For prevention and treatment of vitamin deficiency in children and infants.
Nonspecific multivitamin preparations
Below 1 year : 9-10 drops (0.3 ml), 1 year and above : 23-25 drops (1.0 ml) once daily or as advised by the physicians.
Caution should be
exercised when administering to patients
on warfarin sodium-type anticoagulant therapy. In such
patients, vitamin K may antagonize the hypothrombinemic
response to anticoagulant drugs, such as warfarin
and its congeners. Therefore, periodic monitoring
of prothrombin/INR response is essential in determining
the appropriate dosage of anticoagulant therapy.
Patients receiving drugs that bind to a1-acid glycoprotein should be closely monitored for increases in response to these drugs, e.g. propranolol, prazosin and quinidine. Folic acid may increase the metabolism of some antiepileptics, such as phenobarbital, phenytoin and primidone. Pyridoxine can reduce the effect of levodopa. Bleomycin can be inactivated by ascorbic acid and riboflavin.
Supplemental vitamins should not be prescribed for patients with haemochromatosis or Wilson?s disease. Hypersensitivity to any of the ingredients is contraindicated. Excessive doses of vitamin A and D can lead to hypervitaminosis. When multivitamin preparations are prescribed allowance must be made for vitamins from other sources.
Multivitamin preparation with ordinary doses of component are usually nontoxic
The fat-soluble vitamins A, D, and E can accumulate
to harmful levels. The possibility of hypervitaminosis
A or D should be borne in mind. Clinical manifestations of
hypervitaminosis A have been reported in patients with renal
failure receiving 1.5 mg/day retinol. Therefore, vitamin A
supplementation of renal failure patients should be
undertaken with caution.
Water-soluble vitamins are readily excreted in the urine.
Treatment of vitamin overdosage usually consists of
withdrawal of the vitamin.
Before reconstitution: Store below 25°C. Protect from light and do not freeze. After reconstitution: The reconstituted product should be used immediately or it should be stored at 2°C to 8°C for not more than 24 hours. Discard any unused portion of the reconstituted solution.
This is a lyophilized, sterile powder for injection/infusion which contains both water soluble and fat soluble vitamins. Each vial contains:
Vitamin A BP 3500 IU
Vitamin D3 BP 220 IU
Vitamin E USP 11.2 IU
Ascorbic Acid BP 125 mg
Vitamin B1 BP 3.51 mg
Vitamin B2 BP 4.14 mg
Nicotinamide BP 46 mg
Pantothenic Acid BP 17.25 mg
Vitamin B6 BP 4.53 mg
Vitamin B12 BP 6 mcg
Folic Acid BP 414 mcg
Biotin BP 69 mcg