- Fatigue, muscle weakness, joint pain
- Hair loss, dry skin, cracked lips (especially with excess Vitamin A)
- Increased urination, kidney stones (with excess Vitamin C or D)
- Yellowing of skin (with excess Vitamin A or carotenoids)
- Metallic taste in mouth (with excess minerals like iron or zinc)
What to Do:
If you suspect an overdose, contact a poison control center immediately (e.g., call 1-800-222-1222 in the US) or seek emergency medical attention. Bring the product container with you.
Drug Interactions
Contraindicated Interactions
- Known hypersensitivity to any component of the multivitamin formulation.
Major Interactions
- Warfarin (Coumadin): High doses of Vitamin K can reduce warfarin's anticoagulant effect. High doses of Vitamin E can increase bleeding risk.
- Tetracycline antibiotics (e.g., doxycycline, minocycline): Calcium, iron, magnesium, and zinc can chelate tetracyclines, reducing their absorption. Separate administration by at least 2-4 hours.
- Fluoroquinolone antibiotics (e.g., ciprofloxacin, levofloxacin): Calcium, iron, magnesium, and zinc can chelate fluoroquinolones, reducing their absorption. Separate administration by at least 2-4 hours.
- Levothyroxine (Synthroid): Calcium and iron can impair levothyroxine absorption. Separate administration by at least 4 hours.
Moderate Interactions
- Anticonvulsants (e.g., phenytoin, carbamazepine, phenobarbital): May increase metabolism of Vitamin D, folic acid, and Vitamin K, potentially leading to deficiencies.
- Diuretics (e.g., thiazides, loop diuretics): May affect excretion of certain minerals (e.g., calcium, potassium, magnesium).
- Bile acid sequestrants (e.g., cholestyramine): May impair absorption of fat-soluble vitamins (A, D, E, K).
- Orlistat (Xenical): May impair absorption of fat-soluble vitamins (A, D, E, K).
- Proton pump inhibitors (PPIs) and H2 blockers: May reduce absorption of Vitamin B12 due to decreased stomach acid.
- Bisphosphonates (e.g., alendronate): Calcium and other minerals can interfere with absorption. Separate administration by at least 30 minutes to 2 hours.
Minor Interactions
- Other medications: General interactions are possible; consult a pharmacist or healthcare provider for specific concerns.
Monitoring
Baseline Monitoring
Dietary intake assessment
Rationale: To identify potential nutritional gaps that multivitamin supplementation aims to address.
Timing: Prior to initiation, if deficiency is suspected.
Relevant vitamin/mineral levels (e.g., Vitamin D, B12, Iron)
Rationale: If specific deficiencies are suspected or to guide targeted supplementation.
Timing: Prior to initiation, if clinically indicated.
Routine Monitoring
General well-being and symptom resolution
Frequency: Ongoing
Target: Improved energy, reduced fatigue, overall health maintenance.
Action Threshold: Persistent symptoms of deficiency or new symptoms of potential toxicity (rare with typical doses).
Symptom Monitoring
- Signs of allergic reaction (rash, itching, swelling, severe dizziness, trouble breathing)
- Gastrointestinal upset (nausea, vomiting, diarrhea, constipation)
- Unusual fatigue or weakness
- Changes in urine color (e.g., bright yellow from riboflavin)
- Symptoms of hypervitaminosis (rare with typical doses, but possible with excessive intake of fat-soluble vitamins like Vitamin A or D: headache, blurred vision, bone pain, nausea, vomiting, hair loss)
Special Patient Groups
Pregnancy
Multivitamins, especially those formulated as prenatal vitamins, are often recommended during pregnancy to ensure adequate intake of essential nutrients like folic acid, iron, and calcium. However, high doses 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.
Trimester-Specific Risks:
First Trimester:
Crucial for neural tube development (folic acid). Avoid excessive Vitamin A (retinol).
Second Trimester:
Continued need for iron, calcium, Vitamin D for fetal growth and bone development.
Third Trimester:
Continued need for all essential nutrients to support rapid fetal growth and prepare for lactation.
Lactation
Multivitamins are generally safe and often recommended during lactation to support maternal health and ensure adequate nutrient content in breast milk. Consult a healthcare provider for appropriate dosing.
Infant Risk:
Low risk with typical doses; benefits generally outweigh risks. Excessive maternal intake of certain vitamins (e.g., Vitamin A) could theoretically lead to high levels in breast milk, but this is rare with standard supplements.
Pediatric Use
Dosing must be carefully adjusted based on age, weight, and specific nutritional needs. Excessive intake of certain vitamins (especially fat-soluble vitamins A, D, E, K) and minerals (e.g., iron) can be toxic in children. Always use child-specific formulations and consult a pediatrician.
Geriatric Use
May be beneficial due to altered nutrient absorption, reduced dietary intake, or increased medication use. However, caution is advised with high doses of certain fat-soluble vitamins (e.g., Vitamin A, D) due to potential for accumulation and toxicity. Individualized assessment is recommended.
Clinical Information
Clinical Pearls
- Multivitamins are dietary supplements, not a substitute for a healthy, balanced diet.
- Take multivitamins with food to improve absorption of fat-soluble vitamins and reduce gastrointestinal upset.
- Be aware of the specific vitamin and mineral content of your multivitamin, especially if taking other individual supplements, to avoid excessive intake.
- Patients on anticoagulants (e.g., warfarin) should be cautious with multivitamins containing Vitamin K and consult their physician.
- Separate multivitamin administration from certain medications (e.g., thyroid hormones, some antibiotics) by several hours to prevent absorption interference.
- The bright yellow color of urine after taking a multivitamin is usually due to riboflavin (Vitamin B2) and is harmless.
Alternative Therapies
- Dietary modifications to increase intake of nutrient-rich foods
- Individual vitamin or mineral supplements for targeted deficiencies (e.g., Vitamin D, Iron, B12)
- Fortified foods (e.g., cereals, milk)
Cost & Coverage
Average Cost:
$5 - $30 per 30 tablets
Generic Available:
Yes
Insurance Coverage:
Generally not covered by prescription insurance plans as they are over-the-counter (OTC) dietary supplements. May be eligible for FSA/HSA.
General Drug Facts
If your symptoms or health issues persist or worsen, it is 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 it's a good idea to check with your pharmacist. 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 seeking help, be prepared to provide detailed information about the overdose, including the medication taken, the amount, and the time it occurred.