9 месяцев витаминно-минеральный комплекс

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9 месяцев витаминно-минеральный комплекс Medicine

Overdose

Coated tabletsFilm-coated tabletsSolution for intravenous administrationChewable tabletsSymptoms: since the Vitamin-Mineral Complex® contains fat-soluble vitamins A and D for 9 months, signs of acute or chronic overdose may develop after a single high dose or with prolonged use. Signs of overdose include sudden attacks of headache, dizziness, confusion, and gastrointestinal disorders, including nausea, diarrhea, or constipation. Treatment: if these symptoms occur, you should immediately stop taking the drug and consult a doctor. In case of accidental overdose of more than 12 tablets. for children (body weight 12 kg) and more than 60 tables. for adults (body weight 60 kg), you should induce vomiting or flush the stomach. The therapy is symptomatic, there is no specific antidote. In some patients with glucose-6-phosphate dehydrogenase deficiency, an overdose of vitamin C (more than 15 g) can cause hemolytic anemia

Symptoms: possible gastrointestinal disorders, such as diarrhea and a feeling of discomfort in the stomach. Excessive intake of vitamin B6 (more than 20 tablets)./day and for several months) can lead to symptoms of neuropathy.

In case of overdose, stop taking the drug and consult a doctor.

Symptoms: falling blood pressure, nausea, vomiting, slow reflexes, respiratory depression, coma, cardiac arrest and paralysis of the heart, anuria.

Treatment: регидратация, форсированный диурез. При почечной недостаточности необходим гемодиализ или перитонеальный диализ.

Treatment: administration of activated charcoal, gastric lavage, symptomatic therapy.

Contraindications

Coated tabletsFilm-coated tabletsSolution for intravenous administrationChewable tabletsPillsCapsulesCommon for both dosage forms hypersensitivity to the components of the drug

hypersensitivity to the components of the drug

hypercalcemia, hypermagnesemia

kidney stone disease (nephrolithiasis, urolithiasis)

hemochromatosis

hyperoxaluria

impaired renal function

glucose-6-phosphate dehydrogenase deficiency

fructose intolerance (effervescent tablets)

children under 15 years of age.

With caution: атрофический гастрит; заболевания кишечника; заболевания поджелудочной железы; синдром недостаточности всасывания витамина В12 или врожденный дефицит внутреннего фактора Кастла.

severe renal insufficiency (Creatinine Cl <30 ml / min)

hypersensitivity to the components of the drug

children under 6 years of age.

With caution — при умеренной недостаточности функции почек, т.к. существует риск развития гипермагниемии.

Hypersensitivity, hypervitaminosis A and D, children under 4 years of age.

Hypersensitivity to the components of the drug, increased iron content in the body.

Hypersensitivity to the components of the drug, pernicious anemia.

Incompatibilities

Coated tabletsFilm-coated tabletsSolution for intravenous administrationChewable tabletsDo not take other multivitamin medications at the same time. Preparations with vitamin E in the composition should be used with caution in patients receiving anticoagulants or drugs that affect platelet aggregation. Vitamin B6 even in small doses increases the peripheral metabolism of levodopa in the result of which the therapeutic effect of levodopa in the treatment of Parkinson's disease may decrease. Drugs containing iron, calcium, magnesium, copper and zinc may delay the absorption of oral antibiotics from the tetracycline group and antiviral drugs. It is necessary to adhere to the interval of at least 1-2 hours between taking these drugs. Concomitant use of laxatives, such as paraffin oil, can cause impaired absorption of vitamin D in the gastrointestinal tract. Intake of foods containing oxalates (sorrel, spinach, rhubarb) and phytin (whole grains) reduces the absorption of calcium, so do not take the drug for 2 hours after eating a meal containing significant amounts of oxalic and phytic acids

Vitamin B6 (pyridoxine) in a dose exceeding 5 mg can neutralize the effect of levodopa in patients with parkinsonism. However, such antagonism is not observed if levodopa is used in combination with a decarboxylase inhibitor (for example, benserazide, carbidopa).

Thiosemicarbazone and 5-fluorouracil neutralize the action of vitamin B1.

Antacids inhibit the resorption of vitamin B1.

