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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)

When taking multivitamins that include fluoride, it's important to be aware of potential interactions with other substances. Calcium-rich foods and products, such as milk, yogurt, and certain antacids, can reduce the effectiveness of fluoride. To ensure optimal absorption, it's advisable to take fluoride-containing multivitamins at least two hours before or after consuming these calcium-containing items.

Additionally, certain medications can interact with multivitamins containing fluoride. For example, some antibiotics, like Cephalexin, may have their effectiveness reduced when taken alongside fluoride supplements. To minimize this risk, it's recommended to take these antibiotics at least two hours apart from fluoride-containing multivitamins.

Moreover, medications such as Cholestyramine, Colesevelam, and Colestipol, which are used to lower cholesterol levels, can interfere with the absorption of fat-soluble vitamins present in multivitamins. If you're prescribed any of these medications, consult your healthcare provider to determine the best timing and approach for taking your multivitamin with fluoride.

Always inform your doctor or pharmacist about all the medications and supplements you're currently taking. They can provide personalized advice to help you avoid potential interactions and ensure that your multivitamin with fluoride is both safe and effective.