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ELEVIT PRONATAL N100
Package leaflet: Information for the user
ELEVIT PRONATAL film-coated tablets 12 vitamins and 7 minerals and trace elements
Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.
Always take this medicine exactly as described in this leaflet or as your doctor, pharmacist or nurse have told you. • Keep this leaflet. You may need to read it again. • Ask your pharmacist if you need more information or advice. • If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. See section 4. • You must talk to a doctor if you do not feel better or if you feel worse.
What is in this leaflet
1. What Elevit Pronatal is and what it is used for 2. What you need to know before you take Elevit Pronatal 3. How to take Elevit Pronatal 4. Possible side effects 5. How to store Elevit Pronatal 6. Contents of the pack and other information
1. What Elevit Pronatal is and what it is used for
Elevit Pronatal is a multivitamin, minerals and trace elements preparation. Elevit Pronatal is indicated in the prevention or correction of disorders due to a vitamin or mineral imbalance or deficient diet during pregnancy and lactation. Vitamins, minerals and trace elements are essential nutrients. They cannot be produced by the body and therefore must be derived from diet. These substances are vital for daily living (e.g. breathing, digestion, generation of energy, function of brain and nervous system, reproduction, growth), while at the same time forming part of numerous tissues and organs. Pregnant and breast-feeding women need significantly more vitamins, minerals and trace elements than non-pregnant women. Particularly, a pregnant woman must provide nourishment not only for her own body but also for that of her child. With a balanced diet and without the consumption of nicotine and alcohol, pregnant and breastfeeding women normally have enough vitamins, minerals and trace elements. Nevertheless, deficiencies may occur during pregnancy and lactation. Throwing up frequently during the early stage of pregnancy may be a reason for a deficiency of essential nutrients. The consequences of deficiencies can include anaemia and tiredness for the mother, and retarded growth and changes in skin and mucous membranes for the child. Elevit Pronatal contains all essential nutrients required during pregnancy and breast-feeding. Thus the occurrence of deficiency in mother and child is prevented. Folic acid helps to prevent malformations of the child.
2. What you need to know before you take Elevit Pronatal Do not take Elevit Pronatal, if you are/have
• allergic to any of the ingredients of this medicine (listed in section 6) too high blood levels of vitamin A and/or D treated with vitamin A or the chemical similar substances isoretinoin and etretinate Beta-carotene is considered as a source of vitamin A. severely reduced kidney function increased calcium levels in the blood or severely increased excretion of calcium in the urine iron and/or copper metabolism disorders
Warnings and precautions
Talk to you doctor, pharmacist or nurse before taking Elevit Pronatal if you are/have: • urinary stones Calcium, ascorbic acid and vitamin D may have an effect on stone formation. • using other vitamin products Very high doses of some Elevit Pronatal ingredients, in particular, vitamin A, vitamin D, iron and copper, can be harmful. Patients using other vitamin preparations or those under medical care should consult a healthcare professional before taking Elevit Pronatal. Particular caution is required with any other products, including supplements and/or fortified foods/drinks containing vitamin A, beta-carotene or vitamin D. Please note: Elevit Pronatal must not be used if you have too high levels of vitamin A or D, or when using vitamin A supplements. See under “Do not take Elevit Pronatal”. Elevit Pronatal does not contain iodine. Adequate iodine supplementation should be provided.
Other medicines and Elevit Pronatal
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines, especially those below. The following medicines can influence or be influenced by Elevit Pronatal. Where necessary, they should be used at least 2 hours before or after Elevit Pronatal dosage. levodopa: a medicine to treat Parkinson’s disease medicines to treat reduced bone density with active substance names ending with "dronate" thyroxine, levothyroxine: medicines to treat reduced thyroid gland function digitalis: a medicine to treat heart conditions medicines to treat bacterial infection with active substance names ending in “oxacin” or “cycline” penicillamine: a medicine to treat rheumatic joint inflammation and heavy metal poisoning medicines to increase water output, called thiazide, used for example to reduce high blood pressure antiacids: medicines, which neutralise or bind stomach acid trientine: a medicine to treat copper accumulation in tissues, called Wilson’s disease medicines to treat virus infections The lipid lowering medicines cholestyramine and colestipol may decrease the absorption of fat-soluble vitamins. Inform your doctor if use of these products during pregnancy or lactation is needed. Attention should be drawn to whether administration of Elevit Pronatal is sufficient to prevent vitamin A, D and E deficiency in mother and foetus/infant.
Elevit Pronatal with food and drink
Oxalic acid, found in spinach and rhubarb, and phytic acid, found in whole cereals, may inhibit calcium absorption. Avoid intake of Elevit Pronatal within two hours of eating vast amounts of these foods.