Neomycin, aminosalicylic acid and H2-blockers reduce the absorption of vitamin B12.

Aspirin reduces the absorption of ascorbic acid by about a third.

Oral contraceptives may reduce serum vitamin B levels of 12, folic acid, pyridoxine, ascorbic acid.

Some patients who take daily deferoxamine and vitamin C at a dose of 500 mg may experience transient left ventricular dysfunction.

Phosphates and calcium salts reduce the absorption of magnesium in the gastrointestinal tract. Magnesium preparations reduce the absorption of tetracycline

It is not recommended to take concomitantly with other drugs containing vitamins and iron.

Undesirable effects

Coated tabletsFilm-coated tabletsSolution for intravenous administrationChewable tabletsPillsCapsulesAllergic reactions: rash, swelling of the face, shortness of breath, redness of the skin, itching, blisters, shock. If an allergic reaction occurs, stop taking the drug and consult a doctor. From the digestive system: pain in the stomach, intestines, constipation, diarrhea, nausea, vomiting. From the nervous system: headache, dizziness, insomnia, nervousness. Metabolic disorders: hypercalciuria.

Allergic reactions: rare (<1/10000) — hives, rash, swelling of the throat, anaphylactic shock.

From the digestive system: возможны легкие преходящие желудочно-кишечные расстройства.

From the blood and hematopoietic system: у пациентов с дефицитом глюкозо-6-фосфатдегидрогеназы аскорбиновая кислота может вызвать гемолитическую анемию.

From the nervous system: головная боль, головокружение, бессонница, возбудимость.

Allergic reactions, dyspeptic disorders (diarrhea, abdominal pain). When used in high doses, hypermagnesemia may develop.

Allergic reactions.

It is possible to develop allergic reactions to the components of the drug.

Allergic reactions are possible.

Therapeutic indications

Coated tabletsFilm-coated tabletsSolution for intravenous administrationChewable tabletsPillsCapsulesFor coated tablets, Prevention and treatment of hypo-and beriberi. For effervescent tablets, the drug is used for the prevention and treatment of hypo-and beriberi and a lack of mineral substances, including: with inadequate and unbalanced nutrition (diets)

Deficiencies and conditions accompanied by an increased need for B vitamins, vitamin C and zinc.

The content of vitamins in the product Berocca® Plus is selected for therapeutic use in conditions accompanied by a deficiency or an increase in the need for vitamins (increased physical activity, a period of prolonged nervous overstrain and stress

Magnesium deficiency and related conditions.

Prevention and treatment of beriberi, hypovitaminosis, lack of macro-and microelements in children and adolescents, including during the period of intensive growth, increased physical and mental stress, during recovery after diseases, with an unbalanced diet.

Absolute or relative hypovitaminosis

Treatment and prevention of hypovitaminosis and mineral deficiency (pregnancy, breast-feeding, period of convalescence after prolonged and / or severe diseases, including infectious diseases).

Pharmacotherapeutic group

  • Vitamins and vitamin-like products in combinations

Pharmacodynamic properties

Coated tabletsFilm-coated tabletsSolution for intravenous administrationPillsFor coated tablets, Vitamin A promotes normal growth, participates in the formation and maintenance of the structure and functions of bones, teeth, skin, and participates in the synthesis of visual pigment. Vitamin B1 contributes to the normal functioning of the nervous system. Vitamin B2 is involved in tissue respiration, protein, carbohydrate and fat metabolism. Vitamin B6 helps to maintain the structure and function of bones, teeth, gums, and has an effect on erythropoiesis. Vitamin B12 is involved in erythropoiesis, contributes to the normal functioning of the nervous system. Vitamin C is involved in the formation and maintenance of the structure and function of bones, teeth, and gums

A combined drug, the pharmacological effect of which is due to the complex of vitamins and trace elements included in its composition.

B vitamins are involved in many metabolic reactions (including the synthesis of neurotransmitters).

Vitamin C (ascorbic acid) is a biological antioxidant and plays an important role in the inactivation of free radicals, increases the absorption of iron in the small intestine, affects the metabolism of folic acid and the function of white blood cells. It stimulates the formation of connective tissue, bone tissue, normalizes the permeability of capillaries.

