FERIVA FA

Multivitamin and Multimineral with Iron, Oral capsule

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 Iron, Oral capsule

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 Iron, Oral capsule

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 and Multimineral with Iron, Oral capsule

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.

<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>