HIGH POTENCY MULTIVITAMIN

Multivitamin and Multimineral, Oral tablet

Food

· Severity: Mild

· Notes for Consumers: Biotin may not work as well if you consume raw egg whites while taking this medication. If you notice unusual thinning of your hair or brittle nails, or if you think Biotin is not working as well for you, contact your prescriber.

· Notes for Professionals: Dietary avidin, a glycoprotein in raw egg whites (food), binds tightly to dietary biotin and prevents its absorption in the gastrointestinal tract. Cooking denatures the avidin, disabling it from interfering with biotin absorption.

Multivitamin and Multimineral, Oral tablet

Enteral Feedings

· Severity: Mild

· Notes for Consumers: Most iron supplements do not significantly interact with Enteral Feedings. However, Ferrous Sulfate syrups and elixirs, when given at the same time as Enteral feedings (examples: Boost, Ensure, Jevity, Sustical and others) may cause a thickening of the feeding that may increase the likelyhood of a tube clog. Such interactions are not common. However, to avoid this interaction, ferrous sulfate elixirs at least an hour before taking any nutritional supplement beverages down a tube. Alternatively, your health care professional may be able to recommend an iron supplement that would be less likely to interact.

· Notes for Professionals: Ferrous sulfate elixir has an acidic pH and has been reported to form precipitates with enteral feedings and may clog feeding tubes.

Multivitamin and Multimineral, Oral tablet

Alcohol

· Severity: Moderate

· Notes for Consumers: Do not drink alcohol while taking this medication. Drinking alcohol while taking this medication may cause facial flushing or redness.

· Notes for Professionals: Alcohol-containing beverages or hot beverages/foods can exacerbate cutaneous vasodilation caused by niacin and should be avoided around the time of niacin ingestion. In general, this interaction would not be harmful, but might decrease patient tolerance of niacin. Alcohol and niacin, particularly sustained-release niacin, are both potentially hepatotoxic. Although no data are available regarding enhanced hepatotoxicity, excessive alcohol use should be discouraged.

Multivitamin and Multimineral, Oral tablet

Foods containing olestra

· Severity: Mild

· Notes for Consumers: If large amounts of foods containing olestra are eaten (such as WOW chips, fat-free Pringles, or Utz Yes potato chips), the absorbtion of certain vitamins, including Phytonadione, Vitamin K 1, may be decreased.

· Notes for Professionals: The food supplement olestra, if ingested in sufficient quantities, may decrease the oral absorption of vitamin K.

<b>DISCLAIMER:</b><em> This drug information content is provided for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Patients should always consult their physician with any questions regarding a medical condition and to obtain medical advice and treatment. Drug information is sourced from GSDD (Gold Standard Drug Database ) provided by Elsevier.</em>