VITAMINS & FLUORIDE

Brand & Generic Names

Adeflor
Cari-Tab
Mulvidren-F
Poly-Vi-Flor
Tri-Vi-Flor
Vi-Daylin/F
Vi-Penta F
MULTIPLE VITAMINS & FLUORIDE
VITAMINS A, D & C & FLUORIDE

Basic Information

• Habit forming? No
• Prescription needed? Yes
• Available as generic? No
• Drug class: Vitamins, minerals

Uses

• Reduces incidence of tooth cavities (fluoride). Children who need supplements should take until age 16.
• Prevents deficiencies of vitamin included in formula (some contain multiple vitamins whose content varies among products, others contain only vitamins A, D and C).

Dosage & Usage Information

How to take:
Chewable tablets--Chew or crush before swallowing.
Oral liquid--Measure with specially marked dropper. May mix with food, fruit juice, cereal.

When to take:
Bedtime or with or just after meals.
If at bedtime, brush teeth first.

If you forget a dose:
Take as soon as you remember up to 2 hours late. If more than 2 hours, wait for next scheduled dose (don't double this dose).

What drug does:
Provides supplemental fluoride to combat tooth decay.

Time lapse before drug works:
8 weeks to provide maximum benefit.

Don't take with:
Other medicine simultaneously.
Any other medicine without consulting your doctor or pharmacist.

Overdose

SYMPTOMS:
Minor overdose--Black, brown or white spots on teeth. Massive overdose--Shallow breathing, black or tarry stools, bloody vomit.

WHAT TO DO:

• Dial 911 (emergency) or O (operator) for an ambulance or medical help. Then give first aid immediately.
• See EMERGENCY Information.

Possible Adverse Reactions or Side Effects

Life-threatening:

Fainting, bloody vomit, Discontinue. Seek bloody or black stool, emergency treatment. breathing difficulty.

Common:

White, black or brown spots on teeth; nausea; vomiting.

Infrequent:

• Drowsiness; abdominal pain; increased salivation; watery eyes; weight loss; sore throat, fever, mouth sores; constipation; bone pain; rash; muscle stiffness; weakness; tremor; agitation.
• Diarrhea.

Rare:

None expected.

Warnings & Precautions

Don't take if:

• Your water supply contains 0.7 parts fluoride per million. Too much fluoride stains teeth permanently.
• You are allergic to any fluoride-containing product.
• You have underactive thyroid.

Before you start, consult your doctor or dentist:
For proper dosage.

Over age 60:
No problems expected.

Pregnancy:
No problems expected. Consult doctor.

Breast-feeding:
No problems expected. Consult doctor.

Infants & children:
No problems expected in children over 3 years of age except in case of accidental overdose. Keep vitamin-mineral supplements out of children's reach.

Prolonged use:
Excess may cause discolored teeth and decreased calcium in blood.

Skin & sunlight:
No problems expected.

Driving, piloting or hazardous work:
No problems expected.

Discontinuing:
No problems expected.

Others:

• Store in original plastic container. Fluoride decomposes glass.
• Check with dentist once or twice a year to keep cavities at a minimum. Topical applications of fluoride may also be helpful.
• Fluoride probably not necessary if water contains about 1 part per million of fluoride or more. Check with health department.
• Don't freeze.
• Don't keep outdated medicine.

Possible Interaction with Other Drugs

GENERIC NAME	COMBINED EFFECT
------------------------	-----------------------
Anticoagulants*	Decreased effect of anticoagulant.
Iron supplements*	Decreased effect of any vitamin E
	if present in multivitamin product.
Vitamin A	May lead to vitamin A toxicity if
	vitamin A is in combination.
Vitamin D	May lead to vitamin D toxicity if
	vitamin D is in combination.

Possible Interaction with Other Substances

INTERACTS WITH	COMBINED EFFECT
---------------	---------------
Alcohol:	None expected.
Milk.	Prevents absorption of fluoride.
	Space dose 2 hours before or after
	milk.
Cocaine:	None expected.
Foods:	None expected.
Marijuana:	None expected.
Tobacco:	None expected.