Pregnancy and breast-feeding
Elevit Pronatal is especially formulated for pregnant and breast-feeding women. However the recommended dosage should not be exceeded. Vitamin A doses over 10,000 international units (IU) daily may cause deformities in the unborn child if administered during the first three months of pregnancy. Therefore, consider information provided under “Warnings and precautions”. Permanent overdose of vitamin D might be harmful to the foetus and newborns. The vitamins and minerals in the preparation are excreted into breast milk. This must be taken into consideration if the infant is receiving any respective supplements. For pregnant and breast-feeding women, 4,000 IU vitamin D daily is considered as safe. Elevit Pronatal contains 500 IU per tablet.
Driving and using machines
Elevit Pronatal does not affect the ability to drive or operate machines.
Elevit Pronatal contains lactose and soya oil
If you have been told by your doctor that you have intolerance to some sugars, contact your doctor before taking Elevit Pronatal. If you are allergic to peanuts or soya, do not use this medicinal product.
3. How to take Elevit Pronatal
Always take this medicine exactly as described in this leaflet or as your doctor, pharmacist or nurse has told you. Check with your doctor, pharmacist or nurse if you are not sure. The recommended dose is one tablet daily swallowed whole, with a glass of water, preferably with a meal. In case of morning sickness, take the tablet at noon or in the evening. The score line is only there to help you break the tablet if you have a difficulty swallowing it whole.
Duration of use
Start taking Elevit Pronatal one month before conception or when planning a pregnancy. Continue throughout the whole pregnancy and until the end of breast-feeding.
Use in adolescents
Elevit Pronatal can be used in adolescent girls who are planning a pregnancy, who are pregnant or lactating. The same dosage as for adult women applies.
Patients with kidney disease
Elevit Pronatal may not be used in patients with severely reduced kidney function. See section 2, “Do not take Elevit Pronatal”.
Patients with liver disease
Elevit Pronatal should be administered under doctor’s supervision in patients with reduced liver function.
Elevit Pronatal is indicated in women of child-bearing age. There is no relevant use in the elderly population.
If you take more Elevit Pronatal than you should
Overdose can cause increased blood levels of vitamin A and D, calcium, iron and copper. Uncharacteristic initial symptoms are: • abrupt headache • confusion, fatigue, irritability • nausea, vomiting, abdominal pain, constipation, diarrhoea, loss of appetite • skin reddening, itching • thirst, including excessive thirst, passing more urine than normal Stop taking and consult a healthcare professional if any of such symptoms occur. The daily intake of high doses of vitamin A and vitamin D can be harmful to the unborn child. See section 2, “Pregnancy and breast-feeding”.
If you forget to take Elevit Pronatal
Do not take a double dose to make up for a forgotten tablet dose. Just continue with your daily dose. If you have any further questions on the use of this medicine, ask your doctor, pharmacist or nurse.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them. Side effects can occur with the following frequencies: Common, may affect up to 1 in 10 people • abdominal pain, wind, constipation, diarrhoea • nausea, vomiting Rare, may affect up to 1 in 1,000 people • allergic reactions, with symptoms such as - swelling of the face, wheezing/difficulty breathing - skin effects: rash, itching, redness, blisters - weak or rapid pulse Stop taking Elevit Pronatal immediately and consult your doctor if allergic reaction symptoms occur. Frequency not known, according to the available data • increased excretion of calcium in the urine • headache, dizziness, sleeplessness, nervousness The intake of Elevit Pronatal may lead to a harmless dark colouring of the stool due to the presence of iron. A slight yellow discoloration of urine may be noticed. This effect is harmless and is due to the Vitamin B2 contained in the preparation.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via www.ravimiamet.ee. By reporting side effects you can help provide more information on the safety of this medicine.
5. How to store Elevit Pronatal
Keep this medicine out of the sight and reach of children. Do not use this medicine after the expiry date which is stated on the blister and the carton after EXP. The expiry date refers to the last day of that month. Do not store above 25 °C. Store in the original package in order to protect from light. Do not throw away any medicines via wastewater. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
Contents of the pack and other information
What Elevit Pronatal contains
The active substances in one film-coated tablet are:
12 vitamins: vitamin A vitamin B1 vitamin B2 vitamin B6 vitamin B12 vitamin C vitamin D3 vitamin E
What Elevit Pronatal looks like and contents of the pack
Elevit Pronatal is a yellow, biconvex, oblong film-coated tablet with a score line. Elevit Pronatal is available in packs of 30 or 100 film-coated tablets. Not all pack sizes may be marketed. Marketing Authorisation Holder and Manufacturer Marketing Authorisation Holder: UAB Bayer Sporto 18 LT-09238 Vilnius Lithuania Manufacturer: Rottendorf Pharma GmbH Ostenfelder Strasse 51-61 D-59320 Ennigerloh Germany