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Multiple vitamins (pediatric): Pediatric drug information

Multiple vitamins (pediatric): Pediatric drug information
For abbreviations, symbols, and age group definitions used in Lexicomp (show table)
Brand Names: US
  • ABDEK [OTC];
  • ADEKs [OTC];
  • Animal Parade [OTC];
  • AquADEKs [OTC] [DSC];
  • BProtected Pedia Tri-Vite;
  • Centrum Kids [OTC];
  • Childrens Chewable Vitamins;
  • DEKAs Plus;
  • Flintstones Complete [OTC];
  • Flintstones Gummies [OTC];
  • Flintstones Plus Bone Building Support Gummies [OTC];
  • Flintstones Plus Bone Building Support [OTC];
  • Flintstones Plus Immunity Support Gummies [OTC];
  • Flintstones Plus Immunity Support [OTC];
  • Flintstones Plus Iron [OTC];
  • Flintstones Sour Gummies [OTC];
  • Floriva;
  • Floriva Plus;
  • MVW Complete Formulation [OTC];
  • My First Flintstones [OTC];
  • MyKidz Iron FL [DSC];
  • MyKidz Iron [OTC] [DSC];
  • NovaMV [OTC];
  • Nutra-Z+ [OTC];
  • One A Day Kids Jolly Rancher Gummies [OTC];
  • One A Day Kids Jolly Rancher Sour Gummies [OTC];
  • One A Day Kids Scooby-Doo! Complete [OTC];
  • One A Day Kids Scooby-Doo! Gummies [OTC];
  • Poly-Vi-Flor;
  • Poly-Vi-Flor FS;
  • Poly-Vi-Sol With Iron [OTC];
  • Poly-Vi-Sol [OTC];
  • Poly-Vite Pediatric [OTC];
  • Quflora;
  • Quflora FE Pediatric;
  • Tri-Vi-Sol [OTC];
  • Tri-Vite Pediatric [OTC];
  • Vitalets Childrens [OTC]
Therapeutic Category
  • Vitamin
Dosing: Neonatal
Vitamin deficiency, prevention

Vitamin deficiency, prevention: Preterm and Term Neonates: Oral: Daily dose varies by age and product; refer to product-specific labeling.

Dosing: Pediatric
Vitamin deficiency, prevention

Vitamin deficiency, prevention: Infants, Children, and Adolescents: Oral: Daily dose varies by age and product; refer to product-specific labeling.

Adverse Reactions

See individual vitamin monographs.

Contraindications

Hypersensitivity to any component of the formulation; pre-existing hypervitaminosis

Warnings/Precautions

Concerns related to adverse effects:

• Iron toxicity: Severe iron toxicity may occur in overdose, particularly when ingested by children; iron is a leading cause of fatal poisoning in children; store out of children's reach and in child-resistant containers. Adult preparations may contain amounts of iron which should not be used in children.

Disease-related concerns:

• Hepatic impairment: Use with caution in patients with severe hepatic impairment.

• Renal impairment: Use with caution in patients with severe renal impairment.

Dosage form specific issues:

• Phenylalanine: Some products may contain phenylalanine.

Other warnings/precautions:

• Appropriate use: Not all products can be used in children of all age groups; consult specific product labeling prior to use. Do not exceed recommended doses.

• Laboratory test interference: Biotin in blood or other samples taken from patients who are ingesting high levels of biotin from dietary supplements (including multivitamins; prenatal multivitamins; biotin supplements; and dietary supplements for hair, skin, and nail growth) can cause clinically significant incorrect lab test results. Some testing methods use biotin technology (eg, troponin, hormone tests), using biotin to bind to specific proteins that are measured to detect health conditions. An increase in the number of reported adverse events, including one death, related to biotin interference with lab tests has been reported. If a lab test result does not correspond with a patient's clinical symptoms, biotin interference should be considered as a possible source of error (FDA Safety Communication 2017).

Dosage Forms: US

Excipient information presented when available (limited, particularly for generics); consult specific product labeling.

Content varies depending on product used. For more detailed information on ingredients in these and other multivitamins, please refer to specific product labeling.

