sye-an-oh-koe-BAL-a-min

Uses For vitamin b12

Vitamins are compounds that you must have for growth and health. They are needed in small amounts only and are usually available in the foods that you eat. Vitamin B is necessary for healthy blood. Cyanocobalamin and hydroxocobalamin are man-made forms of vitamin B .

Some people have a medical problem called pernicious anemia in which vitamin B is not absorbed from the intestine. Others may have a badly diseased intestine or have had a large part of their stomach or intestine removed, so that vitamin B cannot be absorbed. These people need to receive vitamin B by injection.

Some conditions may increase your need for vitamin B . These include:

• Alcoholism
• Anemia, hemolytic
• Fever (continuing)
• Genetic disorders such as homocystinuria and/or methylmalonic aciduria
• Intestine diseases
• Infections (continuing or chronic)
• Kidney disease
• Liver disease
• Pancreas disease
• Stomach disease
• Stress (continuing)
• Thyroid disease
• Worm infections

In addition, persons that are strict vegetarians or have macrobiotic diets may need vitamin B supplements.

Increased need for vitamin B should be determined by your health care professional.

Lack of vitamin B may lead to anemia (weak blood), stomach problems, and nerve damage. Your health care professional may treat this by prescribing vitamin B for you.

Claims that vitamin B is effective for treatment of various conditions such as aging, allergies, eye problems, slow growth, poor appetite or malnutrition, skin problems, tiredness, mental problems, sterility, thyroid disease, and nerve diseases have not been proven. Many of these treatments involve large and expensive amounts of vitamins.

Injectable vitamin B is given by or under the supervision of a health care professional. Some strengths of oral vitamin B are available only with your health care professional’s prescription. Others are available without a prescription.

Importance of Diet

For good health, it is important that you eat a balanced and varied diet. Follow carefully any diet program your health care professional may recommend. For your specific dietary vitamin and/or mineral needs, ask your health care professional for a list of appropriate foods. If you think that you are not getting enough vitamins and/or minerals in your diet, you may choose to take a dietary supplement.

Vitamin B is found in various foods, including fish, egg yolk, milk, and fermented cheeses. It is not found in any vegetables. Ordinary cooking probably does not destroy the vitamin B in food.

Vitamins alone will not take the place of a good diet and will not provide energy. Your body also needs other substances found in food, such as protein, minerals, carbohydrates, and fat. Vitamins themselves often cannot work without the presence of other foods.

The daily amount of vitamin B needed is defined in several different ways.

• For U.S.—
• Recommended Dietary Allowances (RDAs) are the amount of vitamins and minerals needed to provide for adequate nutrition in most healthy persons. RDAs for a given nutrient may vary depending on a person’s age, sex, and physical condition (e.g., pregnancy).
• Daily Values (DVs) are used on food and dietary supplement labels to indicate the percent of the recommended daily amount of each nutrient that a serving provides. DV replaces the previous designation of United States Recommended Daily Allowances (USRDAs).

• For Canada—
• Recommended Nutrient Intakes (RNIs) are used to determine the amounts of vitamins, minerals, and protein needed to provide adequate nutrition and lessen the risk of chronic disease

Normal daily recommended intakes in micrograms (mcg) for vitamin B are generally defined as follows:

Persons	U.S. (mcg)	Canada (mcg)
Infants birth to 3 years of age	0.3–0.7	0.3–0.4
Children 4 to 6 years of age	1	0.5
Children 7 to 10 years of age	1.4	0.8–1
Adolescent and adult males	2	1–2
Adolescent and adult females	2	1–2
Pregnant females	2.2	2–3
Breast-feeding females	2.6	1.5–2.5

Before Using vitamin b12

If you are taking a dietary supplement without a prescription, carefully read and follow any precautions on the label. For these supplements, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to medicines in this group or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Problems in children have not been reported with intake of normal daily recommended amounts.

Geriatric

Problems in older adults have not been reported with intake of normal daily recommended amounts.

Pregnancy

It is especially important that you are receiving enough vitamins when you become pregnant and that you continue to receive the right amount of vitamins throughout your pregnancy. Healthy fetal growth and development depend on a steady supply of nutrients from mother to fetus. However, taking large amounts of a dietary supplement in pregnancy may be harmful to the mother and/or fetus and should be avoided.

You may need vitamin B supplements if you are a strict vegetarian (vegan-vegetarian). Too little vitamin B can cause harmful effects such as anemia or nervous system injury.

Breast Feeding

It is especially important that you receive the right amounts of vitamins so that your baby will also get the vitamins needed to grow properly. If you are a strict vegetarian, your baby may not be getting the vitamin B needed. However, taking large amounts of a dietary supplement while breast-feeding may be harmful to the mother and/or baby and should be avoided.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of dietary supplements in this class. Make sure you tell your doctor if you have any other medical problems, especially:

• Leber’s disease (an eye disease)—Vitamin B12 may make this condition worse.

Proper Use of vitamin b12

If you are taking vitamin B intranasal gel:

• Take it at least one hour before or one hour after hot foods or liquids
• Check with your doctor for follow-up blood tests every 3 to 6 months.

For patients receiving vitamin B by injection for pernicious anemia or if part of the stomach or intestine has been removed:

• You will have to receive treatment for the rest of your life. You must continue to receive vitamin B12 even if you feel well, in order to prevent future problems.

