Biotin + Cyanocobalamin / Vitamin B12 + Elemental Chromium + Elemental Copper + Elemental Manganese + Folic Acid + Grape Seed Extract + Iodine + Magnesium + Riboflavin / Vitamin B2 + Selenium + Thiamine / Vitamin B1 + Vitamin A / Retinol + Vitamin B3 / Niacin + Vitamin B5 / Pantothenic Acid + Vitamin B6 / Pyridoxine + Vitamin C / Ascorbic Acid + Vitamin D3 (cholecalciferol) + Vitamin E + Zinc

Dosage forms available

• This multivitamin and mineral combination is available in oral tablet or capsule form.

Age and dose restrictions

• This supplement is typically intended for use in adults and adolescents above 12 years.

Contraindications

• Avoid this supplement if you are allergic to any of its ingredients, including any vitamin, mineral, or excipient. Patients with hypervitaminosis A or D should not use this formulation.

Other medications to avoid

• Avoid taking other supplements containing the same vitamins or minerals to prevent overdose. Caution is advised when used with tetracycline antibiotics, quinolone antibiotics, thyroid medications (levothyroxine), diuretics (furosemide), and antacids, as these may interfere with absorption or effectiveness.

Overdose and missed dose

• An overdose may lead to toxicity symptoms like nausea, vomiting, and dizziness, especially with fat-soluble vitamins like A, D, and E. 
• If you miss a dose, take it as soon as you remember. If it's almost time for your next dose, skip the missed dose and continue with your regular schedule. Avoid double-dosing.

Management of side effects

• To manage mild stomach upset, take the supplement with food. Stay hydrated to minimise the risk of constipation or diarrhea. If side effects persist or become severe, consult your healthcare provider for further evaluation.

Use in driving and operating machinery

• This supplement is unlikely to impair your ability to drive or operate machinery. However, if you experience dizziness or fatigue, avoid such activities until you feel well.

Use in pregnancy and lactation

• This supplement may be used during pregnancy and breastfeeding under medical supervision, as specific vitamins and minerals support fetal development and maternal health. 

Caution in other conditions

• Exercise caution in patients with kidney or liver disorders, thyroid conditions, or those undergoing treatment for cancer or cardiovascular disease. Monitoring of vitamin and mineral levels may be necessary in such individuals.

Special dietary and lifestyle recommendations

• Maintain a balanced diet rich in whole grains, fruits, vegetables, lean proteins, and healthy fats. Limit processed foods and excessive sugar or salt intake. Regular physical activity and adequate hydration are essential for optimal nutrient absorption and overall health.