Pikovit forte lozenges №15×2

Name:
Pikovit forte tab. drassas. in cont. cell pack. No. 15×2
Description:
Orange lozenges, round, biconvex. Main active ingredient Multivitamins (A11BA) Release form tab. for resorption: 30 pcs. Dosage Adults and children over the age of 7 years are prescribed 1 tablet 1 time / day. Pikovit® Forte is not recommended for children under the age of 7 years. Children and adolescents under 14 years of age should only take this medicine on the advice of a doctor or pharmacist. Talk to your doctor or pharmacist before taking Pikovit® Forte. If you have diabetes, you should know that one tablet of Pikovit® Forte contains about 0.8 g of maltitol. Due to slow hydrolysis and gastrointestinal absorption, maltitol has little effect on blood sugar levels. If you have phenylketonuria, do not take this medicine because it contains aspartame, which contains phenylalanine. Talk to your doctor or pharmacist before taking other vitamin, vitamin/mineral and/or mineral supplements together. High doses of certain components, especially vitamin A and vitamin D, can be hazardous to health. The concomitant use of other vitamin and mineral preparations is not recommended in order to avoid overdose or side effects. Particular caution should be exercised in patients with impaired liver function, acute nephritis, cardiac decompensation, allergic diseases, idiosyncrasy, with a history of peptic or duodenal ulcer, cholelithiasis, chronic pancreatitis, patients with tumors, a history of kidney disease, a tendency to thrombosis and bleeding (eg, hemophilia, thrombocytopenia, thrombocytopathy), anemia of unknown origin. Please consult your doctor if any of the above apply to you. The absorption of ascorbic acid can be impaired in intestinal dyskinesias, enteritis and achilia. Since ascorbic acid increases iron absorption, its use in high doses can be dangerous for patients with hemochromatosis, thalassemia, polycythemia, leukemia, and sideroblastic anemia. Ascorbic acid as a reducing agent can affect the results of laboratory tests, for example, when determining the content of glucose, bilirubin, transaminase activity, lactate dehydrogenase. It is possible that urine stains yellow, which is a completely harmless factor and is explained by the presence of riboflavin in the preparation. Pharmacodynamics Multivitamins. Pikovit forte tablets contain the 11 most important vitamins in amounts corresponding to the recommended daily dose for children over the age of 7 years. B vitamins (B1, B2, B6, B12, pantothenic acid and nicotinamide) are involved in the metabolism of carbohydrates, proteins and fats. Folic acid (vitamin Bc) is necessary for the normal synthesis, regeneration and functioning of blood cells. Retinol (vitamin A) is necessary for the development of epithelial cells and the synthesis of visual pigment. Colecalciferol (vitamin D) regulates calcium intake and promotes proper mineralization of bones and teeth. Ascorbic acid (vitamin C) promotes the absorption of iron and is involved in many redox processes in the body. Tocopherol (vitamin E) is a physiological antioxidant that protects cell membranes and supports cell function. Pikovit forte does not contain sugar. Pharmacokinetics Water-soluble vitamins (groups B, C) are well absorbed in amounts corresponding to the daily needs of the body. Amounts exceeding the tissue saturation level are excreted in the urine, sometimes in the feces. The regular use of these vitamins is important to maintain the necessary concentrations in the tissues, since they accumulate in the body in limited quantities. After oral administration, fat-soluble vitamins A and D are well absorbed in the small intestine in the presence of fat. Absorption of vitamin E is rather weak (25-85% of the dose). Indications for use caused by insufficient intake or increased need for vitamins, for example, in the absence of appetite, increased physical and psychological stress, with irregular or inadequate nutrition, or after antibiotic therapy. Pikovit® Forte does not replace a balanced and varied diet. Therefore, it is important to ensure that your child’s diet is balanced and varied, even while taking the drug. Dosage and administration Dosage regimen Always take the drug in full accordance with the recommendations