- What is a multivitamin?
- Important Information
- Before taking this medicine
- How should I take multivitamins?
- What happens if I miss a dose?
- What happens if I overdose?
- What should I avoid while taking multivitamins?
- Multivitamins side effects
- What other drugs will affect multivitamins?
- Further information
- More about multivitamin
- Nature’s Way Alive!® Once Daily Women’s 50 + Ultra Potency — 60 Tablets
- Recommended daily intake of vitamins and minerals
- Take Vitamin Supplements with Caution: Some May Actually Cause Harm
- Poly-Vi-Sol with Iron
- Uses of Poly-Vi-Sol with Iron:
- What do I need to tell my doctor BEFORE I take Poly-Vi-Sol with Iron?
- What are some things I need to know or do while I take Poly-Vi-Sol with Iron?
- How is this medicine (Poly-Vi-Sol with Iron) best taken?
- What are some side effects that I need to call my doctor about right away?
- What are some other side effects of Poly-Vi-Sol with Iron?
- If OVERDOSE is suspected:
- How do I store and/or throw out Poly-Vi-Sol with Iron?
- Consumer information use
- More about Poly-Vi-Sol with Iron (multivitamin with iron)
- “Does my child need a vitamin?”
- Age Specific Tips for Newborns
- Sleeping-Milestones and Behavior
Medically reviewed by Drugs.com on Oct 29, 2019 – Written by Cerner Multum
- Side Effects
What is a multivitamin?
Multivitamins are a combination of many different vitamins that are normally found in foods and other natural sources.
Multivitamins are used to provide vitamins that are not taken in through the diet. Multivitamins are also used to treat vitamin deficiencies (lack of vitamins) caused by illness, pregnancy, poor nutrition, digestive disorders, and many other conditions.
Multivitamins may also be used for purposes not listed in this medication guide.
Seek emergency medical attention if you think you have used too much of multivitamins. An overdose of vitamins A, D, E, or K can cause serious or life-threatening side effects. Certain minerals contained in a multivitamin may also cause serious overdose symptoms if you take too much.
Before taking this medicine
Many vitamins can cause serious or life-threatening side effects if taken in large doses. Do not take more of this medicine than directed on the label or prescribed by your doctor.
Before you use multivitamins, tell your doctor about all your medical conditions and allergies.
Ask a doctor before using this medicine if you are pregnant or breastfeeding.
Your dose needs may be different during pregnancy. Some vitamins and minerals can harm an unborn baby if taken in large doses. You may need to use a prenatal vitamin specially formulated for pregnant women.
How should I take multivitamins?
Use exactly as directed on the label, or as prescribed by your doctor.
Never take more than the recommended dose of a multivitamin. Avoid taking more than one multivitamin product at the same time unless your doctor tells you to. Taking similar vitamin products together can result in a vitamin overdose or serious side effects.
Many multivitamin products also contain minerals such as calcium, iron, magnesium, potassium, and zinc. Minerals (especially taken in large doses) can cause side effects such as tooth staining, increased urination, stomach bleeding, uneven heart rate, confusion, and muscle weakness or limp feeling. Read the label of any multivitamin product you take to make sure you are aware of what it contains.
Take your multivitamin with a full glass of water.
You must chew the chewable tablet before you swallow it.
Place the sublingual tablet under your tongue and allow it to dissolve completely. Do not chew a sublingual tablet or swallow it whole.
Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).
Use multivitamins regularly to get the most benefit.
Store at room temperature away from moisture and heat. Do not freeze.
Store multivitamins in their original container. Storing multivitamins in a glass container can ruin the medication.
What happens if I miss a dose?
Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of vitamins A, D, E, or K can cause serious or life-threatening side effects. Certain minerals may also cause serious overdose symptoms if you take too much.
Overdose symptoms may include stomach pain, vomiting, diarrhea, constipation, loss of appetite, hair loss, peeling skin, tingly feeling in or around your mouth, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine, pale skin, and easy bruising or bleeding.
What should I avoid while taking multivitamins?
Avoid taking more than one multivitamin product at the same time unless your doctor tells you to. Taking similar vitamin products together can result in a vitamin overdose or serious side effects.
Avoid the regular use of salt substitutes in your diet if your multivitamin contains potassium. If you are on a low-salt diet, ask your doctor before taking a vitamin or mineral supplement.
Do not take multivitamins with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the multivitamin.
Multivitamins side effects
Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
When taken as directed, multivitamins are not expected to cause serious side effects. Common side effects may include:
unusual or unpleasant taste in your mouth.
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 multivitamins?
Multivitamins can interact with certain medications, or affect how medications work in your body. Ask a doctor or pharmacist if it is safe for you to use multivitamins if you are also using:
This list is not complete. Other drugs may affect multivitamins, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.
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.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Copyright 1996-2018 Cerner Multum, Inc. Version: 3.09.
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Nature’s Way Alive!® Once Daily Women’s 50 + Ultra Potency — 60 Tablets
One of the beauties of setting New Year’s resolutions is that it prompts people to peer not only backward and forward but also inward—a vital place that can reveal a wealth of information about our health.
