This medication is a combination product of vitamins and fluoride. It is used by children to treat or prevent deficiency due to poor diet or low levels of fluoride in drinking water and other sources. Vitamins are important building blocks of the body and help keep you in good health. Fluoride is used to prevent dental cavities.

Chew this medication thoroughly and swallow, usually once daily at bedtime after brushing the teeth or as directed by the doctor. If your child cannot safely chew and swallow this tablet, consult your doctor or pharmacist for advice.

Take this medication at least 2 hours before or after taking any products containing calcium (including milk, yogurt, other dairy products) or aluminum/magnesium hydroxide (such as certain antacids/laxatives) since these may decrease its effectiveness.

The fluoride in this chewable tablet can be absorbed directly into the teeth during and after chewing, as well as being absorbed into your body from your stomach. It is best not to eat, drink, or rinse your mouth for 30 minutes after taking this.

Take this medication regularly in order to get the most benefit from it. To help you remember, take it at the same time each day. Do not take more than the prescribed dose.

Stomach upset, constipation, or nausea may occur. If any of these effects last or get worse, tell the doctor or pharmacist promptly.

If your teeth become mottled or stained, notify the dentist or doctor. This may be a result of too much fluoride.

Remember that this medication has been prescribed because 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.

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 product, tell your doctor or pharmacist if you are allergic to any of its ingredients; 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 taking this medication, tell your doctor or pharmacist your medical history.

Tell your doctor if you are pregnant before taking this medication.

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

See also How to Use section.

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.

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 overdose may include: nausea, vomiting, stomach pain.

Do not share this medication with others.

This product is not a substitute for a proper diet. Remember that it is best to get your vitamins from healthy foods. It is important to maintain a well-balanced diet.

Check the fluoride content of your water supply by asking local town or city officials. Fluoride supplements are not necessary if the fluoride content in the water supply is greater than 0.6 parts per million. If your water supply changes, check with your doctor or dentist to determine if extra fluoride is still necessary.

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

Store at room temperature away from heat and moisture. Do not store in the bathroom. 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.