of your doctor or pharmacist. If you are not sure, ask your doctor or pharmacist for advice. Children over 7 years of age should take 1 lozenge daily after meals. The duration of admission is determined by the doctor. How to use Pikovit® Forte tablets should be kept in the mouth until completely resorbed. Use during pregnancy and lactation If you are pregnant or breastfeeding, think you are pregnant or are planning to become pregnant, consult your doctor or pharmacist before taking Pikovit® Forte. Pikovit® Forte is not recommended during pregnancy and lactation without a doctor’s recommendation. Pregnancy should not be planned earlier than 6 months after cessation of treatment with very high doses of retinol (doses greater than 10,000 IU). During this period, an increased risk of developing abnormalities in the fetus is possible due to the high concentration of vitamin A in the body. Precautions Do not take the drug if you are hypersensitive to the active substances or other ingredients of the drug listed in the “Composition” section; with hypervitaminosis A and D; if you have nephrolithiasis, renal failure, severe renal dysfunction, gout, hyperuricemia, erythremia, erythrocytosis, thromboembolism, thrombophlebitis, iron or copper metabolism disorders, hypercalcemia, hypercalciuria, thyrotoxicosis, chronic glomerulonephritis, chronic heart failure, sarcoidosis, active form of pulmonary tuberculosis ; while taking retinoids: with fructose intolerance. The drug is not intended for children under the age of 7 years. Special instructions and precautions Pikovit® Forte is not recommended for children under the age of 7 years. Children and adolescents under 14 years of age should only take this medicine on the advice of a doctor or pharmacist. Talk to your doctor or pharmacist before taking Pikovit® Forte. If you have diabetes, you should know that one tablet of Pikovit® Forte contains about 0.8 g of maltitol. Due to slow hydrolysis and gastrointestinal absorption, maltitol has little effect on blood sugar levels. If you have phenylketonuria, do not take this medicine because it contains aspartame, which contains phenylalanine. Talk to your doctor or pharmacist before taking other vitamin, vitamin/mineral and/or mineral supplements together. High doses of certain components, especially vitamin A and vitamin D, can be hazardous to health. The concomitant use of other vitamin and mineral preparations is not recommended in order to avoid overdose or side effects. Particular caution should be exercised in patients with impaired liver function, acute nephritis, cardiac decompensation, allergic diseases, idiosyncrasy, with a history of peptic or duodenal ulcer, cholelithiasis, chronic pancreatitis, patients with tumors, a history of kidney disease, a tendency to thrombosis and bleeding (eg, hemophilia, thrombocytopenia, thrombocytopathy), anemia of unknown origin. Please consult your doctor if any of the above apply to you. The absorption of ascorbic acid can be impaired in intestinal dyskinesias, enteritis and achilia. Since ascorbic acid increases iron absorption, its use in high doses can be dangerous for patients with hemochromatosis, thalassemia, polycythemia, leukemia, and sideroblastic anemia. Ascorbic acid as a reducing agent can affect the results of laboratory tests, for example, when determining the content of glucose, bilirubin, transaminase activity, lactate dehydrogenase. It is possible that urine stains yellow, which is a completely harmless factor and is explained by the presence of riboflavin in the preparation. Interactions with other drugs Tell your doctor if you are taking, have recently taken or may start taking any other medicines. Due to the possibility of developing toxic reactions, Pikovit® Forte should not be used in conjunction with other preparations containing vitamin A or oral retinoids. Retinol may reduce the effect of glucocorticoids. Pikovit® Forte should not be taken simultaneously with cholestyramine because it interferes with the absorption of retinol. During sulfonamide therapy, large amounts of vitamin C should be avoided to prevent crystalluria. Vitamin C increases iron absorption, but slows down the absorption of beta-blockers and indirect anticoagulants. The simultaneous use of vitamin C and