Meaning, when we tune in to ourselves, we can begin to decode symptoms and recognize which parts of our system might need a little more love and attention or a boost of extra nourishment—whether it’s through a lifestyle switch to reduce afternoon headaches or nutritional supplements to naturally bolster digestion.
But when it comes to the latter, it can be difficult to know which supplements to take—to say nothing of how to do so smartly.
This year, make a point to do more than toss a bunch of “those sound promising” bottles in your basket, cross your fingers and hope for the best. Here are 5 essential things to consider before taking new supplements—and why they can be a boon for your inner and outer well-being:
1. Discuss with your doctor
Herbal supplements, vitamins and minerals—if they’re natural, why even bother mentioning them to your doctor?
For myriad reasons, it turns out. Mixing certain medications with supplements—see #3—may lead to a number of health hazards, while the necessity of some supplements might require a blood test. What’s more, some dietary aids might generate adverse side effects that require medical attention. Pregnant women and nursing mothers, meanwhile, need to be particularly cautious about the supplements they ingest. In other words, that ‘check with your doctor’ warning on most bottles is more than just a hollow suggestion.
2. Figure out which type of supplement is right for you
Given the surge of popularity in supplements, deciding which form to take can seem like a daunting endeavor—there are more varieties than ever now available. Should you go with liquid-gels or chewables? Gummies or powders? Pills or sublingual dissolvables? Here’s the gist of what you need to know before you make a purchase:
Consider your tummy. If you have digestive difficulties, you might be better off with a capsule or alternative form rather than a hard tablet: capsules, after all, are more easily broken down in the stomach, while liquids, powders or chewable forms are a more palatable way to obtain the supplement’s benefits. (They’re also a more agreeable choice for those who struggle with swallowing pills.)
A number of botanical supplements—such as goldenseal, yellow dock and yarrow—tend towards the bitter side; thus, look for them in capsules as well; use the same rule of thumb with B-complex vitamins, which some find unpleasant.
Other botanicals, however, can be quite the treat in the form of herbal tea (think: mint, chamomile, ginger and licorice), and the tactile experience of tasting the herbal compound may assist in support. Chamomile tea, for one, can have a calming effect on your mouth, esophagus and stomach, while ginger feels consoling when suffering from a stomachache.
When it comes to fats like omega-3s, seek out liquids rather than capsules. Why? Two words: Greater intensity. One tablespoon of Vitacost’s Organic High Lignan Flax Oil, for example, offers 7,420 milligrams of omega-3 fats. Softgels, on the other hand, provide just 1,060 milligrams. To phrase it differently, you would have to take 14 capsules to obtain the same amount.
And when it comes to minerals like calcium and magnesium, opt for liquids, powders or chewables. Zinc is a favorite chewable during under-the-weather seasons, in part because positioning the mineral against the mucous membranes of your throat and tonsils can organically encourage a sense of relief and comfort.
3. Consider the medications you’re presently taking
Certain medications and nutritional supplements simply don’t mix. If you’re taking an antidepressant, for example, you’ll want to avoid L-tryptophan, which, with its potential ability to heighten serotonin levels, may engender unwelcome, even detrimental side effects.
Meanwhile, the National Capital Poison Center urges people taking the blood thinner Warfarin to stay away from ginkgo, evening primrose, glucosamine or licorice—all of which may increase bleeding. St. John’s Wort has also been associated with a diminished effectiveness of calcium channel blockers and digoxin—a drug administered for heart failure. That is to say, heed #1 and speak candidly with your doctor and pharmacist. Which brings us to our next point…
4. Do your homework
We wouldn’t give our child or pet a supplement or food that may present a health risk—and the same dictum should hold true when it comes to you.
But rather than bemoan the idea of sifting through information, consider the task another opportunity to glance inward and hone what your body is trying to tell you—and you alone. Just because your best friend claims that dandelion tea eased her bloating, for example, doesn’t mean it will have the same impact on you. And what if you can’t bear the taste of it?
In short, examine the pros and cons of the supplements you plan on taking, assess whether you should aim to alter your diet to fill the nutritional gap instead and get a solid handle on the potential side effects you may experience. (Two good resources that’ll enable you to make informed choices are the National Center for Complementary and Alternative Medicine and the Office of Dietary Supplements.) Knowing what you’re putting in your body—and the why behind it—will empower you to make other changes in your life (and perhaps meet another one of those goals you set at the start of January).
5. Invest in quality products
You might cut corners when it comes to name-brand cereals and dish soap. This, however, is your health we’re talking about—meaning when it comes to supplements, now is not the time to search for the cheapest thing on the market.
The reasons behind this are manifold. As Consumer Reports points out, “supplement manufacturers routinely, and legally, sell their products without first having to demonstrate that they are safe and effective,” and, as a result, “the supplement market isn’t as safe as it should be.” And who can forget the slew of lawsuits when it was discovered that the now-banned ephedra—particularly forms imported to the U.S.—held harmful, even fatal potential?
Before purchasing or taking new supplements, be sure to obtain reliable information about the manufacturer and be especially guarded about supplements produced outside of the U.S. “Herbal products from some European countries,” the Mayo Clinic reports, “are highly regulated and standardized. But toxic ingredients and prescription drugs have been found in supplements manufactured elsewhere, particularly China, India and Mexico.”