Dosing

The dose medicines in this class will be different for different patients. Follow your doctor’s orders or the directions on the label. The following information includes only the average doses of these medicines. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For nasal dosage form (intranasal gel):
  • To prevent deficiency, you are given this dosage form only if you have received vitamin B12 by injection into the muscle and are in remission state:
    • Adults—500 mcg (0.5 mg) into the nostrils once a week.
• For oral dosage forms (tablets or extended-release tablets):
  • To prevent deficiency, the amount taken by mouth is based on normal daily recommended intakes:
    • For the U.S.
    • Adults and teenagers—2 micrograms (mcg) per day.
    • Pregnant females—2.2 mcg per day.
    • Breast-feeding females—2.6 mcg per day.
    • Children 7 to 10 years of age—1.4 mcg per day.
    • Children 4 to 6 years of age—1 mcg per day.
    • Children birth to 3 years of age—0.3 to 0.7 mcg per day.
    • For Canada
    • Adults and teenagers—1 to 2 mcg per day.
    • Pregnant females—2 to 3 mcg per day.
    • Breast-feeding females—1.5 to 2.5 mcg per day.
    • Children 7 to 10 years of age—0.8 to 1 mcg per day.
    • Children 4 to 6 years of age—0.5 mcg per day.
    • Children birth to 3 years of age—0.3 to 0.4 mcg per day.
  • To treat deficiency:
    • Adults, teenagers, and children—Treatment dose is determined by prescriber for each individual based on the severity of deficiency.

Missed Dose

If you miss a dose of vitamin b12, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

If you miss taking a vitamin for one or more days there is no cause for concern, since it takes some time for your body to become seriously low in vitamins. However, if your health care professional has recommended that you take this vitamin, try to remember to take it as directed.

Storage

Keep out of the reach of children.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Do not keep outdated medicine or medicine no longer needed.

vitamin b12 Side Effects

Along with its needed effects, a dietary supplement may cause some unwanted effects. Vitamin B does not usually cause any side effects.

Check with your doctor immediately if any of the following side effects occur:

Rare – soon after receiving injection only

• Skin rash or itching
• wheezing

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Less common

• Diarrhea
• itching of skin

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

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Vitamin B Complex/

Vitamin C/

Choline/

Folic Acid

Generic Name: Vitamin B Complex/Vitamin C/Choline/Folic Acid (VYE-ta-min/KOE-leen/FOE-lik AS-id)
Brand Name: Folic Acid XTRA

Vitamin B Complex/Vitamin C/Choline/Folic Acid is used for:

A dietary supplement to help maintain a normal blood level of homocysteine or provide vitamins for those who do not receive the proper amount from their diet. It may also be used for other conditions as determined by your doctor.

Vitamin B Complex/Vitamin C/Choline/Folic Acid is a vitamin and folic acid combination. It works by providing vitamins and folic acid to the body to help meet nutritional requirements.

Do NOT use Vitamin B Complex/Vitamin C/Choline/Folic Acid if:

• you are allergic to any ingredient in Vitamin B Complex/Vitamin C/Choline/Folic Acid

Contact your doctor or health care provider right away if any of these apply to you.

Before using Vitamin B Complex/Vitamin C/Choline/Folic Acid:

Some medical conditions may interact with Vitamin B Complex/Vitamin C/Choline/Folic Acid. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have certain types of anemia (eg, pernicious anemia or megaloblastic anemia)

Some MEDICINES MAY INTERACT with Vitamin B Complex/Vitamin C/Choline/Folic Acid. Tell your health care provider if you are taking any other medicines, especially any of the following

• Fluorouracil because the risk of its side effects may be increased by Vitamin B Complex/Vitamin C/Choline/Folic Acid
• Hydantoins (eg, phenytoin) because their effectiveness may be decreased by Vitamin B Complex/Vitamin C/Choline/Folic Acid

This may not be a complete list of all interactions that may occur. Ask your health care provider if Vitamin B Complex/Vitamin C/Choline/Folic Acid may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Vitamin B Complex/Vitamin C/Choline/Folic Acid:

Use Vitamin B Complex/Vitamin C/Choline/Folic Acid as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Vitamin B Complex/Vitamin C/Choline/Folic Acid by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
• If you miss a dose of Vitamin B Complex/Vitamin C/Choline/Folic Acid, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Vitamin B Complex/Vitamin C/Choline/Folic Acid.

Important safety information:

• Do not take large doses of vitamins (megadoses or megavitamin therapy) while you use Vitamin B Complex/Vitamin C/Choline/Folic Acid unless your doctor tells you to.
• Vitamin B Complex/Vitamin C/Choline/Folic Acid contains pyridoxine (vitamin B₆) and folic acid. Before you start any new medicine, check the label to see if it has pyridoxine or folic acid in it too. If it does or if you are not sure, check with your doctor or pharmacist.
• Vitamin B Complex/Vitamin C/Choline/Folic Acid may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking Vitamin B Complex/Vitamin C/Choline/Folic Acid.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Vitamin B Complex/Vitamin C/Choline/Folic Acid while you are pregnant. It is not known if Vitamin B Complex/Vitamin C/Choline/Folic Acid is found in breast milk. If you are or will be breast-feeding while you use Vitamin B Complex/Vitamin C/Choline/Folic Acid, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Vitamin B Complex/Vitamin C/Choline/Folic Acid:

All medicines may cause side effects, but many people have no, or minor, side effects. No COMMON side effects have been reported with Vitamin B Complex/Vitamin C/Choline/Folic Acid. Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); feeling of swelling of the entire body; numbness or tingling of the skin.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately.

