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This document outlines critical safety information regarding potential risks and precautions associated with the use of this medication. It is important to review these warnings carefully and consult your healthcare provider with any concerns.

• Excessive Fluoride: Consuming too much fluoride can lead to a condition called fluorosis, which may affect your child’s dental health. Ingesting a large amount of fluoride at once can result in nausea, vomiting, diarrhea, and stomach pain. If these symptoms occur while your child is taking a multivitamin with fluoride, promptly contact their healthcare provider or a Poison Control Center at 1-800-222-1222.

• Iron Overdose: Taking multiple iron-containing supplements or an excessive dose can elevate iron levels to harmful levels, potentially causing gastrointestinal tears, seizures, and liver damage. Healthcare providers may perform regular blood tests to monitor iron levels if your child is taking multivitamins with fluoride that include iron. Report any symptoms of iron overdose, such as nausea, vomiting, stomach pain, and diarrhea, to your healthcare provider immediately. High-risk situations include excessive iron intake, multiple blood transfusions, medical conditions that increase iron levels, and children under six years of age.

Certain conditions make the use of this medication inadvisable due to serious health risks. Consult with your healthcare provider if any of the following apply:

• Children Under 6 Months: This medication should not be used in children younger than six months.
• Adequate Fluoride in Water: Avoid use if you reside in areas where drinking water contains sufficient fluoride levels.

Serious side effects:

• Serious allergic reaction (rash, hives, difficulty breathing, or swelling of the face, mouth, tongue, or throat)
• Iron overdose symptoms (stomach pain, seizures, liver problems, low body temperature, nausea, vomiting, diarrhea, dark-colored stools, fast heart rate, high blood sugar, sleepiness, brain damage, coma)