Multi Vitamin and Fluoride Supplemental Drops 0.25 mg Drops

Drug Labeling and Warnings

Drug Details [pdf]

MULTI VITAMIN AND FLUORIDE- multi vitamin and fluoride solution/ drops 
Mayne Pharma Inc

Disclaimer: This drug has not been found by FDA to be safe and effective, and this labeling has not been approved by FDA. For further information about unapproved drugs, click here.

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Multi Vitamin and Fluoride Supplemental Drops 0.25 mg Drops

DESCRIPTION

  • * U.S. RDA not established
  • Each 1.0 mL supplies:Percentage of U.S. Recommended Daily Allowance
    InfantsChildren Under 4
    Vitamin A1500 IU10060
    Vitamin C35 mg10088
    Vitamin D400 IU100100
    Vitamin E5 IU10050
    Thiamine0.5 mg10071
    Riboflavin0.6 mg10075
    Niacin8 mg10089
    Vitamin B60.4 mg10057
    Vitamin B122 mcg10067
    Fluoride0.25 mg**

    This product does not contain the essential vitamin folic acid.

    See INDICATIONS AND USAGE section below for use by infants and young children 6 months to 3 years of age.

    Active ingredient for caries prophylaxis: Fluoride as sodium fluoride.

    Other Ingredients: Ascorbic acid, caramel color, cholecalciferol, citric acid, cyanocobalamin, D-alpha tocopheryl acid succinate, ferrous sulfate, flavor, glycerin, methylparaben, niacinamide, polysorbate 80, purified water, pyridoxine HCL, riboflavin-5-phosphate sodium, sodium benzoate, sodium hydroxide, sucralose, thiamine HCL, vitamin A palmitate.

    CLINICAL PHARMACOLOGY

    It is well established that fluoridation of the water supply (1 ppm fluoride) during the period of tooth development leads to a significant decrease in the incidence of dental caries.

    Hydroxyapatite is the principal crystal for all calcified tissue in the human body. The fluoride ion reacts with the hydroxyapatite in the tooth as it is formed to produce the more caries-resistant crystal, fluorapatite. The reaction may be expressed by the equation:

    Reaction Equation

    Three stages of fluoride deposition in tooth enamel can be distinguished:

    1. Small amounts (reflecting the low levels of fluoride in tissue fluids) are incorporated into the enamel crystals while they are being formed.
    2. After enamel has been laid down, fluoride deposition continues in the surface enamel. Diffusion of fluoride from the surface inward is apparently restricted.
    3. After eruption, the surface enamel acquires fluoride from water, food, supplementary fluoride and smaller amounts from saliva.

    INDICATIONS AND USAGE

    Supplementation of the diet with nine essential vitamins.

    Supplementation of the diet with fluoride for caries prophylaxis.
    The American Academy of Pediatrics recommends that children up to age 16, in areas where drinking water contains less than optimal levels of fluoride, receive daily fluoride supplementation. Multivitamin and Fluoride Supplemental Drops 0.25 mg provide fluoride in drop form for infants and young children 6 months to 3 years of age, in areas where the drinking water contains less than 0.3 ppm of fluoride and for children ages 3-6 years, in areas where the drinking water contains 0.3 through 0.6 ppm of fluoride. Each 1.0 mL supplies sodium fluoride (0.25 mg fluoride) plus nine essential vitamins.

    The American Academy of Pediatrics recommended that infants and young children 6 months to 3 years of age, in areas where drinking water contains less than 0.3 ppm of fluoride, and children 3-6, years of age, in areas where the drinking water contains 0.3 through 0.6 ppm of fluoride, receive 0.25 mg of supplemental fluoride daily which is provided in a full dose (1mL) of Multi Vitamin and Fluoride Supplemental Drops 0.25 mg. A half dose (0.5mL) of Multi Vitamin and Fluoride Supplemental Drops 0.5 mg could also provide a daily fluoride intake of 0.25mg; however, the dosage reduces vitamin supplementation by half.

    Multi Vitamin and Fluoride Supplemental Drops 0.25 mg and Multi Vitamin and Fluoride Supplemental Drops 0.5 mg drops supply significant amounts of vitamins A, C, D, E, thiamine, riboflavin, niacin, pyridoxine, and cyanocobalamin to supplement the diet, and to help assure that nutritional deficiencies of these vitamins will not develop. Thus, in a single easy-to-use preparation, infants and children obtain nine essential vitamins and fluoride.

    A comprehensive 5-1/2 year series of studies of the effectiveness of multivitamin, iron, and fluoride drops in caries protection has been published. Children in this continuing study lived in an area where the water supply contained only 0.05 ppm fluoride. The subjects were divided into 2 groups, one which used only the non-fluoride vitamin product, and the other, multi-vitamins-fluoride products. Children in this continuing study lived in an area where the water supply contained only 0.05 ppm fluoride. The subjects were divided into 2 groups, one which used only non-fluoridated vitamin product and the other, multi-vitamins-fluoride products.

    The three-year interim report showed 63% fewer carious surfaces in primary teeth and 43% fewer carious surfaces in permanent teeth of the children taking multi-vitamin-fluoride products.

    After four years, the studies continued to support the effectiveness of multi-vitamin-fluoride products, showing a reduction in carious surfaces of 68% in primary teeth and 46% in permanent teeth.

    Results at the end of the 51/2 years further confirmed the previous findings and indicated that significant reductions in dental caries are apparent with the continued use of multi-vitamin-fluoride products.

    WARNINGS

    As in the case of all medications, keep out of reach of children.