Proper storage of Vitamin B Complex/Vitamin C/Choline/Folic Acid:

Store Vitamin B Complex/Vitamin C/Choline/Folic Acid at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Vitamin B Complex/Vitamin C/Choline/Folic Acid out of the reach of children and away from pets.

General information:

• If you have any questions about Vitamin B Complex/Vitamin C/Choline/Folic Acid, please talk with your doctor, pharmacist, or other health care provider.
• Vitamin B Complex/Vitamin C/Choline/Folic Acid is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Vitamin B Complex/Vitamin C/Choline/Folic Acid. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Vitamin B Complex/

Vitamin C/

Folic Acid/

Caplets

Generic Name: Vitamin B Complex/Vitamin C/Folic Acid/ (VYE-ta-min/FOE-lik AS-id/EYE-urn)
Brand Name: Examples include Foli-Iron and I-Fol Plus

Vitamin B Complex/Vitamin C/Folic Acid/ Caplets are used for:

Preventing and treating low iron levels in the body. It may also be used for other conditions as determined by your doctor.

Vitamin B Complex/Vitamin C/Folic Acid/ Caplets are an iron, vitamin, and folic acid combination. It works by providing iron, vitamins, and folic acid to the body.

Do NOT use Vitamin B Complex/Vitamin C/Folic Acid/ Caplets if:

• you are allergic to any ingredient in Vitamin B Complex/Vitamin C/Folic Acid/ Caplets
• you have high levels of iron in the blood (eg, hemochromatosis, hemosiderosis)
• you have pernicious anemia

Contact your doctor or health care provider right away if any of these apply to you.

Before using Vitamin B Complex/Vitamin C/Folic Acid/ Caplets:

Some medical conditions may interact with Vitamin B Complex/Vitamin C/Folic Acid/ Caplets. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have any other type of anemia (eg, hemolytic anemia)
• if you have stomach or bowel problems (eg, Crohn disease, inflammation, ulcer), metabolism problems, the blood disease porphyria, or other blood problems (eg, thalassemia)
• if you have a bleeding problem, have had multiple blood transfusions, or are receiving dialysis

Some MEDICINES MAY INTERACT with Vitamin B Complex/Vitamin C/Folic Acid/ Caplets. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Fluorouracil because the risk of its side effects may be increased by Vitamin B Complex/Vitamin C/Folic Acid/ Caplets
• Doxycycline, hydantoins (eg, phenytoin), mycophenolate, penicillamine, or thyroid hormones (eg, levothyroxine) because their effectiveness may be decreased by Vitamin B Complex/Vitamin C/Folic Acid/ Caplets

This may not be a complete list of all interactions that may occur. Ask your health care provider if Vitamin B Complex/Vitamin C/Folic Acid/ Caplets may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Vitamin B Complex/Vitamin C/Folic Acid/ Caplets:

Use Vitamin B Complex/Vitamin C/Folic Acid/ Caplets as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Vitamin B Complex/Vitamin C/Folic Acid/ Caplets by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
• If you also take bisphosphonates (eg, alendronate), cefdinir, methyldopa, a quinolone antibiotic (eg, ciprofloxacin), or a tetracycline antibiotic (eg, minocycline), ask your doctor or pharmacist how to take it with Vitamin B Complex/Vitamin C/Folic Acid/ Caplets.
• If you miss a dose of Vitamin B Complex/Vitamin C/Folic Acid/ Caplets, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Vitamin B Complex/Vitamin C/Folic Acid/ Caplets.

Important safety information:

• Do not take more than the recommended dose without checking with your doctor.
• Do not take large doses of vitamins (megadoses or megavitamin therapy) while you use Vitamin B Complex/Vitamin C/Folic Acid/ Caplets unless your doctor tells you to.
• Vitamin B Complex/Vitamin C/Folic Acid/ Caplets has pyridoxine (vitamin B₆), folic acid, and iron in it. Before you start any new medicine, check the label to see if it also has pyridoxine, folic acid, or iron in it too. If it does or if you are not sure, check with your doctor or pharmacist.
• Vitamin B Complex/Vitamin C/Folic Acid/ Caplets may interfere with certain lab tests, such as tests used to check for blood in the stool. Be sure your doctor and lab personnel know you are taking Vitamin B Complex/Vitamin C/Folic Acid/ Caplets.
• Vitamin B Complex/Vitamin C/Folic Acid/ Caplets should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Vitamin B Complex/Vitamin C/Folic Acid/ Caplets while you are pregnant. Vitamin B Complex/Vitamin C/Folic Acid/ Caplets are found in breast milk. If you are or will be breast-feeding while you use Vitamin B Complex/Vitamin C/Folic Acid/ Caplets, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Vitamin B Complex/Vitamin C/Folic Acid/ Caplets:

All medicines may cause side effects, but many people have no, or minor side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Constipation; dark or green stools; diarrhea; nausea; stomach pain; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); black, tarry, or bloody stools; severe or persistent stomach pain.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately. Symptoms may include black, tarry, or bloody stools; blue or unusually pale skin; drowsiness or dizziness; fast heartbeat; increased thirst or urination; seizures; severe or persistent nausea, vomiting, diarrhea, or stomach pain; sluggishness; vomiting blood; weakness.