Further, consistently check alerts and advisories, as a number of supplements are under regulatory review, and look for the GMP (Good Manufacturing Practices) certification on the label. Established by the National Nutritional Foods Association, this endorsement indicates that a nutritional supplement has been screened for contaminants and quality-tested.
Finally, check in often with that interior part of yourself. Your body knows when something isn’t right for you, and most of the time, it’ll do what it must to tell you. Go inward indeed—and with your health aced, you can then go, well, skyward.
*These statements have not been evaluated by the FDA. These products are not intended to diagnose, treat, cure or prevent any disease.
Recommended daily intake of vitamins and minerals
Table 1: Recommended daily intakes of various food supplements
|Vitamins||Recommended daily intake||
Vitamins informational pages
|Over dosage (mg or µg/d)|
|30 µg||Biotin in food and as a supplement||No information found|
|400 µg||Folate in food and as a supplement||Doses larger than 400 µg may cause anaemia and may mask symptoms of a vitamin B12 deficiency|
|Vitamin A||600 µg||Vitamin A in food and as a supplement||Extremely high doses (>9000 mg) can cause dry, scaly skin, fatigue, nausea, loss of appetite, bone and joint pains and headaches|
Vitamin B1 (thiamin)
|1,4 mg||Vitamin B1 in food and as a supplement||No toxic effects resulting from high doses have been observed|
Vitamin B2 (riboflavin)
|1,6 mg||Vitamin B2 in food and as a supplement||Doses higher than 200 mg may cause urine colour alteration|
Vitamin B3 (niacin)
|18 mg||Vitamin B3 in food and as a supplement||Doses larger than 150 mg may cause problems ranging from facial flushing to liver disease|
Vitamin B5 (patothenic acid)
|6 mg||Vitamin B5 in food and as a supplement||Dose should not exceed 1200 mg; this may cause nausea and heartburn|
Vitamin B6 (pyridoxine)
|2 mg||Vitamin B6 in food and as a supplement||Doses larger than 100 mg may cause numbness and tingling in hands and feet|
Vitamin B12 (cobalamine)
|6 µg||Vitamin B12 in food and as a supplement||Doses larger than 3000 µg may cause eye conditions|
Vitamin C (ascorbic acid)
|75 mg||Vitamin C in food and as a supplement||No impacts of over dose have been proven so far|
Vitamin D (cholecalciferol)
|5 µg||Vitamin D in food and as a supplement||Large doses (>50 µg) obtained form food can cause eating problems and ultimately disorientation, coma and death|
Vitamin E (tocopherol)
|10 mg||Vitamin E in food and as a supplement||Doses larger than 1000 mg cause blood clotting, which results in increased likelihood of haemorrhage in some individuals|
|Vitamin K||80 µg||Vitamin K in food and as a supplement||Large doses of one form of vitamin K (menadione or K3) may result in liver damage or anaemia|
|Minerals||Recommended daily intake||Over dosage|
|Boron||< 20 mg||No information found|
|Calcium||1000 mg||Doses larger than 1500 mg may cause stomach problems for sensitive individuals|
|No information found|
|Chromium||120 µg||Doses larger than 200 µg are toxic and may cause concentration problems and fainting|
|Copper||2 mg||As little as 10 mg of copper can have a toxic effect|
|Fluorine||3,5 mg||No information found|
|Iodine||150 µg||No information found|
|Iron||15 mg||Doses larger than 20 mg may cause stomach upset, constipation and blackened stools|
|Magnesium||350 mg||Doses larger than 400 mg may cause stomach problems and diarrhoea|
|Manganese||5 mg||Excess manganese may hinder iron adsorption|
|Molybdenum||75 µg||Doses larger than 200 µg may cause kidney problems and copper deficiencies|
|Nickel||< 1 mg||Products containing nickel may cause skin rash in case of allergies|
|Phosphorus||1000 mg||Contradiction: the FDA states that doses larger than 250 mg may cause stomach problems for sensitive individuals|
|Potassium||3500 mg||Large doses may cause stomach upsets, intestinal problems or heart rhythm disorder|
|Selenium||35 µg||Doses larger than 200 µg can be toxic|
|Sodium||2400 mg||No information found|
|Vanadium||< 1,8 mg||No information found|
|Zinc||15 mg||Doses larger than 25 mg may cause anaemia and copper deficiency|
– The above-stated values are not meant for diagnosis, these are mainly reference values for informational purposes.
– Most of these values are based on a 2000 calorie intake for people of 4 or more years of age. This reference is applied because it approximates the caloric requirements for postmenopausal women. This group has the highest risk for excessive intake of calories and fat.
– Values on labels are stated Daily Reference values (DRV) of Recommended Daily Intake (RDI). The RDI is a renewed value referring to the old Recommended Dietary Allowance (RDA). All values in this table are new RDI values.
– Maximum values are based on Food and Drug Administration (FDA) values, the World Health Organization (WHO), BBC Health values, the European Union Directive (based on FDA values) and values from various other governmental and private agencies in the USA and the UK.
– Elements that have a recommended daily intake within µg range are sometimes referred to as trace elements (e.g. copper, chromium, selenium).