deferoxamine increases the tissue toxicity of iron, especially in the heart muscle, which can lead to decompensation of the circulatory system. Vitamin C can only be used 2 hours after deferoxamine injection. Calcium chloride, salicylates, corticosteroids with prolonged use reduce the reserves of ascorbic acid in the body. The absorption of ascorbic acid is reduced with the simultaneous use of fruit or vegetable juices, alkaline drinking. Vitamin B6 weakens the effect of levodopa if the patient takes only levodopa, prevents or reduces the toxic manifestations that are observed with isoniazid and other anti-tuberculosis drugs. Thiamine can weaken the curare-like effect. PAS, cimetidine, potassium preparations, alcohol reduce the absorption of vitamin B12. Riboflavin is incompatible with streptomycin and reduces the effectiveness of antibacterial drugs (oxytetracycline, doxycycline, erythrocycline, tetracycline and lincomycin). It should be taken at least 3 hours before or 3 hours after a dose of antibiotic. The tricyclic antidepressants imipramine and amitriptyline inhibit riboflavin metabolism, especially in cardiac tissues. With simultaneous use with quinine, hemorrhages may increase. With the simultaneous use of vitamin D3 and diuretics of the thiazide group, the risk of hypercalcemia increases. Ion exchange resins such as cholestyramine and laxatives (paraffin oil) can reduce the absorption of vitamin D3. Through metabolic activation, the activity of vitamin D3 may be reduced when it is used concomitantly with phenytoin or barbiturates. In this regard, the drug is recommended to be taken 2 hours before or 2 hours after taking other medicines. Since the concomitant oral use of drugs containing calcium and vitamin D3 enhances the effect of cardiac glycosides, medical supervision and ECG monitoring during their simultaneous use is necessary. In folate-deficient patients, the use of folic acid may reduce plasma levels of phenobarbital and cause an epileptic seizure. Ethanol, cycloserine, glutethimide, and methotrexate may interfere with folate metabolism. The absorption of folic acid decreases with simultaneous use with analgesics, anticonvulsants, antacids, sulfonamides, antibiotics, cytostatics. Cases of reduced or altered absorption may occur with the simultaneous use of cholestyramine and folic acid. Therefore, the drug should be taken 1 hour before or 4-6 hours after taking cholestyramine. Do not use together with mineral acids, alkaline substances, reducing agents, as folic acid is inactivated. Contraindications if you are hypersensitive to the active substances or other ingredients of the drug listed in the “Composition” section; with hypervitaminosis A and D; if you have nephrolithiasis, renal failure, severe renal dysfunction, gout, hyperuricemia, erythremia, erythrocytosis, thromboembolism, thrombophlebitis, iron or copper metabolism disorders, hypercalcemia, hypercalciuria, thyrotoxicosis, chronic glomerulonephritis, chronic heart failure, sarcoidosis, active form of pulmonary tuberculosis ; while taking retinoids: with fructose intolerance. The drug is not intended for children under the age of 7 years. Composition of 11 essential vitamins – antioxidants A, C, E and group B, Nicotinamide, Folic and Pantothenic acid. It should be noted that these vitamins for children from the age of 7 are not just necessary, but decisive for further features of growth and development. Overdose When taking the recommended doses, the likelihood of overdose is minimal. In case of an overdose, the likelihood of these adverse reactions increases, bloating (flatulence) may occur. Prolonged use of high doses can cause hypervitaminosis A and D3, although overdose of the drug is unlikely. With an overdose of vitamin D3, weakness, anorexia, nausea, vomiting, diarrhea, weight loss, fever, convulsions, disorders of the cardiovascular system and kidneys occur. Perhaps the development of hypercalcemia due to hypersensitivity to vitamin D3. Symptoms of hypercalcemia are anorexia, polyuria, nausea, vomiting, general weakness, headache, apathy, thirst. An overdose of vitamin A can lead to headache, dizziness, sleep disturbance, nausea, vomiting, drowsiness, photophobia, and convulsions. If the above symptoms appear, stop taking the drug and consult a