pediatric multivitamin no.45-fluoride 0.25 mg-iron 10 mg/mL oral drops

Generic name:
Multivitamins/iron/fluoride liquid - oral

Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children younger than 6 years. Keep this product out of the reach of children. If overdose does occur, get medical help right away or call a poison control center.

This medication is a combination product of vitamins, iron, and fluoride. It is used in infants and children to treat or prevent deficiency due to poor diet or low levels of fluoride in drinking water and other sources. Vitamins are important building blocks of the body and help keep you in good health. Iron is an important mineral that the body needs to make red blood cells. Fluoride is used to prevent dental cavities.

Take this medication by mouth as directed by the doctor, usually once daily.

If your liquid is a suspension, shake the bottle well before each dose. Some brands of this medication should also be shaken well before each dose. Check your manufacturer's bottle for specific directions. Use a medication-measuring device to carefully measure the prescribed dose. Do not use a household spoon. The dose may be swallowed directly, added to a small amount of liquid, or mixed with a small amount of food, such as applesauce.

The fluoride in this liquid product can be absorbed directly into the teeth as you swallow it, as well as being absorbed into your body from your stomach. It is best not to eat, drink, or rinse your mouth for 30 minutes after taking this product.

This product is best taken at least 2 hours before or after taking any products containing calcium (including dairy foods such as milk/yogurt) or aluminum/magnesium (such as certain antacids/laxatives), since these may decrease its effectiveness.

This product should be taken regularly in order to get the most benefit form it. Do not take more than prescribed. To help you remember, take it at the same time each day.

Stomach upset, constipation, or nausea may occur. If any of these effects last or get worse, contact your doctor or pharmacist promptly.

The iron in this product may cause the stools to turn black, which is not harmful.

If your teeth become mottled or stained, tell the dentist or doctor. This may be a result of too much fluoride.

Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including:

• rash
• itching/swelling (especially of the face/tongue/throat)
• severe dizziness
• trouble breathing

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Before taking multivitamins and iron with fluoride, tell your doctor if you are allergic to any of the ingredients; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before taking this medication, tell your doctor or pharmacist your medical history.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Tell your doctor if you are pregnant before using this medication.

This product passes into breast milk. Consult your doctor before breastfeeding.

See also How To Use section.

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

This product can decrease the absorption of other drugs such as bisphosphonates (for example, alendronate), levodopa, penicillamine, quinolone antibiotics (for example, ciprofloxacin, levofloxacin), thyroid medications (for example, levothyroxine), and tetracycline antibiotics (for example, doxycycline, minocycline). Separate your doses of these medications as far as possible from your doses of this product. Ask your doctor or pharmacist about how long you should wait between doses and for help finding a dosing schedule that will work with all your medications.

This product may interfere with certain lab tests, possibly causing false test results. Make sure lab personnel and all your doctors know you use this product.

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call 1-800-222-1222. Canada residents can call 1-844-764-7669. Symptoms of overdose may include vomiting, stomach/abdominal pain, green diarrhea, tarry stools, increased saliva, drowsiness, seizures.

This product is not a substitute for a proper diet. Remember that it is best to get your vitamins from healthy foods. It is important to maintain a well-balanced diet.

Check the fluoride content of your water supply by asking local town or city officials. Fluoride supplements are not necessary if the fluoride content in the water supply is greater than 0.6 parts per million. If your water supply changes, check with your doctor or dentist to determine if extra fluoride is still necessary.

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.

Different brands of this medication have different storage needs. Check the product package for instructions on how to store your brand, or ask your pharmacist. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.