Information on vitamins can be found from the vitamins overview page
Information on vitamin content of fruits and vegetables is also available now
Information on mineral content of fruits and vegetables is also available now
Take Vitamin Supplements with Caution: Some May Actually Cause Harm
January 4, 2013
Dear Mayo Clinic:
Is it true that a large study found that most vitamin supplements may actually do more harm than good? What supplements should I avoid? Which are worth taking? I am 67 and in good health.
Advice on vitamin and mineral supplementation is constantly changing. Over the past few years, well-conducted research has found that some supplements previously thought to be beneficial for disease prevention may not be helping — and some may actually be causing harm.
This research includes the Iowa Women’s Health Study, which tracked the supplementation habits of more than 38,000 women 55 and older for nearly 20 years. Among the findings, taking a multivitamin appeared to increase risk of premature death. Interestingly, the people who took multivitamins actually had better overall health habits than those that didn’t.
With this study and others, there is increasing evidence against taking most supplements for general health or disease prevention. There are exceptions — such as calcium and vitamin D for bone health — but even the exceptions should be approached with caution.
Many people take supplements as an “insurance policy” against inadequate nutrition. However, in developed countries, deficiencies in most vitamins and minerals are uncommon, unless there is a predisposing condition. Taking supplements provides these nutrients far in excess of what’s necessary for good health.
Another reason people take supplements is to help prevent serious diseases. Studies have consistently shown that diets high in antioxidant-rich fruits, vegetables and other plant foods are associated with lower rates of cancer and heart disease. However, studies looking at supplements, including antioxidants such as beta carotene and vitamins A and E, haven’t shown much benefit and there is some evidence they may actually cause harm.
Plant foods contain hundreds of beneficial compounds termed phytonutrients. Singling out a few specific vitamins as being beneficial appears to be too simplistic. Also, some vitamins occur in many forms — and supplements may not provide the right forms in the right amounts.
Potentially risky vitamin and mineral supplements include:
Vitamin E — A 2012 review of research published in the Cochrane Database found that taking daily vitamin E supplements may increase the risk of dying prematurely.
Vitamin A — The same review found large doses of vitamin A supplements were also associated with an increased risk of dying prematurely. Supplementation with beta-carotene, a compound that’s converted to vitamin A by the body, was also shown to increase risk of death, especially for smokers or former smokers. Since vitamin A deficiency is rare in the U.S., it’s probably not worth the potential risk to take this supplement.
Folic acid (vitamin B-9) — Most older adults consumeadequate folate. Supplementationhelps prevent birth defects, but evidenceof other benefits has beenelusive.
Vitamin B-6 — Large daily doses of vitamin B-6 — more than 100 milligrams (mg) — can over time cause nerve damage.
Vitamin B-3 (niacin) — High doses can help lower high cholesterol levels, but this should be done only under the supervision of a doctor. Side effects, including severe liver disease, can occur.
Iron — In healthy men and postmenopausal women, iron deficiency is rare. If you’re in one of these categories and iron deficient, further evaluation may be considered. There is some evidence that too much iron is associated with adverse effects, including possibly increased mortality.
Trace minerals — Copper, chromium, magnesium, selenium and zinc are among the essential trace minerals. However, there isn’t any solid evidence that trace mineral supplementation has any benefit in the absence of deficiency — which is rare.
Supplements that older adults may consider taking include:
Calcium — The recommended intake is 1,200 mg daily for women over the age of 50 and men over the age of 70. A meta-analysis found that calcium supplementation increased the risk of cardiovascular disease. However, not all studies have supported this conclusion. Mayo Clinic experts support meeting — but not exceeding — your daily calcium requirements, primarily through food, as there was no evidence of increased risk with dietary sources of calcium.
Vitamin D — In support of bone health and prevention of falls, 600 to 800 IU daily from diet and supplements combined is recommended for older adults. Some doctors and organizations believe that higher doses may be appropriate. Vitamin D enhances calcium absorption.
Vitamin B-12 — It’s estimated that up to 15 percent of older adults are deficient in vitamin B-12. Since vitamin B-12 has not been shown to cause harm, even in large doses, it may be beneficial for older adults to take a B-12 supplement containing at least 2.4 mcg — the Recommended Dietary Allowance — to help prevent deficiency.
Although many of the reported risks are small, any increase in risk is troublesome since people take supplements to improve their health. Because a large number of people take supplements, a correspondingly large number may experience adverse effects. Talk to your doctor before taking any supplements or making any changes to your current regimen, and ask for his or her recommendations for your specific needs.
— Donald Hensrud, M.D., Preventive, Occupational and Aerospace Medicine, Mayo Clinic, Rochester, Minn.
Poly-Vi-Sol with Iron
Generic Name: Pediatric Multivitamin Drops with Iron (MUL ti VYE ta min with EYE ern)
Brand Name: MyKidz Iron, NovaFerrum Pediatric Multivitamins with Iron, Pedia Poly-Vite Drops with Iron, Poly-Vi-Sol with Iron, Poly-Vita Drops with Iron, …show all 6 brand names.Polyvitamin Drops with Iron
Medically reviewed by Drugs.com. Last updated on Jul 23, 2019.
