$Unique_ID{BRK02181}
$Pretitle{}
$Title{VITAMINS A, D, AND C WITH FLUORIDE}
$Subject{Triple-Vita-Flor (P.B.I)
Tri-Vi-Flor (Mead Johnson)
Tri-Vitamin with Fluoride Drops (Rugby)
Vi-Daylin F ADC Drops (Ross)}
$Volume{}
$Log{}

Copyright (C) 1991 Publications International, Ltd.


VITAMINS A, D, AND C WITH FLUORIDE
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BRAND NAMES (Manufacturers):
     Triple-Vita-Flor (P.B.I)
     Tri-Vi-Flor (Mead Johnson)
     Tri-Vitamin with Fluoride Drops (Rugby)
     Vi-Daylin F ADC Drops (Ross)
TYPE OF DRUG:
     Multivitamin and fluoride supplement
INGREDIENTS:
     vitamin A, vitamin D, vitamin C, and fluoride
DOSAGE FORMS:
     Chewable tablets (2,500 IU {international units} vitamin A; 400 IU
       vitamin D; 60 mg vitamin C; and 1 mg fluoride)
     Oral drops (1,500 IU vitamin A; 400 IU vitamin D; 35 mg vitamin C; and
       0.25 mg or 0.5 mg fluoride per ml)
STORAGE:
     The chewable tablets should be stored at room temperature in a tightly
       closed, light-resistant container.  The oral drops should be stored at
       room temperature in the original plastic container (glass containers
       interact with and destroy the fluoride in the solution).  A slight
       darkening in the color of the drops does not indicate a loss in potency
       of the vitamins or fluoride; the solution can still be used safely.
       This medication should never be frozen.

USES

     Multivitamins with fluoride are used to protect against tooth decay and
vitamin deficiencies in children.  Fluoride has been found to be helpful in
preventing cavities.

TREATMENT

     The tablets should be chewed or crushed before being swallowed.  To
provide maximum protection, the tablets should be given at bedtime after the
teeth have been brushed.  To allow the fluoride to work on the teeth, nothing
should be eaten for at least 15 minutes after chewing the tablets.
     The oral drop form of this multivitamin and fluoride supplement can be
taken directly or can be mixed with juice or foods.  The dose should be
measured carefully with the dropper provided.
     Milk prevents the absorption of fluoride from the gastrointestinal tract.
Therefore, this product should not be taken with milk or other dairy products.
     If your child misses a dose of this medication, administer the missed
dose as soon as possible, unless it is almost time for the next dose.  In that
case, do not give the missed dose at all; just return to the child's regular
dosing schedule.  Do not double the next dose.

SIDE EFFECTS

     Minor.

     This product seldom causes side effects, but can occasionally cause
constipation, diarrhea, drowsiness, fatigue, loss of appetite, nausea,
vomiting, and weakness.  These side effects should disappear as the body
adjusts to the medication.
     To relieve constipation, increase the amount of fiber in your child's
diet (fresh fruits and vegetables, salads, bran, and whole-grain breads) and
encourage the child to drink more water (unless your doctor directs you to do
otherwise).

     Major.

     Tell your doctor about any side effects that are persistent or
particularly bothersome.  IT IS ESPECIALLY IMPORTANT TO TELL YOUR DOCTOR about
bloody or black, tarry stools; difficulty in swallowing; discoloration of the
teeth; excessive drooling; excitation; mouth sores; rash; stomach cramps; or
tremors.

INTERACTIONS

     This product should not interact with other medications if it is used
according to directions.

WARNINGS

     * Tell your doctor about unusual or allergic reactions your child has had
to any medications, especially to vitamins or to fluoride.
     * Tell your doctor if your child now has or has ever had bone, heart,
kidney, or thyroid disease.
     * The chewable tablets should not be used if the fluoride content of your
drinking water is 0.7 part per million or more.  The oral drops should not be
used by children less than two years of age in areas where the drinking water
contains 0.3 part per million or more of fluoride.  If you are unsure of the
fluoride content of your drinking water, ask your doctor or call the county
health department.
     * Vitamins with fluoride are often prescribed for infants who are not
being given any source of fluorinated water.  Once your infant is given
fluorinated water consistently, ask your doctor if you should continue this
medication.
     * You should NEVER refer to this medication as "candy" or "candy-flavored
vitamins."  Your child may take you literally and swallow too many.

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The material contained here is "FOR INFORMATION ONLY" and should not replace 
the counsel and advice of your personal physician.  Promptly consulting your 
doctor is the best path to a quick and successful resolution of any medical 
problem.