Proper storage of Vitamin B Complex/Vitamin C/Folic Acid/ Caplets:

Store Vitamin B Complex/Vitamin C/Folic Acid/ Caplets at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Vitamin B Complex/Vitamin C/Folic Acid/ Caplets out of the reach of children and away from pets.

General information:

• If you have any questions about Vitamin B Complex/Vitamin C/Folic Acid/ Caplets, please talk with your doctor, pharmacist, or other health care provider.
• Vitamin B Complex/Vitamin C/Folic Acid/ Caplets are to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Vitamin B Complex/Vitamin C/Folic Acid/ Caplets. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Vitamin B Complex/

Vitamin C/

Folic Acid/

Caplets

Generic Name: Vitamin B Complex/Vitamin C/Folic Acid/ (VYE-ta-min/FOE-lik AS-id/EYE-urn)
Brand Name: Examples include Foli-Iron and I-Fol Plus

Vitamin B Complex/Vitamin C/Folic Acid/ Caplets are used for:

Preventing and treating low iron levels in the body. It may also be used for other conditions as determined by your doctor.

Vitamin B Complex/Vitamin C/Folic Acid/ Caplets are an iron, vitamin, and folic acid combination. It works by providing iron, vitamins, and folic acid to the body.

Do NOT use Vitamin B Complex/Vitamin C/Folic Acid/ Caplets if:

• you are allergic to any ingredient in Vitamin B Complex/Vitamin C/Folic Acid/ Caplets
• you have high levels of iron in the blood (eg, hemochromatosis, hemosiderosis)
• you have pernicious anemia

Contact your doctor or health care provider right away if any of these apply to you.

Before using Vitamin B Complex/Vitamin C/Folic Acid/ Caplets:

Some medical conditions may interact with Vitamin B Complex/Vitamin C/Folic Acid/ Caplets. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have any other type of anemia (eg, hemolytic anemia)
• if you have stomach or bowel problems (eg, Crohn disease, inflammation, ulcer), metabolism problems, the blood disease porphyria, or other blood problems (eg, thalassemia)
• if you have a bleeding problem, have had multiple blood transfusions, or are receiving dialysis

Some MEDICINES MAY INTERACT with Vitamin B Complex/Vitamin C/Folic Acid/ Caplets. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Fluorouracil because the risk of its side effects may be increased by Vitamin B Complex/Vitamin C/Folic Acid/ Caplets
• Doxycycline, hydantoins (eg, phenytoin), mycophenolate, penicillamine, or thyroid hormones (eg, levothyroxine) because their effectiveness may be decreased by Vitamin B Complex/Vitamin C/Folic Acid/ Caplets

This may not be a complete list of all interactions that may occur. Ask your health care provider if Vitamin B Complex/Vitamin C/Folic Acid/ Caplets may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Vitamin B Complex/Vitamin C/Folic Acid/ Caplets:

Use Vitamin B Complex/Vitamin C/Folic Acid/ Caplets as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Vitamin B Complex/Vitamin C/Folic Acid/ Caplets by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
• If you also take bisphosphonates (eg, alendronate), cefdinir, methyldopa, a quinolone antibiotic (eg, ciprofloxacin), or a tetracycline antibiotic (eg, minocycline), ask your doctor or pharmacist how to take it with Vitamin B Complex/Vitamin C/Folic Acid/ Caplets.
• If you miss a dose of Vitamin B Complex/Vitamin C/Folic Acid/ Caplets, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Vitamin B Complex/Vitamin C/Folic Acid/ Caplets.

Important safety information:

• Do not take more than the recommended dose without checking with your doctor.
• Do not take large doses of vitamins (megadoses or megavitamin therapy) while you use Vitamin B Complex/Vitamin C/Folic Acid/ Caplets unless your doctor tells you to.
• Vitamin B Complex/Vitamin C/Folic Acid/ Caplets has pyridoxine (vitamin B₆), folic acid, and iron in it. Before you start any new medicine, check the label to see if it also has pyridoxine, folic acid, or iron in it too. If it does or if you are not sure, check with your doctor or pharmacist.
• Vitamin B Complex/Vitamin C/Folic Acid/ Caplets may interfere with certain lab tests, such as tests used to check for blood in the stool. Be sure your doctor and lab personnel know you are taking Vitamin B Complex/Vitamin C/Folic Acid/ Caplets.
• Vitamin B Complex/Vitamin C/Folic Acid/ Caplets should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Vitamin B Complex/Vitamin C/Folic Acid/ Caplets while you are pregnant. Vitamin B Complex/Vitamin C/Folic Acid/ Caplets are found in breast milk. If you are or will be breast-feeding while you use Vitamin B Complex/Vitamin C/Folic Acid/ Caplets, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Vitamin B Complex/Vitamin C/Folic Acid/ Caplets:

All medicines may cause side effects, but many people have no, or minor side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Constipation; dark or green stools; diarrhea; nausea; stomach pain; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); black, tarry, or bloody stools; severe or persistent stomach pain.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately. Symptoms may include black, tarry, or bloody stools; blue or unusually pale skin; drowsiness or dizziness; fast heartbeat; increased thirst or urination; seizures; severe or persistent nausea, vomiting, diarrhea, or stomach pain; sluggishness; vomiting blood; weakness.