- Side Effects
- Accidental overdose of drugs that have iron in them is a leading cause of deadly poisoning in children younger than 6 years of age. Keep away from children. If Poly-Vi-Sol with Iron (pediatric multivitamin drops with iron) is taken by accident, call a doctor or poison control center right away.
Uses of Poly-Vi-Sol with Iron:
- It is used to help growth and good health.
What do I need to tell my doctor BEFORE I take Poly-Vi-Sol with Iron?
- If your child has an allergy to Poly-Vi-Sol with Iron (pediatric multivitamin drops with iron) or any part of Poly-Vi-Sol with Iron (pediatric multivitamin drops with iron).
- If your child is allergic to any drugs like this one or any other drugs, foods, or other substances. Tell the doctor about the allergy and what signs your child had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If your child has too much iron in the body.
This is not a list of all drugs or health problems that interact with Poly-Vi-Sol with Iron (pediatric multivitamin drops with iron).
Tell the doctor and pharmacist about all of your child’s drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for your child to take Poly-Vi-Sol with Iron (pediatric multivitamin drops with iron) with all of his/her drugs and health problems. Do not start, stop, or change the dose of any drug your child takes without checking with the doctor.
What are some things I need to know or do while I take Poly-Vi-Sol with Iron?
For all patients taking Poly-Vi-Sol with Iron (pediatric multivitamin drops with iron):
- Tell all of your child’s health care providers that your child is taking Poly-Vi-Sol with Iron (pediatric multivitamin drops with iron). This includes your child’s doctors, nurses, pharmacists, and dentists.
- This medicine may affect certain lab tests. Tell all of your child’s health care providers and lab workers that your child takes Poly-Vi-Sol with Iron (pediatric multivitamin drops with iron).
- Your child’s dose may depend on how old your child is. Talk with the doctor if you are not sure how much of Poly-Vi-Sol with Iron (pediatric multivitamin drops with iron) to give to your child.
If your child is pregnant or breast-feeding a baby:
- Talk with the doctor if your child is pregnant, becomes pregnant, or is breast-feeding a baby. You will need to talk about the benefits and risks to your child and the baby.
How is this medicine (Poly-Vi-Sol with Iron) best taken?
Give Poly-Vi-Sol with Iron (pediatric multivitamin drops with iron) as ordered by your child’s doctor. Read all information given to you. Follow all instructions closely.
- Give Poly-Vi-Sol with Iron (pediatric multivitamin drops with iron) with or without food. Give with food if it causes an upset stomach.
- Some drugs may need to be given with food or on an empty stomach. For some drugs, it does not matter. Check with your pharmacist about how to give Poly-Vi-Sol with Iron (pediatric multivitamin drops with iron) to your child.
- Follow how to use as you have been told by the doctor or read the package insert.
- Measure liquid doses carefully. Use the measuring device that comes with Poly-Vi-Sol with Iron (pediatric multivitamin drops with iron).
- Shake well before use.
- Some products may be mixed with formula, fruit juice, or other food or liquids. Some products may need to be put right in your child’s mouth. Be sure you know how to give Poly-Vi-Sol with Iron (pediatric multivitamin drops with iron) to your child.
What do I do if I miss a dose?
- Give a missed dose as soon as you think about it.
- If it is close to the time for your child’s next dose, skip the missed dose and go back to your child’s normal time.
- Do not give 2 doses at the same time or extra doses.
What are some side effects that I need to call my doctor about right away?
WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your child’s doctor or get medical help right away if your child has any of the following signs or symptoms that may be related to a very bad side effect:
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Black, tarry, or bloody stools.
- Very upset stomach or throwing up.
- Very bad belly pain.
- Throwing up blood or throw up that looks like coffee grounds.
- Stomach cramps.
What are some other side effects of Poly-Vi-Sol with Iron?
All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your child’s doctor or get medical help if any of these side effects or any other side effects bother your child or do not go away:
- Upset stomach or throwing up.
- Change in color of stool to green.
- Belly pain.
- Your child’s teeth may get a bit darker with Poly-Vi-Sol with Iron (pediatric multivitamin drops with iron). Brushing will help with this.
These are not all of the side effects that may occur. If you have questions about side effects, call your child’s doctor. Call your child’s doctor for medical advice about side effects.
You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.
If OVERDOSE is suspected:
If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
How do I store and/or throw out Poly-Vi-Sol with Iron?
- Store in the original container at room temperature.
- Store in a dry place. Do not store in a bathroom.
- Protect from heat and light.
- Keep lid tightly closed.
- Do not freeze.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
Consumer information use
- If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
- Do not share your child’s drug with others and do not give anyone else’s drug to your child.
- Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
- Talk with your child’s doctor before giving your child any new drug, including prescription or OTC, natural products, or vitamins.
- Some drugs may have another patient information leaflet. If you have any questions about Poly-Vi-Sol with Iron (pediatric multivitamin drops with iron), please talk with your child’s doctor, nurse, pharmacist, or other health care provider.
- Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about Poly-Vi-Sol with Iron (pediatric multivitamin drops with iron), please talk with your doctor, nurse, pharmacist, or other health care provider.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
More about Poly-Vi-Sol with Iron (multivitamin with iron)
- Side Effects
- During Pregnancy
- Dosage Information
- Drug Interactions
- Drug class: iron products
Other brands: Integra, Ferocon, Iron-150, Integra Plus, … +20 more
- Vitamin/Mineral Supplementation and Deficiency
“Does my child need a vitamin?”
– A question I hear regularly from parents of my patients. Their child may be 2 weeks old or 20 years old. The majority of the time the answer is, “No, your child does not need any vitamins”. I can almost always tell parents that because their child is growing well, eats a well-balanced diet with a good mix of fruits and vegetables, animal protein sources such as chicken, turkey, beef and fish and consumes a healthy amount of calcium-rich foods he or she does not require a vitamin. Over the course of the next few weeks I’ll discuss some cases where these criteria may not be met, and it may be advantageous for your child to take a supplement.
The first group we’ll discuss are newborns and infants up to one year of age. Vitamin D is one supplement required by all members of this group. Our bodies must have vitamin D to absorb calcium and promote bone growth. Too little vitamin D can result in rickets, a softening and weakening of bones. Vitamin D also helps regulate the immune system as well as helping with nerve and muscle function.
Vitamin D is so important our bodies can make it –but only after skin exposure to sufficient sunlight. If you live north of a line drawn from Los Angeles to Columbia, South Carolina, you probably aren’t getting enough sunlight for vitamin D production throughout the year. Kansas City is definitely north of this line. For more information on how to get enough vitamin D through sunlight alone, click here. Of course, this can put you at risk for skin cancer if you get too much sunlight.
The other way to get vitamin D is through food or supplements. Many Americans don’t consume enough foods high in vitamin D – such as salmon, mackerel, mushrooms, cod liver oil, tuna, sardines, or cow’s milk/yogurt/cheese fortified with vitamin D – to keep from becoming deficient in vitamin D. A study in the journal Nutrition Resource in January of 2011 showed 42 percent of Americans were vitamin D deficient – which they defined as a vitamin D level less than 20 ng/ml. This means 42 percent of new moms are likely vitamin D deficient, and this leads to a newborn deficient in vitamin D.
Breast milk has everything a newborn needs – except vitamin D. Babies born to mothers who are NOT vitamin D deficient are still at risk for becoming deficient, seeing as they definitely don’t eat enough of the above vitamin D rich foods. They need to be given a supplemental form in a dose of 400 International Units (or IU) per day. D-vi-sol™ and Tri-vi-sol™ can be found at most pharmacies and grocery stores. They contain 400 IU vitamin D per 1 ml. They taste decent and are really free of side effects. They can be given alone or mixed with breast milk, formula or food.
So, if your baby is exclusively breast fed, he should start vitamin D supplementation with 400 IU in the first few days of life and continue it for the first year. If your baby is fed both breast milk and formula, she should start 400 IU vitamin D in the first few days of life and continue for the entire first year, or until she is consuming 32 ounces of formula. This is the amount of formula required to provide 400 IU of vitamin D. Therefore, if your baby is fed formula from birth, he should receive 400 IU vitamin D supplementation until he is taking 32 ounces of formula a day. This may not happen until around 3 to 4 months of age for some babies.
Recently there has been more evidence (Pediatrics, September 2015) that maternal supplementation with 6,400 IU of vitamin D per day will provide her breast-fed infant with 400 IU vitamin D per day through breast milk alone. This is an alternative to supplementing the infant. However, mothers should check with their health care providers to see if this dose is safe for them to take, as many references recommend the highest dose an adult should take is 4000 IU of vitamin D per day. Side effects of too much vitamin D include weakness, fatigue, loss of appetite, dry mouth, metallic taste, nausea and vomiting.
The other supplement needed by infants is iron. Iron is important for brain growth and development. It is also required for making red blood cells. Healthy, full-term infants (at least 37 weeks gestational age) have enough iron stored up from their time as a fetus to last them the first 4 months of life. After 4 months of age, they need 10 mg of iron per day to prevent iron deficiency. Symptoms of iron deficiency anemia may include: pale skin, fatigue or weakness, irritability, shortness of breath, and inflammation of the tongue. Often babies with anemia show no symptoms at all. Long-term iron deficiency can lead to decreased attention, reduced alertness and learning problems in children.
Infant formula (with the exception of low-iron formula – which should never be used) contains about 2 mg of iron per 5 ounces of formula. Therefore babies who are exclusively formula-fed will get plenty of iron. Babies who are fed both breast milk and formula who get at least 25 ounces of iron fortified formula a day do not require a supplement. Those infants taking less than 25 mg of formula a day or who are exclusively breastfed should take a supplement. The easiest one to find is Poly-vi-sol™ with Iron. This provides 10 mg of iron per 1 ml of supplement. It also provides the 400 IU of vitamin D these babies need each day.
Cow’s milk formula should not be started until after 12 months of age as it doesn’t contain iron, so be sure to continue formula feeding up until 12 months of age, or to continue iron supplementation until 1 year of age if you are breast feeding.
Another way to add iron to an infant’s diet is to feed your baby foods high in iron such as iron fortified baby cereals and leafy green vegetables such as spinach. As she gets older feed her beans, chickpeas, lentils, eggs and eventually chicken and red meat.
