$Unique_ID{BRK03376} $Pretitle{} $Title{vitamins A, D, and C with fluoride} $Subject{Triple-Vita-Flor Tri-Vi-Flor Mead Johnson Tri-Vitamin Fluoride Drops Rugby Vi-Daylin F ADC Multivitamin fluoride vitamin tooth decay vitamin deficiencies children cavities} $Volume{} $Log{} Copyright (C) 1993 Publications International, Ltd. vitamins A, D, and C with fluoride ------------------------------------------------------------------------------ BRAND NAMES (Manufacturers) Triple-Vita-Flor (P.B.I) Tri-Vi-Flor (Mead Johnson) Tri-Vitamin with Fluoride Drops (Rugby) Vi-Daylin F ADC Drops (Ross) TYPE OF DRUG Multivitamin and fluoride supplement INGREDIENTs vitamin A, vitamin D, vitamin C, and fluoride DOSAGE FORMS Chewable tablets (2,500 IU {international units} vitamin A; 400 IU vitamin D; 60 mg vitamin C; and 1 mg fluoride) Oral drops (1,500 IU vitamin A; 400 IU vitamin D; 35 mg vitamin C; and 0.25 mg or 0.5 mg fluoride per ml) STORAGE The chewable tablets should be stored at room temperature in a tightly closed, light-resistant container. The oral drops should be stored at room temperature in the original plastic container (glass containers interact with and destroy the fluoride in the solution). A slight darkening in the color of the drops does not indicate a loss in potency of the vitamins or fluoride; the solution can still be used safely. This medication should never be frozen. USES Multivitamins with fluoride are used to protect against tooth decay and vitamin deficiencies in children. Fluoride has been found to be helpful in preventing cavities. TREATMENT The tablets should be chewed or crushed before being swallowed. To provide maximum protection, the tablets should be given at bedtime after the teeth have been brushed. To allow the fluoride to work on the teeth, nothing should be eaten for at least 15 minutes after chewing the tablets. The oral drop form of this multivitamin and fluoride supplement can be taken directly or can be mixed with juice or foods. The dose should be measured carefully with the dropper provided. Milk prevents the absorption of fluoride from the gastrointestinal tract. Therefore, this product should not be taken with milk or other dairy products. If your child misses a dose of this medication, administer the missed dose as soon as possible, unless it is almost time for the next dose. In that case, do not give the missed dose at all; just return to the child's regular dosing schedule. Do not double the next dose. SIDE EFFECTS Minor. This product seldom causes side effects, but can occasionally cause constipation, diarrhea, drowsiness, fatigue, loss of appetite, nausea, vomiting, and weakness. These side effects should disappear as the body adjusts to the medication. To relieve constipation, increase the amount of fiber in your child's diet (fresh fruits and vegetables, salads, bran, and whole-grain breads) and encourage the child to drink more water (unless your doctor directs you to do otherwise). Major. Tell your doctor about any side effects that are persistent or particularly bothersome. IT IS ESPECIALLY IMPORTANT TO TELL YOUR DOCTOR about bloody or black, tarry stools; difficulty in swallowing; discoloration of the teeth; excessive drooling; excitation; mouth sores; rash; stomach cramps; or tremors. INTERACTIONS This product should not interact with other medications if it is used according to directions. WARNINGS * Tell your doctor about unusual or allergic reactions your child has had to vitamins, fluoride, or any medications. * Tell your doctor if your child now has or has ever had bone, heart, kidney, or thyroid disease. * The chewable tablets should not be used if the fluoride content of your drinking water is 0.7 part per million or more. The oral drops should not be used by children less than three years of age in areas where the drinking water contains 0.3 part per million or more of fluoride. If you are unsure of the fluoride content of your drinking water, ask your doctor or call the county health department. * Vitamins with fluoride are often prescribed for infants who are not being given any source of fluorinated water. Once your infant is given fluorinated water consistently, ask your doctor if you should continue this medication. * You should NEVER refer to this medication as "candy" or "candy-flavored vitamins." Your child may take you literally and swallow too many. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.