Proper storage of Vitamin B Complex/Vitamin C/Folic Acid/ Caplets:

Store Vitamin B Complex/Vitamin C/Folic Acid/ Caplets at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Vitamin B Complex/Vitamin C/Folic Acid/ Caplets out of the reach of children and away from pets.

General information:

• If you have any questions about Vitamin B Complex/Vitamin C/Folic Acid/ Caplets, please talk with your doctor, pharmacist, or other health care provider.
• Vitamin B Complex/Vitamin C/Folic Acid/ Caplets are to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Vitamin B Complex/Vitamin C/Folic Acid/ Caplets. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Vitamin B Complex/

Vitamin C/

Folic Acid/

Iron/

Zinc

Generic Name: Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc (VYE-ta-min/FOE-lik AS-id/EYE-urn/zink)
Brand Name: Corvite 150

Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc is used for:

Preventing and treating certain types of anemia (eg, caused by low blood iron levels, poor nutrition). It may also be used for other conditions as determined by your doctor.

Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc is a vitamin, mineral, folic acid, and iron combination. It works by providing vitamins, minerals, folic acid, and iron to the body.

Do NOT use Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc if:

• you are allergic to any ingredient in Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc
• you have high levels of iron in the blood (eg, hemochromatosis, hemosiderosis)

Contact your doctor or health care provider right away if any of these apply to you.

Before using Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc:

Some medical conditions may interact with Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have any other type of anemia (eg, pernicious anemia)
• if you have stomach or bowel problems (eg, inflammation, Crohn disease, ulcer), metabolism problems, the blood disease porphyria, or a blood disease (eg, thalassemia)
• if you have a bleeding problem, have had multiple blood transfusions, or are receiving dialysis

Some MEDICINES MAY INTERACT with Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Fluorouracil because the risk of its side effects may be increased by Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc
• Doxycycline, hydantoins (eg, phenytoin), mycophenolate, penicillamine, or thyroid hormones (eg, levothyroxine) because their effectiveness may be decreased by Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc.

This may not be a complete list of all interactions that may occur. Ask your health care provider if Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc:

Use Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
• If you also take bisphosphonates (eg, alendronate), cefdinir, methyldopa, a quinolone antibiotic (eg, ciprofloxacin), or a tetracycline antibiotic (eg, minocycline), ask your doctor or pharmacist how to take it with Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc.
• If you miss a dose of Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc.

Important safety information:

• Do not take more than the recommended dose without checking with your doctor.
• Do not take large doses of vitamins (megadoses or megavitamin therapy) while you use Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc unless your doctor tells you to.
• Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc has pyridoxine (vitamin B₆), folic acid, iron, and zinc in it. Before you start any new medicine, check the label to see if it also has pyridoxine, folic acid, iron, or zinc in it. If it does or if you are not sure, check with your doctor or pharmacist.
• Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc may interfere with certain lab tests, such as tests used to check for blood in the stool. Be sure your doctor and lab personnel know you are taking Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc.
• Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc while you are pregnant. Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc is found in breast milk. If you are or will be breast-feeding while you use Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Constipation; dark or green stools; diarrhea; nausea; stomach pain; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); black, tarry, or bloody stools; severe or persistent stomach pain.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately. Symptoms may include black, tarry, or bloody stools; blue or unusually pale skin; drowsiness or dizziness; fast heartbeat; increased thirst or urination; seizures; severe or persistent nausea, vomiting, diarrhea, or stomach pain; sluggishness; vomiting blood; weakness.

Proper storage of Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc:

Store Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc out of the reach of children and away from pets.

General information:

• If you have any questions about Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc, please talk with your doctor, pharmacist, or other health care provider.
• Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Vitamin B Complex/Vitamin C/Folic Acid/Iron/Zinc. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Generic Name: cyanocobalamin (oral) (sye AN oh koe BAL a min)
Brand Names: B-12 Resin, Vitamin B-12, Vitamin B12

What is oral cyanocobalamin?

Cyanocobalamin is a man-made form of vitamin B12. Vitamin B12 is important for growth, cell reproduction, blood formation, and protein and tissue synthesis.

Cyanocobalamin is used to treat vitamin B12 deficiency in people with pernicious anemia and other conditions.

Cyanocobalamin may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about oral cyanocobalamin?

You should not use this medication if you are allergic to cobalt, or if you have Leber’s disease. Cyanocobalamin can lead to optic nerve damage (and possibly blindness) in people with Leber’s disease.

To treat pernicious anemia, you will have to use this medication on a regular basis for the rest of your life. Not using the medication can lead to irreversible nerve damage in your spinal cord.

Pernicious anemia is also treated with folic acid to help maintain red blood cells. However, folic acid will not treat Vitamin B12 deficiency and will not prevent possible damage to the spinal cord. Take all of your medications as directed.

Your dose needs may change if you become pregnant, if you breast-feed, or if you eat a vegetarian diet. Tell your doctor about any changes in your diet or medical condition.

What should I discuss with my healthcare provider before taking oral cyanocobalamin?

You should not use this medication if you are allergic to cobalt, or if you have Leber’s disease. Cyanocobalamin can lead to optic nerve damage (and possibly blindness) in people with Leber’s disease.

If you have any of these other conditions, you may need a dose adjustment or special tests to safely take oral cyanocobalamin:

• any type of infection;

• iron or folic acid deficiency;

• kidney or liver disease; or

• if you are receiving any medication or treatment that affects bone marrow.

FDA pregnancy category C. It is not known whether cyanocobalamin is harmful to an unborn baby. Before using this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment. Cyanocobalamin passes into breast milk, but it is not known whether cyanocobalamin could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take oral cyanocobalamin?

