$Unique_ID{BRK03377} $Pretitle{} $Title{vitamins, multiple, with fluoride} $Subject{Florvite Everett Multi-Vita Drops Fluoride Poly-Vi-Flor Mead Johnson Polyvitamins Rugby Polyvite Geneva Generics Vi-Daylin F Ross Multivitamin fluoride vitamins B6 B12 folic acid riboflavin niacin thiamine tooth decay deficiencies children cavities} $Volume{} $Log{} Copyright (C) 1993 Publications International, Ltd. vitamins, multiple, with fluoride ------------------------------------------------------------------------------ BRAND NAMES (Manufacturers) Florvite (Everett) Multi-Vita Drops with Fluoride (P.B.I) Poly-Vi-Flor (Mead Johnson) Polyvitamins with Fluoride Drops (Rugby) Polyvite with Fluoride Drops (Geneva Generics) Vi-Daylin F (Ross) TYPE OF DRUG Multivitamin and fluoride supplement INGREDIENTS vitamins A, D, E, C, B6, B12, folic acid, riboflavin, niacin, fluoride, and thiamine DOSAGE FORMS Chewable tablets (2,500 IU {international units} vitamin A; 400 IU vitamin D; 15 IU vitamin E; 60 mg vitamin C; 0.3 mg folic acid; 1.0 mg thiamine; 1.2 mg riboflavin; 13.5 mg niacin; 1.0 mg vitamin B6; 4.5 mcg vitamin B12; and 0.5 mg or 1.0 mg fluoride) Oral drops (1,500 IU vitamin A; 400 IU vitamin D; 4.1 or 5 IU vitamin E; 35 mg vitamin C; 0.5 mg thiamine; 0.6 mg riboflavin; 8 mg niacin; 0.4 mg vitamin B6; 2 mcg vitamin B12; 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 either chewed or crushed before being swallowed. To provide maximum protection, the tablets should be given at bedtime after the teeth have been brushed. Nothing should be eaten for at least 15 minutes after chewing the tablets to allow the fluoride to work on the teeth. The oral drop form of this medication 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, 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; return to the child's regular dosing schedule. Do not double the dose. SIDE EFFECTS Minor. Occasionally, this product causes constipation, diarrhea, drowsiness, fatigue, loss of appetite, nausea, vomiting, or 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 your 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. * Be sure to tell your doctor if your child now has or has ever had any of the following: 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 you doctor if you should continue this medication. * NEVER call this medication "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.