MULTIVITAMIN WITH FLUORIDE (Generic for POLY-VI-FLOR)

Multivitamin with Fluoride, Chewable 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 with Fluoride, Chewable tablet

Calcium-containing foods

· Severity: Major

· Notes for Consumers: Dairy products and other foods rich in calcium may decrease the actions of Sodium Flouride by reducing the amount absorbed by the body. Take Sodium Fluoride 2 hours before or after you eat dairy products to avoid an interaction.

· Notes for Professionals: Simultaneous oral administration of dairy foods along with sodium fluoride can produce calcium fluoride, which is poorly absorbed from the GI tract. Dairy products may also reduce fluoride absorption. While sodium fluoride may be administered with most foods to help reduce GI irritation, an interval of at least 2 hours is recommended between administration of sodium fluoride and dairy foods or other foods containing high levels of calcium.

Multivitamin with Fluoride, Chewable tablet

Food

· Severity: Mild

· Notes for Consumers: Food interactions with Cyanocobalamin are for the most part insignificant. However, if you use the intranasal Cyanocobalamin supplements (Nascobal), you should avoid drinking hot liquids or eating very hot foods within 1 hour before or after using the nasal spray or gel. Hot foods/liquids can make the nose runny, which can limit the amount of vitamin absorbed thru the nose.

· Notes for Professionals: The intranasal forms of cyanocobalamin, vitamin B12, should be administered at least one hour before or one hour after ingestion of hot foods or liquids. Hot foods may cause nasal secretions and a resulting loss of medication or medication efficacy. Interactions between foods and oral or injectable forms of cyanocobalamin are not expected.

<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>