This combination of vitamins and selected minerals is used to prevent or treat vitamin deficiency due to poor eating habits, problems that affect the body's ability to absorb nutrition from food, or increased need for vitamins and minerals due to stress or illness. Vitamins are needed for the body to function well.

This vitamin/mineral combination contains high levels of B vitamins (such as folic acid, niacin, B-1, B-2, B-6, and B-12) and vitamin C. It also contains other vitamins (A, D, and E) and minerals such as zinc. This medication does not contain iron and has only a small amount of calcium. It should not be used to treat "iron-poor" blood (anemia) or to prevent osteoporosis.

Take this medication by mouth with or without food as directed by your doctor, usually once or twice daily. If stomach upset occurs, it may help to take this product with food.

Take this medication 2 to 3 hours before or after taking certain antibiotics (including tetracyclines, quinolones such as ciprofloxacin). The minerals in this product may interfere with the antibiotic, preventing it from being absorbed.

Nausea, stomach upset, diarrhea, flushing and unpleasant taste may occur. If any of these effects last or get worse, notify your doctor or pharmacist promptly.

If your doctor has prescribed this medication, remember that your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including:

• mental/mood changes
• unusual weakness

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including:

• rash
• itching/swelling (especially of the face/tongue/throat)
• severe dizziness
• trouble breathing

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Before taking this medication, tell your doctor or pharmacist if you are allergic to it; or to any of its ingredients such as folic acid; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

• low blood count (such as pernicious anemia, megaloblastic anemia, vitamin B-12 deficiency)
• high calcium levels
• kidney disease
• liver disease

This medication is not recommended for use in children under 12 because of increased risk of some vitamins/minerals building up to harmful levels in the body.

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

This drug passes into breast milk. Consult your doctor before breastfeeding.

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

Some products that may interact with this drug are:

• altretamine
• cisplatin
• levodopa
• hydantoins (such as phenytoin)
• methotrexate
• pyrimethamine

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call 1-800-222-1222. Canada residents can call 1-844-764-7669. Symptoms of overuse may include: symptoms of liver disease (such as nausea/vomiting that doesn't stop, dark urine, stomach/abdominal pain, yellowing of eyes/skin), kidney disease (such as back pain, painful urination, change in amount of urine), bone pain, mental/mood changes, severe headache.

Keep all medical and lab appointments.

Remember that it is best to get your vitamins and minerals from healthy foods. Maintain a well-balanced diet and follow any dietary guidelines as directed by your doctor. B vitamins, including folic acid, are naturally found in leafy greens and other vegetables, and citrus fruits. You will also find folic acid in enriched grains such as bread, pasta and cereal.

If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Use your next dose at the regular time. Do not double the dose to catch up.

Store at room temperature away from light and moisture. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.