A THRU Z ADVANCED FORMULA

Multivitamin and Multimineral with Lutein, 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.

Multivitamin and Multimineral, Oral tablet

Alcohol

· Severity: Mild

· Notes for Consumers: If you regularly drink alcohol-containing drinks, you may have a lack of certain B-vitamins including Folic Acid, Vitamin B9. Discuss which supplements would be most appropriate for you with your health care provider. If you experience weakness, fatigue, numbness, tingling in fingers and toes, decreased appetite, diarrhea, hair loss, or depression, contact your health care prescriber.

· Notes for Professionals: Folate deficiency may result in patients with chronic alcohol or ethanol consumption, and especially in alcoholic cirrhosis. Such patients may derive most of their caloric intake from alcoholic beverages which do not contain adequate amounts of folic acid; in addition ethanol may affect folate metabolism increasing folate loss. Supplementation in patients known to have excessive alcohol intake is prudent. Avoidance of excessive intake of alcohol would be recommended to help treat the deficiency.

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 with Lutein, 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 with Lutein, Oral tablet

Foods high in potassium

· Severity: Severe

· Notes for Consumers: Do not take Potassium Salts together with dietary salt substitutes or low salt milk products which contain potassium. Taking these can increase the level of potassium in the blood. If the potassium level is too high, you may experience muscle weakness or an abnormal heart rhythm. If you experience extreme muscle weakness, chest pain, pounding heartbeat, or an unusually fast or slow heart beat, contact your health care provider immediately. While taking Potassium-containing medicines, your prescriber may order a blood test to check the level of potassium in your blood. DO NOT take potassium-containing nutritional supplements with this medicine unless they are approved for you by your health care provider.

· Notes for Professionals: Foods, seasonings, or medicines containing high potassium or sodium content, such as dietary salt substitutes, 'low salt' milk products (which contain potassium), or tomato juice (which has high sodium content), could increase the risk of complications of hyperkalemia or sodium excess. Regularly monitor the serum potassium and/or sodium concentration in patients taking food or medications with high potassium and/or sodium content. Muscle weakness, chest pain, or an abnormal heart rhythm can indicate hyperkalemia. Abdominal pain, diarrhea, metabolic alkalosis, nausea, vomiting, and seizures can indicate sodium excess.

<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>