Generic Equivalent Available: US

Yes

Pricing: US

Chewable (Cerovite Jr Oral)

18 mg (per each): $0.07

Chewable (Floriva Oral)

0.25 mg (per each): $7.56

0.5 mg (per each): $7.56

1 mg (per each): $7.56

Chewable (Honey Bears w/Iron-Zinc Oral)

30-200-3 (per each): $0.06

Chewable (Multi-Vit-Flor Oral)

0.25 mg (per each): $11.92

0.5 mg (per each): $11.92

1 mg (per each): $11.92

Chewable (Poly-Vi-Flor Oral)

0.25 mg (per each): $13.78

0.5 mg (per each): $13.78

1 mg (per each): $13.78

Chewable (Poly-Vi-Flor/Iron Oral)

0.5-10 mg (per each): $13.78

Chewable (Quflora Pediatric Oral)

0.25 mg (per each): $9.61

0.5 mg (per each): $9.61

1 mg (per each): $9.61

Liquid (Quflora FE Pediatric Oral)

0.25-9.5 mg/mL (per mL): $2.64

Solution (BProtected Pedia Poly-Vite/Fe Oral)

10 mg/mL (per mL): $0.19

Solution (BProtected Pedia Tri-Vite Oral)

35-412.5-10 (per mL): $0.18

Solution (Floriva Plus Oral)

0.25 mg/mL (per mL): $3.89

Solution (Poly-Vi-Sol/Iron Oral)

11 mg/mL (per mL): $0.20

Solution (Quflora Pediatric Oral)

0.25 mg/mL (per mL): $4.17

0.5 mg/mL (per mL): $3.24

Solution (Tri-Vi-Sol A/C/D Oral)

250-50-10 (per mL): $0.20

Suspension (Poly-Vi-Flor Oral)

0.25 mg/mL (per mL): $9.58

Suspension (Poly-Vi-Flor/Iron Oral)

0.25-7 mg/mL (per mL): $8.27

Suspension (Tri-Vi-Flor Oral)

0.25 mg/mL (per mL): $8.27

Tablets (Folgard OS Oral)

500-1.1 mg (per each): $0.41

Tablets (ProtectIron Oral)

60-1 mg (per each): $1.47

Disclaimer: A representative AWP (Average Wholesale Price) price or price range is provided as reference price only. A range is provided when more than one manufacturer's AWP price is available and uses the low and high price reported by the manufacturers to determine the range. The pricing data should be used for benchmarking purposes only, and as such should not be used alone to set or adjudicate any prices for reimbursement or purchasing functions or considered to be an exact price for a single product and/or manufacturer. Medi-Span expressly disclaims all warranties of any kind or nature, whether express or implied, and assumes no liability with respect to accuracy of price or price range data published in its solutions. In no event shall Medi-Span be liable for special, indirect, incidental, or consequential damages arising from use of price or price range data. Pricing data is updated monthly.

Administration: Pediatric

Oral: May administer with food to decrease stomach upset. Chewable tablets may be crushed and mixed with food. Oral drops may be mixed with cereal, fruit juice, or food.

Storage/Stability

Store at 15°C to 30°C (59°F to 86°F). Iron is a leading cause of fatal poisoning in children; store out of children's reach and in child-resistant containers.

Use

Prevention of vitamin deficiency; products containing fluoride are used to prevent dental caries (OTC: FDA approved in all ages). Note: Approved ages may vary for specific products; consult labeling for specific information.

Food Interactions

Iron absorption is inhibited by eggs and milk.

Dietary Considerations

May take with food to decrease stomach upset. Some products may contain phenylalanine.

Pregnancy Considerations

Refer to individual vitamin monographs for requirements during pregnancy.

Reference Range

Recommended daily allowances (RDAs) are published by Food and Nutrition Board, National Research Council - National Academy of Sciences and are revised periodically. RDA quantities apply only to healthy persons and are not intended to cover therapeutic nutrition requirements in disease or other abnormal states (ie, metabolic disorders, weight reduction, chronic disease, drug therapy).

Brand Names: International
International Brand Names by Country
For country code abbreviations (show table)

  • (IN) India: Top gummy;
  • (QA) Qatar: Mr. Tumee Multiple Vitamin and Mineral
  1. Food and Drug Administration. The FDA warns that biotin may interfere with lab tests: FDA safety communication. https://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm586505.htm. Accessed November 20, 2018.
Topic 139561 Version 9.0

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