Take the missed dose as soon as you remember. If it is almost time for your next dose,
skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
Seek emergency medical attention if you think you have used too much of this
medicine.
An overdose of vitamins A, D, E, or K can cause serious or
life-threatening side effects. Iron and other minerals contained in a multivitamin can also
cause serious overdose symptoms.
Overdose symptoms may include severe stomach pain, vomiting, bloody diarrhea,
coughing up blood, constipation, loss of appetite, hair loss, peeling skin, warmth or tingly
feeling, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe
back pain, blood in your urine or stools, black and tarry stools, pale skin, easy bruising or
bleeding, weakness, shallow breathing, weak and rapid pulse, pale skin, blue lips, and seizure
(convulsions).
What should I avoid while taking multivitamins with iron?
Avoid taking more than one multivitamin product at the same time unless your
doctor tells you to. Taking similar vitamin products together can result in a vitamin or mineral
overdose or serious side effects.
Avoid the regular use of salt substitutes in your diet if your multivitamin contains
potassium. If you are on a low-salt diet, ask your doctor before taking a vitamin or mineral
supplement.
Avoid taking an antibiotic medicine within 2 hours before or after you take multivitamins
with iron. This is especially important if you are taking an antibiotic such as ciprofloxacin
(Cipro), demeclocycline (Declomycin), doxycycline (Adoxa, Doryx, Oracea, Vibramycin),
levofloxacin (Levaquin), lomefloxacin (Maxaquin), minocycline (Dynacin, Minocin, Solodyn,
Vectrin), norfloxacin (Noroxin), ofloxacin (Floxin), or tetracycline (Brodspec, Panmycin,
Sumycin, Tetracap).
Certain foods can also make it harder for your body to absorb iron. Avoid taking this
multivitamin within 1 hour before or 2 hours after eating fish, meat, liver, and whole grain or
"fortified" breads or cereals.
Do not take this medication with milk, other dairy products, calcium supplements, or
antacids that contain calcium. Calcium may make it harder for your body to absorb certain
ingredients of the multivitamin.
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