When This Medicine Should Not Be Used:
You should not use this medicine if you have had an allergic reaction to any single vitamin or multivitamin. Do not use this medicine if you are under 18 years old.

How to Use This Medicine:
Tablet, Chewable Tablet, Liquid

• Follow the instructions on the medicine label if you are using this medicine without a prescription.
• Swallow the tablet whole. Do not break, chew, or crush it.
• Chew the chewable tablet before swallowing. Drink one cup (8 ounces) of liquid to help swallow the tablet after chewing.
• Measure the oral liquid medicine with a marked measuring spoon, oral syringe, or medicine cup. The oral liquid may be mixed with food.

Drugs and Foods to Avoid:
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Talk with your doctor before you take a multivitamin if you are using a blood thinner such as aspirin or Coumadin®, or if you are on hormone replacement therapy.

Warnings While Using This Medicine:

• Tell your doctor if you have heart disease, liver disease, kidney stones, or an overactive thyroid gland. Tell your doctor if you smoke, or drink alcohol daily or regularly. Make sure your doctor knows if you have a bleeding disorder or a condition called sarcoidosis.
• If you are pregnant or breast feeding, ask your doctor what vitamins are best for you to use.
• You should not use more of a multivitamin than your doctor has ordered or more than the package label recommends. Some vitamins can build up in the body and can be harmful.
• Multivitamins can turn urine bright yellow and stools a darker color. This is normal.
• Tell any doctor or dentist who treats you that you are using this medicine. You may need to stop using this medicine several days before you have surgery or medical tests.
• You should not use certain brands of this medicine if you have kidney disease or are on dialysis, because they may harm your kidneys. Ask your caregiver what brands are best for you.

Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:

• Bloody diarrhea.
• Severe stomach pain, or vomiting.

If you notice these less serious side effects, talk with your doctor:

• Constipation, or diarrhea.
• Loss of appetite, or bad taste in your mouth.
• Nausea, heartburn, or upset stomach.

If you notice other side effects that you think are caused by this medicine, tell your doctor.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088