doctor immediately. With prolonged use of ascorbic acid in high doses, it is possible to inhibit the function of the insular apparatus of the pancreas, so it is necessary to monitor its functional state. Overdose can lead to changes in the renal excretion of ascorbic and uric acids during acetylation of urine with the risk of formation of oxalate stones. The use of large doses of ascorbic acid can lead to heartburn. If the recommended doses are significantly exceeded (more than 1 g per day, which corresponds to 17 tablets of the drug), renal failure, sleep disturbances, a feeling of heat, increased fatigue, impaired zinc and copper metabolism, irritability, erythrocytopenia, neutrophilic leukocytosis may occur. Very high doses of folic acid can increase CNS excitability and cause seizures. The sweeteners mannitol and maltitol are poorly absorbed in the digestive tract. At higher doses, they cause diarrhea and bloating. The laxative effect occurs when consuming more than 60 g of maltitol (more than 70 Pikovit® Forte tablets) or more than 10 g of mannitol (more than 77 Pikovit® Forte tablets) daily. If signs of overdose appear, the drug should be discontinued. If possible, you should: induce vomiting and hydrate the body. If hypercalcemia is detected, a diet with a limited amount of calcium and vitamin D3 should be followed. Further treatment is symptomatic. If you forget to take Pikovit® Forte Do not take a double dose to make up for the missed one. If you have any questions regarding the use of the drug, consult your doctor or pharmacist. Side effects The recommended doses are usually well tolerated. Some people very rarely (< 1/10 000) may experience the following adverse reactions: On the part of the immune system: in hypersensitive individuals, allergic reactions are possible, including anaphylactic shock, angioedema, bronchospasm. On the part of the skin and subcutaneous tissue: skin rash, urticaria, itching, redness of the skin, eczema. From the side of metabolism and nutrition: hypercalcemia, calcification. From the gastrointestinal tract: dyspeptic disorders, nausea, vomiting, belching, stomach pain, constipation, diarrhea, increased secretion of gastric juice, heartburn. From the nervous system: headache, dizziness, drowsiness, irritability. On the part of the organ of vision: blurred vision. From the side of the kidneys and bladder: discoloration of urine, hypercalciuria, damage to the glomerular apparatus of the kidneys. Others: hyperthermia, excessive sweating. With prolonged use in high doses, the following side effects may occur: From the side of metabolism and nutrition: hyperuricemia, decreased glucose tolerance, hyperglycemia, impaired glycogen synthesis. From the nervous system: paresthesia. From the side of the heart: arrhythmia, arterial hypertension, myocardial dystrophy. On the part of the blood and lymphatic system: thrombocytosis, hyperprothrombinemia, thrombosis. The use of ascorbic acid at a dose of 1 g per day (which corresponds to 17 tablets of the drug) in patients with glucose-6-phosphate dehydrogenase deficiency can cause hemolysis of red blood cells (hemolytic anemia). From the gastrointestinal tract: irritation of the mucous membrane of the digestive tract. From the skin and subcutaneous tissue: dryness and cracks on the palms and feet, hair loss, seborrheic rash. From the side of the kidneys and bladder: renal failure, crystalluria, the formation of urate, cystine and / or oxalate stones. According to research: a transient increase in the activity of aspartate aminotransferase, lactate dehydrogenase, alkaline phosphatase, an increase in the level of calcium in the blood and urine, glucosuria. If a hypersensitivity reaction occurs, stop taking the tablets and consult your doctor or pharmacist. Reporting adverse reactions If you experience any adverse reactions, tell your doctor. Adverse reactions include any possible adverse reactions, including those not listed in this package insert. By reporting side effects, you can help gather information about the safety of Pikovit® Forte. Storage conditions Store at a temperature not exceeding 25 ° C in a place protected from moisture and light. Keep out of the reach of children. Buy Pikovit forte lozenges No. 15x2 Price for Pikovit forte lozenges No. 15x2