When This Medicine Should Not Be Used:
You should not use this medicine if you have had an allergic reaction to any of the ingredients. If you are not sure what the ingredients are, ask your doctor or pharmacist. Do not use this medicine if you are under 18 years old. Some forms of this supplement should not be used by women who are pregnant or breast feeding.

How to Use This Medicine:
Tablet, Long Acting Tablet, Chewable Tablet, Liquid Filled Capsule, Liquid, Capsule, Long Acting Capsule, Wafer, Chewable Tablet, Liquid Mixture, Spray, Packet, Powder

• Follow the instructions on the medicine label if you are using this medicine without a prescription.
• It is best to take this medicine with food or milk.
• Swallow the tablet,extended-release tablet,extended-release capsule,capsule, or liquid-filled capsule whole. Do not break, chew, or crush it.
• Chew the chewable tablet thoroughly before you swallow it.
• Measure the oral liquid medicine with a marked measuring spoon, oral syringe, or medicine cup.

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

• Ask your doctor before you take this supplement if you are using a prescription medicine. There are many other drugs that can interact with supplements. Make sure your doctor knows about all other medicines you are using.

Warnings While Using This Medicine:

• Tell your doctor if you have heart disease, liver disease, kidney disease, or a history of kidney stones. Make sure your doctor knows if you have a bleeding disorder, untreated high blood pressure, or a condition called sarcoidosis. Tell your doctor if you have diabetes, low-blood sugar, rheumatoid arthritis, or any other problems with your immune system. Your doctor will need to know if you have a history of thyroid problems, goiter, heartburn, prostate problems, or stomach problems such as ulcer or gastritis. Tell your doctor about any surgeries you have had. Make sure your doctor knows if you drink alcohol or smoke on a regular basis.
• Some forms of this medicine might have enough iron to poison a small child. Be very careful to keep all medicines out of the reach of children. If a child does swallow some of this medicine, call a doctor or poison control center right away.
• 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.
• You should not use more of a supplement than your doctor has ordered or more than the package label recommends. Some vitamins can build up in your 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.
• This medicine might contain phenylalanine (aspartame). This is a concern if you have a disorder called phenylketonuria (a problem with amino acids). If you have this condition, talk to your doctor before using this medicine.

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

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Chest pain, fast or uneven heartbeat.
• Memory loss.
• Severe stomach pain.
• Unusual sleepiness or dizziness.

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

• Constipation or diarrhea.
• Excessive hunger.
• Headache.
• Heartburn.
• Loss of appetite or unexpected weight loss.
• Nervousness or trouble sleeping.
• Rash, unusually dry skin, or hair loss.
• Vision changes.

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