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What happens if I miss a dose ()?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose ()?

Seek emergency medical attention if you think you have used too much of this medicine. 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.

Vitamin 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.

Mineral overdose symptoms may include dry mouth, increased thirst or urination, severe nausea or stomach pain, constipation, vomiting, bloody diarrhea, black and tarry stools, coughing up blood, severe drowsiness, slow heart rate, shallow breathing, weak and rapid pulse, confusion, muscle weakness, warmth or tingly feeling, fainting, cold or clammy skin, blue lips, and seizure (convulsions).

What should I avoid while taking multivitamins and minerals ()?

Avoid taking more than one vitamin/mineral 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 and mineral contains potassium. If you are on a low-salt diet, ask your doctor before taking a vitamin or mineral supplement.

Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain minerals.

What other drugs will affect multivitamins and minerals ()?

Vitamin and mineral supplements can interact with certain medications, or affect how medications work in your body. Before taking a vitamin/mineral product, tell your doctor if you also use:

• diuretics (water pills);
• heart or blood pressure medications;
• tretinoin (Vesanoid);
• isotretinoin (Accutane, Amnesteen, Clavaris, Sotret);
• trimethoprim and sulfamethoxazole (Cotrim, Bactrim, Septra, TMP/SMX); or
• an NSAID (non-steroidal anti-inflammatory drug) such as ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), diclofenac (Cataflam, Voltaren), etodolac (Lodine), indomethacin (Indocin), ketoprofen (Orudis), and others.

This list is not complete and there may be other medications that can interact with or be affected by multivitamins and minerals. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about multivitamins and minerals.

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.

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