Premature infants (born before 37 weeks gestational age) should receive iron supplementation from birth. Much of an infant’s iron stores are accumulated in the last few weeks of pregnancy, so these premature babies need the supplement from day one.
If you have any questions about vitamin D or iron needs for your child, please discuss them with your pediatrician.
Age Specific Tips for Newborns
This page contains some of the information parents most often ask us about. For additional information about what to expect from your newborn, we recommend the following website:
Breastfed infants will need extra vitamin D beginning around 6-8 weeks old. This can be given as Tri-Vi-Sol or Poly-Vi-Sol, which can be purchased over the counter. The dose is 1.0 ml per day.
An easy and safe way to give the vitamins is to place an empty nipple in the infant’s mouth. Drop the liquid inside the nipple; your baby will suck it down at his/her own rate. Or you can nurse your baby immediately after giving the liquid through the dropper.
Formula fed infants should not need a vitamin.
Sleeping-Milestones and Behavior
The newborn’s sleep pattern is very variable. Some will sleep up to 20 or 22 hours per day. Others may only sleep 10 or 12 hours. The important thing to remember is that both patterns are perfectly normal.
Since sleep, or more often lack of sleep, are of major concern to new parents, here are some helpful hints.
An infant is usually ready for sleep after feeding. After burping and a quick diaper check, lay the baby down to sleep. This is not the time for play or stimulation. Try to put the baby down while he or she is still awake. It is important for the newborn to become accustomed to falling asleep in his own crib. Videotaped studies of infants who “sleep through the night” reveal that no baby really sleeps through the night. Each infant is up two to three times, gurgles, coos and goes back to sleep. However, if an infant becomes accustomed to falling asleep in the parents’ arms, then upon awakening he or she will expect those arms to be there, and will cry until they arrive. Putting the infant down still awake will insure the development of good sleeping habits at an early age.
Recent studies have shown that the infant’s sleeping position may also be critical and reducing the risk of Sudden Infant Death Syndrome (S.I.D.S.) or “crib death” which strikes 1 in 2000 newborns. Contrary to popular belief, placing a newborn to sleep on his back may actually reduce the risk of S.I.D.S. by 50%. We therefore recommend that all infants sleep on their back and not on their stomachs or sides. The fear over infants choking on “spit up” during sleep has been shown not to be a significant concern since it may occur in only 1 of 20,000 newborns (one tenth the risk of SIDS).
The “Gerber” baby does not exist in real life. The birth process temporarily alters your baby’s features and to an extent distorts them. Fortunately, by 1 to 2 weeks of age your infant’s normal and beautiful features will emerge.
Your baby’s head may be molded (long and narrow) and he may look like a “cone head.” He may have lumps and bumps (caputs and cephalohematomas) all due to the passage through the birth canal. All these will ultimately and completely resolve. The soft spot or “anterior fontanelle” is a “diamond shaped” space between the skull bones. Its purpose is to allow for the rapid growth of the newborn’s brain. It normally closes by 8 to 18 months of life. Beneath the skin of the fontanelle lie three very strong, leathery layers that protect the brain. Routine handling, such as scrubbing, shampooing, combing or brushing will not hurt the soft spot.
- Swollen eyelids – The eyes may be puffy because of pressure on the face during delivery.
- Redness in the white of the eye – A flame-shaped hemorrhage on the white of the eye (sclera) is not uncommon. It’s harmless and due to birth trauma. The blood is reabsorbed in 2 to 3 weeks.
- Eye color – The eyes are usually blue, green, gray or brown, or variations of these colors. The permanent color of the eye is often uncertain until your baby is six months of age.
- Blocked tear duct – If your baby’s eye is continually watery, he or she may have a blocked tear duct. This means that the channel that normally carries the tears from the eye to the nose is blocked. It is a common condition, and more than 90% of blocked tear ducts open up by the time the child is 6 months. The problem is easily handled with a combination of eye massage and drops.
A baby’s nose is soft cartilage, not bone. It may be flattened or pushed to one side during birth, but will return to normal by 1 to 2 weeks of age.
- Sucking callus (or blister) – A sucking callus occurs in the center of the upper lip from the constant friction at this point during bottle or breast-feeding. It will disappear when your child begins cup feedings. A sucking callus on the thumb or wrist may also develop.
- Tongue-tie – The normal tongue in newborns has a short tight band that connects it to the floor of the mouth. This band normally stretches with time, movement, and growth. Babies with symptoms from tongue-tie are extremely rare.
This is very common in both male and female infants due to exposure to female hormones during the pregnancy and breast-feeding. The swelling may easily last for 4 to 6 months or longer. Occasionally even a little bit of milk may be seen leaking from the nipples of even boy babies. This is also perfectly normal. Never squeeze an infant’s breasts because it may lead to infection.
- Swollen vaginal lips- These can be quite swollen in newborn girls because of the passage of female hormones across the placenta. The swelling will resolve in 2 to 4 weeks.
- Vaginal discharge – As the maternal hormones decline in the baby’s blood a clear or white discharge can flow from the vagina during the latter part of the first week of life. Occasionally the discharge will become pink or blood-tinged (false menstruation). This normal discharge should not recur once it stops.