Use this medication exactly as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended. Follow the directions on your prescription label.

Your dose needs may change if you become pregnant, if you breast-feed, or if you eat a vegetarian diet. Tell your doctor about any changes in your diet or medical condition. Take oral cyanocobalamin with a full glass of water.

The sublingual tablet should be placed under your tongue where it will dissolve.

Do not crush, chew, break an extended-release tablet. Swallow the pill whole. Breaking or opening the pill may cause too much of the drug to be released at one time.

To be sure this medication is helping your condition, your blood will need to be tested every 3 to 6 months. This will help your doctor determine the correct dose and how long to treat you with cyanocobalamin. Do not miss any scheduled appointments.

To treat pernicious anemia, you will have to use this medication on a regular basis for the rest of your life. Not using the medication can lead to irreversible nerve damage in your spinal cord.

Pernicious anemia is also treated with folic acid to help maintain red blood cells. However, folic acid will not treat Vitamin B12 deficiency and will not prevent possible damage to the spinal cord. Take all of your medications as directed.

Store this medication at room temperature away from moisture, heat, and light.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. An overdose of cyanocobalamin is not likely to cause life-threatening symptoms.

What should I avoid while taking oral cyanocobalamin?

Avoid drinking large amounts of alcohol while you are being treated with cyanocobalamin.

Oral cyanocobalamin side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have a serious side effect such as:

• chest pain;

• feeling short of breath, even with mild exertion;

• swelling, rapid weight gain; or

• unusual warmth, redness, or pain in an arm or leg.

Less serious side effects may include:

• headache, dizziness, weakness;

• nausea, upset stomach, diarrhea;

• numbness or tingling;

• fever;

• joint pain;

• swollen tongue;

• swelling; or

• itching or rash.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect oral cyanocobalamin?

Before taking cyanocobalamin, tell your doctor if you are taking any of the following medications:

• antibiotics;

• methotrexate (Rheumatrex);

• pyrimethamine (Daraprim);

• colchicine; or

• if you drank a lot of alcohol within the past 2 weeks.

This list is not complete and there may be other drugs that can interact with cyanocobalamin. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

Where can I get more information?

• Your pharmacist can provide more information about oral cyanocobalamin.

• Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
• Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2006 Cerner Multum, Inc. Version: 5.02. Revision Date: 10/14/2009 12:17:53 PM.

Generic Name: Vitamin A and D (VYE-ta-min A and D)
Brand Name: Examples include Baza Clear and Sween

Vitamin A and D Cream is used for:

Relieving and protecting minor burns, sunburn, windburn, scrapes, chapped or chafed skin or lips, and other minor noninfected skin irritations. It is also used to treat or prevent diaper rash. It may also be used for other conditions as determined by your doctor.

Vitamin A and D Cream is a skin protectant. It works by protecting the skin, which helps it heal.

Do NOT use Vitamin A and D Cream if:

• you are allergic to any ingredient in Vitamin A and D Cream

Contact your doctor or health care provider right away if any of these apply to you.

Before using Vitamin A and D Cream:

Some medical conditions may interact with Vitamin A and D Cream. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances

Some MEDICINES MAY INTERACT with Vitamin A and D Cream. Because little, if any, of Vitamin A and D Cream is absorbed into the blood, the risk of it interacting with another medicine is low.

This may not be a complete list of all interactions that may occur. Ask your health care provider if Vitamin A and D Cream may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Vitamin A and D Cream:

Use Vitamin A and D Cream as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Apply Vitamin A and D Cream liberally to the affected areas and rub it in thoroughly. Apply as often as necessary.
• If using Vitamin A and D Cream for diaper rash, change wet and soiled diapers promptly. Cleanse the diaper area and allow it to dry. Use with each diaper change, especially at bedtime when exposure to wet diapers may be prolonged.
• Wash your hands immediately after using Vitamin A and D Cream, unless your hands are a part of the treated area.
• If you miss taking a dose of Vitamin A and D Cream for 1 or more days, there is no cause for concern. If your doctor recommended that you use it, try to remember your dose every day.

Ask your health care provider any questions you may have about how to use Vitamin A and D Cream.

Important safety information:

• Do not use any other medicines or special cleansers on your skin unless your doctor instructs you otherwise.
• Do not use on deep or puncture wounds, infections, or lacerations.
• Do not get Vitamin A and D Cream in your eyes. If you get Vitamin A and D Cream in your eyes, rinse immediately with cool tap water.
• Stop using Vitamin A and D Cream and ask a doctor if your condition worsens or does not improve within 7 days.
• PREGNANCY and BREAST-FEEDING: If you become pregnant while taking Vitamin A and D Cream, discuss with your doctor the benefits and risks of using Vitamin A and D Cream during pregnancy. If you are or will be breast-feeding while you are using Vitamin A and D Cream, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Vitamin A and D Cream:

All medicines may cause side effects, but many people have no, or minor, side effects. When used in small doses, no COMMON side effects have been reported with this product. Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue).

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately.

Proper storage of Vitamin A and D Cream:

Store Vitamin A and D Cream between 59 and 77 degrees F (15 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Vitamin A and D Cream out of the reach of children and away from pets.