Calcium is involved in many physiological processes, enzyme systems, and nerve impulse transmission in combination with magnesium and vitamin B6.

Magnesium is involved in various reactions, including protein synthesis, fatty acid metabolism, and sugar oxidation.

Zinc as a catalyst activates more than 200 enzymes and is a component of many proteins, hormones, neuropeptides, hormone receptors, and is also directly involved in the synthesis of coenzymes derived from vitamin B6.

Water-soluble vitamins do not accumulate in the body, so in conditions that are accompanied by an increased need for vitamins and minerals, the amount of vitamins that come with food may be insufficient.

Magnesium is a vital element. It plays an important role in the activity of the nervous system, participates in the regulation of the transmission of nerve impulses and in muscle contraction, in most metabolic reactions, promotes the production and consumption of energy, and plays an important physiological role in maintaining ion balance.

Magnesium deficiency manifests itself in the form of neuromuscular disorders (muscle weakness, trembling, spasms, convulsions), mental disorders (insomnia, irritability, anxiety), heart rhythm disorders (extrasystole, tachycardia) and gastrointestinal activity (pain, diarrhea, spasms, bloating). Vitamin B6 plays an important role in the metabolism, contributes to the maintenance of the structure and function of bones, teeth, gums

Vitamin B12 and folic acid are involved in many enzymatic reactions.

Participates in the regulation of redox processes (vitamins A, E, B1, B2, B3, B6, B12, C, PP), nitrogen, protein, nucleic and mineral (D3) metabolism. Increases the resistance of the body (including children), ensures normal growth and development of the child.

Name of the medicinal product

9 months Vitamin and mineral complex

Special precautions for storage

In a dry place, protected from light, at a temperature not exceeding 25 °C.

Keep out of reach of children.

Shelf life of the drug is 9 months Vitamin and mineral complex2 года.

Do not use after the expiration date indicated on the package.

Nosological classification (ICD-10)

  • O25 Malnutrition during pregnancy

Qualitative and quantitative composition

Minerals

Dosage (Posology) and method of administration

Coated tabletsFilm-coated tabletsSolution for intravenous administrationChewable tabletsPillsCapsulesJelly beansPowder for the preparation of a solution for oral administrationFor tablets, coated Inside, during meals, swallowed whole, washed down with a glass of water (200 ml). Adults and adolescents over 12 years of age: for prevention, take 1 tablet. in the day

Inside. Tablets covered with a film shell, washed down with water. Effervescent tablets are pre-dissolved in a glass of water.

Adults and children from 15 years: 1 table. in the day.

Do not exceed the recommended daily dose of the drug.

The recommended course duration is 30 days. Repeated courses — on the recommendation of a doctor.

Inside, in the first half of the day, after dissolving in a glass of water. Adults — 1-2 tablets.

Children from 6 to 12 years — 1/2 table.

Inside, without chewing after a meal. Children 4-7 years — 0.5 tablets per day, older than 7 years-1 tablet. in the day.

Inside — 15-30 ml or 1 tab. (previously dissolved in a glass of water) 2 times a day, for children under 6 years-10-15 ml or 1 tab. 1 time a day.

9 months Vitamin and mineral complex

Inside, во время еды, с небольшим количеством жидкости. Суточная доза во время беременности: в I триместре — 1 капс., во II триместре — 2 капс., в III триместре — 3 капс.

9 months Vitamin and mineral complex F

Inside, dissolving the tablet in 1 cup of water. The daily dose during pregnancy, during the postpartum period and during breast-feeding is 1-2 tablets.

Inside, after breakfast. Dragees should be swallowed whole, washed down with a small amount of water.

Adults and children over 10 years of age — 1 red dragee and 1 blue dragee per day. The course of taking the drug is 20 days. The course of taking the drug can be repeated after a break (1-3 months) or on the recommendation of a doctor.

Inside.

With latent iron deficiency — по 1 капс. 1 раз в день. Курс лечения — 1 мес.

For the prevention of latent iron deficiency (with heavy and prolonged menstruation) — по 1 капс. за 1–2 дня до начала, в течение цикла и 1–2 дня после окончания менструации.

ATC - Anatomical and therapeutic chemical classification

A11AA04 Multivitamins in combination with trace elements