QUFLORA

Multivitamin with Fluoride, Oral drops, solution

Alcohol

· Severity: Mild

· Notes for Consumers: If you regularly drink alcohol-containing drinks, you may have a lack of certain B-vitamins including folate. 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 patients with 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 with Fluoride, Oral drops, solution

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, Oral drops, solution

Tobacco

· Severity: Mild

· Notes for Consumers: Although an interaction is possible, people who smoke may take Levomefolate. Smoking may decrease Levomefolate levels in the body. Additional Levomefolate may be recommended if you smoke. Ask your prescriber if you have questions regarding your Levomefolate intake.

· Notes for Professionals: Levomefolate plasma concentrations may be decreased in patients who use tobacco. Monitor patients who use tobacco products for decreased efficacy of levomefolate.

Multivitamin with Fluoride, Oral drops, solution

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>