General information:

• If you have any questions about Vitamin A and D Cream, please talk with your doctor, pharmacist, or other health care provider.
• Vitamin A and D Cream is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Vitamin A and D Cream. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Generic Name: vitamin A, D, and E (topical) (VYE ta min A, D, and E)
Brand names: A & D, Aloe Grande, Lazer Creme, Vitamin A & D, Topical, …show all 11 brand names.Vitamin A & D, Topical, Caldesene(obsolete), Lobana Peri-Garde, Lobana Derm-Ade, A & D, Vita-Ray

What is vitamin A, D, and E topical?

Vitamin A, D, and E topical is a skin protectant. It works by moisturizing and sealing the skin, and aids in skin healing.

This medication is used to treat diaper rash, dry or chafed skin, and minor cuts or burns.

Vitamin A, D, and E may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about vitamin A, D, and E topical?

Call your doctor if your skin condition does not get better after using this medication regularly for 1 week. Contact your doctor at any time if your symptoms get worse.

Call your doctor at once if you have swelling, redness, itching, pus, or other signs of infection. Tell your doctor if you feel any numbness or tingling while using vitamin A, D, and E topical.

Do not apply vitamin A, D, and E topical over large skin areas. Do not use the medicine to treat a deep cut, an animal bite, or a serious burn. Call your doctor for instructions on how to treat these more severe skin injuries.

Avoid applying other creams, lotions, ointments, or other medicated skin products to the same areas you treat with vitamin A, D, and E topical.

What should I discuss with my health care provider before using vitamin A, D, and E topical?

Call your doctor at once if you have swelling, redness, itching, pus, or other signs of infection. Tell your doctor if you feel any numbness or tingling while using vitamin A, D, and E topical.

Before using vitamin A, D, and E topical, tell your doctor if you are allergic to any medicines or skin products, including soaps, oils, lotions, or creams.

How should I use vitamin A, D, and E topical?

Use this medication exactly as directed on the label, or as your doctor has prescribed it for you. Do not use more of the medication or use it for longer than recommended.

Keep the baby’s diaper area as dry as possible. Change wet or soiled diapers immediately to keep wetness and bacteria from irritating the baby’s skin. Always put on a new diaper when the baby first wakes up in the morning, and also just before putting the baby to bed each night.

At each diaper changing, clean the baby’s skin thoroughly with a disposable baby wipe or clean wet washcloth. Gently wipe inside the skin folds between the thighs and genitals. When cleaning the diaper area of a boy, gently clean under the scrotum and beneath the foreskin of the penis. When cleaning the diaper area of a girl, always wipe from front to back across the vagina.

Call your doctor if your skin condition does not get better after using this medication regularly for 1 week. Contact your doctor at any time if your symptoms get worse.

Store this medicine at room temperature away from moisture and heat.

What happens if I miss a dose?

Use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

It is unlikely that this medication would cause serious problems from an overdose. Do not apply vitamin A, D, and E topical over large skin areas. Call your doctor if you think you have used too much of the medicine.

Call a poison control center if anyone accidentally swallows this medicine.

What should I avoid while using vitamin A, D, and E topical?

Avoid applying other creams, lotions, ointments, or other medicated skin products to the same areas you treat with vitamin A, D, and E topical.

Avoid excessive wetness of the skin areas you are treating. Keep clothing and diapers as dry as possible.

Vitamin A, D, and E topical side effects

Stop using this medication and get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect vitamin A, D, and E topical?

There may be other drugs that can affect vitamin A, D, and E topical. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

• Your pharmacist can provide more information about vitamin A, D, and E topical.

• Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
• Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2006 Cerner Multum, Inc. Version: 1.05. Revision Date: 4/12/2009 4:40:29 PM.

Vitamin A/

Vitamin D/

Vitamin C

Generic Name: Vitamin A/Vitamin D/Vitamin C (VYE-ta-min A/VYE-ta-min D/VYE-ta-min C)
Brand Name: Examples include Tri-Vitaminand Tri-Vi-Sol

Vitamin A/Vitamin D/Vitamin C is used for:

Treating vitamin deficiency in infants.

Vitamin A/Vitamin D/Vitamin C is a vitamin combination. It works by providing vitamin A, D, and C to the body.

Do NOT use Vitamin A/Vitamin D/Vitamin C if:

• you are allergic to any ingredient in Vitamin A/Vitamin D/Vitamin C

Contact your doctor or health care provider right away if any of these apply to you.

Before using Vitamin A/Vitamin D/Vitamin C:

Some medical conditions may interact with Vitamin A/Vitamin D/Vitamin C. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances

Some MEDICINES MAY INTERACT with Vitamin A/Vitamin D/Vitamin C. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Acitretin because it may increase the risk of Vitamin A/Vitamin D/Vitamin C’s side effects

This may not be a complete list of all interactions that may occur. Ask your health care provider if Vitamin A/Vitamin D/Vitamin C may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Vitamin A/Vitamin D/Vitamin C:

Use Vitamin A/Vitamin D/Vitamin C as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Vitamin A/Vitamin D/Vitamin C by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
• Vitamin A/Vitamin D/Vitamin C may be mixed with formula, fruit juice, cereal, or other food.
• Shake well before each use.
• Use the dropper that comes with Vitamin A/Vitamin D/Vitamin C to measure your dose. Ask your pharmacist for help if you are unsure of how to measure your dose.
• If you miss a dose of Vitamin A/Vitamin D/Vitamin C, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Vitamin A/Vitamin D/Vitamin C.

