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Prenatal Multivitamin and Multimineral with Iron, Oral tablet

Alcohol

· Severity: Moderate

· Notes for Consumers: Avoid drinking alcoholic beverages at the times you take Niacin, Niacinamide. Side effects such as skin flushing from Niacin may get worse when you drink Alcohol (also known as Ethanol) at the same time as your Niacin dose.

· Notes for Professionals: Ethanol-containing beverages or hot beverages/foods can exacerbate cutaneous vasodilation caused by niacin and should be avoided around the time of niacin ingestion.

Prenatal Multivitamin and Multimineral with Iron, Oral tablet

Enteral Feedings

· Severity: Mild

· Notes for Consumers: If you need to use Enteral feedings (examples: Ensure, Jevity and others) as your sole nutritional dietary intake for long periods of time, you may be at risk for Zinc deficiency, as the feeding may impair the absorption of zinc. This interaction is not a concern if you simply use these products as supplements to a normal diet; true zinc deficiency is relatively rare. If you take Enteral Feedings as your only diet for long periods of time, you may need to discuss the use of additional mineral supplements with your prescriber. If you do take a Zinc supplement, it is best to take it at least 1 hour before or 1 hour after you have taken any feeding, meal, or beverage.

· Notes for Professionals: Absorption of zinc from enteral feedings may be impaired, despite the presence of zinc as a component of the enteral feeding formula; patients on chronic enteral feeding therapy may require additional zinc supplementation to ensure adequate nutritional intake.

Prenatal Multivitamin and Multimineral with Iron, Oral 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>