    PRECAUTIONS

    The suggested dose should not be exceeded since dental fluorosis may result from continued ingestion of large amounts of fluoride. When prescribing vitamin fluoride products:

    1. Determine the fluoride content of the drinking water.
    2. Make sure the child is not receiving significant amounts of fluoride from other medications and swallowed toothpaste.
    3. Periodically check to make sure that the child does not develop significant dental fluorosis.
    4. Multi Vitamin and Fluoride Supplemental Drops 0.25 mg should be dispensed in the original plastic container, since contact with glass leads to instability and precipitation. (The amount of sodium fluoride in the 50-mL size is well below the maximum to be dispensed at one time according to recommendations of the American Dental Association.)

    ADVERSE REACTIONS

    Allergic rash and other idiosyncrasies have been rarely reported.

    To report SUSPECTED ADVERSE REACTIONS, contact the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

    DOSAGE AND ADMINISTRATION

    1.0 mL daily or as prescribed by physician. May be dropped directly into mouth with dropper; or mixed with cereal, fruit juice or other food.

    HOW SUPPLIED

    Multivitamin and Fluoride Supplemental Drops 0.25 mg are available in 50 mL bottles with accompanying calibrated dropper, NDC: 51862-161-50.

    RECOMMENDED STORAGE:

    Store at controlled room temperature, 20º-25ºC (68º-77ºF). [See USP Controlled Room Temperature]. After opening, store away from direct light. Close tightly after each use. REFRIGERATION IS NOT REQUIRED.

    Manufactured for:
    Libertas Pharma, Inc.
    Lawrenceville, GA 30043

    Iss. 03/11 161-50         743623

    PRINCIPAL DISPLAY PANEL - 50 mL Bottle Label

    NDC 51862-161-50

    Multi Vitamin
    and Fluoride
    Supplemental
    Drops

    1 2/3 fl. oz. (50 mL)

    0.25 mg

    Rx Only

    maynepharma

    PRINCIPAL DISPLAY PANEL - 50 mL Bottle Label
    MULTI VITAMIN AND FLUORIDE 
    multi vitamin and fluoride solution/ drops
    Product Information
    Product TypeHUMAN PRESCRIPTION DRUGItem Code (Source)NDC: 51862-161
    Route of AdministrationORAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    VITAMIN A PALMITATE (UNII: 1D1K0N0VVC) (VITAMIN A - UNII:81G40H8B0T) VITAMIN A1500 [iU]  in 1 mL
    ASCORBIC ACID (UNII: PQ6CK8PD0R) (ASCORBIC ACID - UNII:PQ6CK8PD0R) ASCORBIC ACID35 mg  in 1 mL
    CHOLECALCIFEROL (UNII: 1C6V77QF41) (CHOLECALCIFEROL - UNII:1C6V77QF41) CHOLECALCIFEROL400 [iU]  in 1 mL
    .ALPHA.-TOCOPHEROL (UNII: H4N855PNZ1) (.ALPHA.-TOCOPHEROL - UNII:H4N855PNZ1) .ALPHA.-TOCOPHEROL5 [iU]  in 1 mL
    THIAMINE HYDROCHLORIDE (UNII: M572600E5P) (THIAMINE ION - UNII:4ABT0J945J) THIAMINE HYDROCHLORIDE0.5 mg  in 1 mL
    RIBOFLAVIN 5'-PHOSPHATE SODIUM (UNII: 20RD1DZH99) (FLAVIN MONONUCLEOTIDE - UNII:7N464URE7E) FLAVIN MONONUCLEOTIDE0.6 mg  in 1 mL
    NIACINAMIDE (UNII: 25X51I8RD4) (NIACINAMIDE - UNII:25X51I8RD4) NIACINAMIDE8 mg  in 1 mL
    PYRIDOXINE HYDROCHLORIDE (UNII: 68Y4CF58BV) (PYRIDOXINE - UNII:KV2JZ1BI6Z) PYRIDOXINE0.4 mg  in 1 mL
    CYANOCOBALAMIN (UNII: P6YC3EG204) (CYANOCOBALAMIN - UNII:P6YC3EG204) CYANOCOBALAMIN2 ug  in 1 mL
    SODIUM FLUORIDE (UNII: 8ZYQ1474W7) (FLUORIDE ION - UNII:Q80VPU408O) FLUORIDE ION0.25 mg  in 1 mL
    Inactive Ingredients
    Ingredient NameStrength
    CARAMEL (UNII: T9D99G2B1R)  
    CITRIC ACID MONOHYDRATE (UNII: 2968PHW8QP)  
    FERROUS SULFATE (UNII: 39R4TAN1VT)  
    CHERRY (UNII: BUC5I9595W)  
    GLYCERIN (UNII: PDC6A3C0OX)  
    METHYLPARABEN (UNII: A2I8C7HI9T)  
    POLYSORBATE 80 (UNII: 6OZP39ZG8H)  
    WATER (UNII: 059QF0KO0R)  
    SODIUM BENZOATE (UNII: OJ245FE5EU)  
    SODIUM HYDROXIDE (UNII: 55X04QC32I)  
    SUCRALOSE (UNII: 96K6UQ3ZD4)  
    Product Characteristics
    ColorBROWN (brown to brownish green) Score    
    ShapeSize
    FlavorCHERRYImprint Code
    Contains    
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC: 51862-161-501 in 1 CARTON05/21/201110/31/2019
    150 mL in 1 BOTTLE; Type 0: Not a Combination Product
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    Unapproved drug other05/21/201110/31/2019
    Labeler - Mayne Pharma Inc (867220261)
    Establishment
    NameAddressID/FEIBusiness Operations
    Medical Products Laboratories, Inc.002290302MANUFACTURE(51862-161) , ANALYSIS(51862-161) , LABEL(51862-161) , PACK(51862-161)

    Revised: 2/2017
     

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