Important safety information:

• Do not take more than the recommended dose or use for longer than prescribed without checking with your doctor.
• Vitamin A/Vitamin D/Vitamin C should be used with extreme caution in CHILDREN younger than 6 months old; safety and effectiveness in these children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: Vitamin A/Vitamin D/Vitamin C is not approved for use in adults. If you become pregnant while taking Vitamin A/Vitamin D/Vitamin C, contact your doctor. You will need to discuss the benefits and risks of using Vitamin A/Vitamin D/Vitamin C while you are pregnant. It is not known if Vitamin A/Vitamin D/Vitamin C is found in breast milk. If you are or will be breast-feeding while you use Vitamin A/Vitamin D/Vitamin C, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Vitamin A/Vitamin D/Vitamin C:

All medicines may cause side effects, but many people have no, or minor, side effects. No COMMON side effects have been reported with Vitamin A/Vitamin D/Vitamin C. Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue).

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately.

Proper storage of Vitamin A/Vitamin D/Vitamin C:

Store Vitamin A/Vitamin D/Vitamin C at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store in original packaging until just before use. Store away from heat, moisture, and light. Keep Vitamin A/Vitamin D/Vitamin C out of the reach of children and away from pets.

General information:

• If you have any questions about Vitamin A/Vitamin D/Vitamin C, please talk with your doctor, pharmacist, or other health care provider.
• Vitamin A/Vitamin D/Vitamin C is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Vitamin A/Vitamin D/Vitamin C. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Vitamin A/

Vitamin D/

Vitamin C/

Fluoride

Generic Name: Vitamin A/Vitamin D/Vitamin C/Fluoride (VYE-ta-min A/VYE-ta-min D/VYE-ta-min C/FLURE-ide)
Brand Name: TRI-VIT With Fluoride

Vitamin A/Vitamin D/Vitamin C/Fluoride is used for:

Treating vitamin deficiency in infants. It may also be used to prevent cavities in children over 6 months old when the amount of fluoride in the water supply is too low.

Vitamin A/Vitamin D/Vitamin C/Fluoride is a vitamin and mineral combination. It works by providing vitamin A, D, and C to the body. Fluoride strengthens the teeth and decreases the effects of acid and bacteria on the teeth.

Do NOT use Vitamin A/Vitamin D/Vitamin C/Fluoride if:

• you are allergic to any ingredient in Vitamin A/Vitamin D/Vitamin C/Fluoride

Contact your doctor or health care provider right away if any of these apply to you.

Before using Vitamin A/Vitamin D/Vitamin C/Fluoride:

Some medical conditions may interact with Vitamin A/Vitamin D/Vitamin C/Fluoride. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances

Some MEDICINES MAY INTERACT with Vitamin A/Vitamin D/Vitamin C/Fluoride. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Acitretin because it may increase the risk of Vitamin A/Vitamin D/Vitamin C/Fluoride’s side effects

This may not be a complete list of all interactions that may occur. Ask your health care provider if Vitamin A/Vitamin D/Vitamin C/Fluoride may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Vitamin A/Vitamin D/Vitamin C/Fluoride:

Use Vitamin A/Vitamin D/Vitamin C/Fluoride as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Vitamin A/Vitamin D/Vitamin C/Fluoride by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
• Vitamin A/Vitamin D/Vitamin C/Fluoride may be mixed with fruit juice, cereal, or other food.
• Use the dropper that comes with Vitamin A/Vitamin D/Vitamin C/Fluoride to measure your dose. Ask your pharmacist for help if you are unsure of how to measure your dose.
• If you miss a dose of Vitamin A/Vitamin D/Vitamin C/Fluoride, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Vitamin A/Vitamin D/Vitamin C/Fluoride.

Important safety information:

• Do not take more than the recommended dose or use for longer than prescribed without checking with your doctor.
• Vitamin A/Vitamin D/Vitamin C/Fluoride should be used with extreme caution in CHILDREN younger than 6 months old; safety and effectiveness in these children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: Vitamin A/Vitamin D/Vitamin C/Fluoride is not approved for use in women. If you become pregnant while taking Vitamin A/Vitamin D/Vitamin C/Fluoride, contact your doctor. You will need to discuss the benefits and risks of using Vitamin A/Vitamin D/Vitamin C/Fluoride while you are pregnant. It is not known if Vitamin A/Vitamin D/Vitamin C/Fluoride is found in breast milk. If you are or will be breast-feeding while you use Vitamin A/Vitamin D/Vitamin C/Fluoride, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Vitamin A/Vitamin D/Vitamin C/Fluoride:

All medicines may cause side effects, but many people have no, or minor, side effects. No COMMON side effects have been reported with Vitamin A/Vitamin D/Vitamin C/Fluoride. Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue).

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately.

Proper storage of Vitamin A/Vitamin D/Vitamin C/Fluoride:

Store Vitamin A/Vitamin D/Vitamin C/Fluoride at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store in original packaging until just before use. Store away from heat, moisture, and light. Keep Vitamin A/Vitamin D/Vitamin C/Fluoride out of the reach of children and away from pets.

General information:

• If you have any questions about Vitamin A/Vitamin D/Vitamin C/Fluoride, please talk with your doctor, pharmacist, or other health care provider.
• Vitamin A/Vitamin D/Vitamin C/Fluoride is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Vitamin A/Vitamin D/Vitamin C/Fluoride. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.