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The safety information for this medication highlights crucial risks and precautions you should be aware of. If you have any concerns, please discuss them with your healthcare provider.

• Excessive Fluoride Intake: Large amounts of fluoride can lead to a condition known as fluorosis, which affects dental health in children. Ingesting too much fluoride at once can cause symptoms like nausea, vomiting, diarrhea, and stomach discomfort. If your child experiences any of these symptoms while using a multivitamin with fluoride, promptly contact their healthcare provider or the Poison Control Center at 1-800-222-1222.

• Iron Overdose Risks: Taking multiple supplements containing iron or exceeding the recommended iron dosage may result in elevated iron levels, which can be hazardous. Potential complications include gastrointestinal tears, seizures, and liver damage. Healthcare providers may conduct regular blood tests to monitor iron levels in children taking multivitamins with both fluoride and iron. Notify your provider immediately if your child has symptoms of iron overload, such as nausea, vomiting, abdominal pain, or diarrhea. Risk factors include consuming excessive iron, undergoing multiple blood transfusions, having medical conditions that increase blood iron levels, and being under six years of age.

• Contraindications: This medication should not be used in certain situations due to serious health risks. If any of the following apply, consult with your healthcare provider:

  • Children under the age of 6 months.
  • Residents of areas with sufficient fluoride levels in the drinking water.

Always ensure you follow medical advice and monitor for any adverse effects when administering this medication.

Serious side effects:

• Serious allergic reactions
• Iron overdose
• Stomach pain
• Seizures
• Liver issues
• Low body temperature
• Nausea
• Vomiting
• Diarrhea
• Dark-colored stools
• Fast heart rate
• High blood sugar
• Drowsiness
• Brain damage
• Coma

When taking multivitamins that include fluoride, it's important to be aware of certain interactions that can affect how well the fluoride works. Calcium-rich foods and products, such as milk, yogurt, and cheese, can reduce the body's ability to absorb fluoride. To ensure optimal fluoride absorption, it's recommended to take fluoride supplements at least two hours before or after consuming dairy products or other calcium-containing items.

Similarly, antacids and laxatives that contain calcium, aluminum, or Magnesium can interfere with fluoride absorption. If you're using these types of medications, try to schedule them at least two hours apart from your fluoride supplement.

Additionally, be cautious with other multivitamin products. Taking multiple supplements that contain fluoride can lead to excessive fluoride intake, which may cause dental fluorosis—a condition that affects the appearance of tooth enamel. Always consult with your healthcare provider before adding new supplements to your routine to avoid unintended interactions and ensure you're getting the right amount of fluoride.