- Hydrocele- The newborn scrotum can be filled with clear fluid. This painless collection of clear fluid is called a “hydrocele.” It is common in newborn males. A hydrocele may take 6 to 12 months to clear completely. It is harmless but can be rechecked during regular visits. If the swelling gets larger or persists past 1 year of age, a hernia may also be present and you should call our office during office hours for an appointment to have this evaluated.
- Tight foreskin- Most uncircumcised infant boys have a tight foreskin that doesn’t allow you to see the head of the penis. This is normal and the foreskin should not be forcibly retracted.
- Tibial torsion – The lower legs (tibia) normally curve in because of the cross-legged posture your baby was confined to while in the womb. Gravity will exert directional forces on the growth plates to remodel and straighten the bone as your baby stands, walks, jumps and runs.
- Feet turned in – As long as your child’s feet are flexible and can be easily moved to a normal position, they are normal. The direction of the feet will become more normal between 6 and 12 months of age.
- “Ingrown” toenails – Many newborns have soft nails that easily bend and curve. However, they are not truly ingrown because they don’t curve into the flesh.
- Scalp hair – Most hair at birth is dark. This hair is temporary and begins to be shed by one month of age. Some babies lose it gradually while the permanent hair is coming in; others lose it rapidly and temporarily become bald. The permanent hair will appear by 6 months.
- Body hair (lanugo) – Lanugo is the fine downy hair that is sometimes present on the back and shoulders. It is more common in premature infants. It is rubbed off with normal friction by 2 to 4 weeks.
- “Baby acne” – This consists of small, red bumps, beginning at 3 to 4 weeks of age and lasting until 4 to 6 months of age. One causative factor appears to be the transfer of maternal hormones just before birth. This combined with the skin’s increased oil production which was necessary to protect the baby from nine months of underwater life, produces the “acne.” No treatment is necessary. Baby oil will just make it worse. In severe cases, a mild drying agent such as soapy water is useful.
- Erythema toxicum – More than 50% of babies get a rash called erythema toxicum on the second or third day of life. The rash is composed of l/2 to 1 inch red blotches with a small white dot in the center. Their cause is unknown, but they always resolve themselves by I week of age or sooner.
- Mongolian spots-A mongolian spot is a bluish-gray, flat birthmark that is found in more than 90% of American Indian, Oriental, Hispanic and African American babies. They occur most commonly over the back and buttocks, although they can be present on any part of the body. Most fade away by 2 or 3 years of age, although a trace may persist into adult life.
- Stork bites (pink birthmarks) – Flat pink birthmarks (also called capillary hemangiomas) occur over the bridge of the nose, the eyelids, or the back of the neck in more than 50 % of newborns. The birthmarks on the bridge of the nose and eyelids clear completely by I to 2 years of age. Most birthmarks on the nape of the neck also clear, but those can persist into adult life.
Some findings in newborns that concern parents are not signs of illness. Most of these harmless reflexes are due to the normal, immature nervous system and will disappear in 2 or 3 months. These include:
- Chin trembling
- Lower lip quivering
- Irregular breathing. (Normally, if your baby is content, the rate is less than 60 breaths per minute, a pause is less than 6 seconds, and your baby doesn’t turn blue)
- Passing gas (not a temporary behavior)
- Sleep noise from breathing and moving
- Spitting up or belching
- Startle reflex (also called the Moro or embrace reflex) following noise or movement
- Straining with bowel movements
- Throat clearing (or gurgling sounds)
- Trembling of arms and legs during crying
Many Filipinos take multivitamins like Enervon every day, but what do you get out of it?
What are multivitamins?
Your body needs vitamins and nutrients to function properly. For that, you need to eat a balanced diet. Unfortunately, not everyone gets to eat the right food everyday. That’s where multivitamins come in.
Multivitamins are a combination of different vitamins normally found in food sources. They are used to provide vitamins that are not taken in through your diet. Basically, multivitamins help bridge some nutrient gaps so you can meet the recommended amount of nutrients.
Benefits of taking multivitamins daily
- Increased energy levels
When you don’t get enough vitamins, your body has to work harder to perform simple tasks, which can lead to fatigue and other health problems. Taking multivitamins and keeping a healthy lifestyle can keep you energetic and fit.
- Improved mood
Certain studies have shown that daily multivitamin has positive effects on a person’s mood and emotional well-being. Getting enough vitamins and minerals improves the brain functions responsible for your mood.
- Reduces stress and anxiety.
The vitamins and minerals in your daily multivitamin can also significantly reduce levels of stress and anxiety. The body uses B vitamins to convert food into energy, keep the nervous system functioning properly, and to produce stress hormones. Taking multivitamins daily can replenish your body’s supply.
- Improved short-term memory
A recent study from Australia showed that B vitamins has a significant impact in supporting short-term memory function. In the research, older participants who supplemented with vitamin B12 did better in memory tests compared to those who did not take supplements.
- Maintained muscle strength
Free radicals are mainly responsible for muscle aging-related problems. Taking multivitamins daily can help keep these damaging free radicals in check.
Make multivitamins a daily habit. Take one tablet of Enervon everyday or as directed by your doctor to reap its many health benefits. Learn more about Enervon here.