ONE DAILY MAXIMUM

Multivitamin and Multimineral with Iron, Oral tablet

Food

· Severity: Moderate

· Notes for Consumers: Taking oral Zinc Salts (dietary supplements or medicines like Galzin, Zinc Sulfate, etc.) at the same time as food or beverages, other than water, can reduce the amount of zinc absorbed. Breads, vegetables, fruits, eggs, and beverages like milk or coffee are all known to decrease zinc supplement absorption. 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: Breads, vegetables, fruits, eggs, and beverages appear to interfere with the oral absorption of Zinc. For optimal absorption, oral zinc salts should be separated from food and beverages, other than water, by at least 1 hour.

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. In general, this interaction would not be harmful, but might decrease patient tolerance of niacin. Ethanol and niacin, particularly sustained-release niacin, are both potentially hepatotoxic. Although no data are available regarding enhanced hepatotoxicity, excessive ethanol use should be discouraged.

Multivitamin and Multimineral with Iron, 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.

Multivitamin and Multimineral with Iron, 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 with Iron, 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.

<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>