Elevit Pronatal - instructions for use, dose, side effects, contraindications

Vitamin A (retinol palmitate)¹	3600 ME
Vitamin D₃ (colcalciferol)²	500 ME
Vitamin E (alpha-tocopherol acetate)³	15 mg
Vitamin C (ascorbic acid)⁴	100 mg
Folic acid	0.8 mg
Vitamin B₁ (thiamine mononitrate)	1.6 mg
Vitamin B₂ (riboflavin)	1.8 mg
Vitamin B₆ (niridoxine hydrochloride)⁵	2.6 mg
Vitamin B₁₂ (cyanocobalamin)⁶	4 μg
Nicotinamide	19 mg
Biotin	0.2 mg
Calcium pantothenate	10 mg
Mineral substances and microelements:
Calcium (in the form of calcium hydrophosphate, calcium pantothenate, calcium ascorbate)	125 mg
Magnesium (in the form of magnesium oxide, magnesium hydrogen phosphate trihydrate, magnesium stearate)	100 mg
Phosphorus (in the form of calcium hydrophosphate, magnesium hydrogen phosphate trihydrate)	125 mg
Iron (in the form of iron fumarate)	60 mg
Zinc (in the form of zinc sulfate monohydrate)	7.5 mg
Copper (in the form of copper sulfate)	1 mg
Manganese (in the form of manganese sulfate monohydrate)	1 mg

Excipients: glyceryl distearate 8.25 mg, gelatin 1.71 mg, microcrystalline cellulose 66.12 mg, carboxymethyl sodium starch 55 mg, povidone K90 32.2 mg, povidone K30 1.67 mg, lactose monohydrate 45.78 mg, mannitol 58.9 mg, magnesium stearate 15 mg, macrogol-400 10 mg, ethyl cellulose 10 mg.

Shell: hypromellose 9 mg, ethyl cellulose, aqueous dispersion 3 mg, macrogol-6000 2.5 mg, talc 6 mg, titanium dioxide (E171) 3 mg, ferric oxide yellow oxide (E172) 1.5 mg.

Notes:

¹in the form of dry retinol palmitate 250 CWS (1 g contains: vitamin A palmitate 148 mg, butylhydroxyanisole 2 mg, butylhydroxytoluene 9 mg, alpha-tocopherol 3 mg, gelatin 330 mg, sucrose 330 mg, corn starch 178 mg).

²in the form of colcalciferol 100 CWS (1 g contains: colcalciferol 2.5 mg, alpha-tocopherol 2.0 mg, soybean oil 75 mg, gelatin 380 mg, sucrose 380 mg, corn starch 160.5 mg).

³in the form of dry vitamin E 50% CWS/S (1 g contains: alpha-tocopherol acetate 500 mg, modified food starch 245 mg, maltodextrin 245 mg, silicon dioxide 10 mg).

⁴in the form of calcium ascorbate

⁵ in the form of pyridoxine hydrochloride 33 1/3% (pyridoxine hydrochloride 333 mg, mono-and diglycerides of dietary fatty acids 667 mg).

⁶ in the form of an iodine solution of cyanocobalamin 0.1% WS (1 g contains: cyanocobalamin 1.0 mg, sodium citrate 30 mg, citric acid anhydrous 10 mg, maltodextrin 959 mg).

Description:Oblong, biconvex tablets, coated with a coat, grayish-yellow, with a risk for breaking on one side of the tablet. At the break, the tablet has a gray core with impregnations of almost white and yellow. The smell is missing or barely detectable.

Pharmacotherapeutic group:multivitamin agent + minerals

ATX: & nbsp

A.11.A.A.04 Multivitamins and microelements

Pharmacodynamics:

Elevit® Pronatal is a medicinal product containing 12 essential vitamins, 4 minerals and 3 microelements. The quantitative content of vitamins and minerals corresponds to the doses recommended for use during pregnancy and breastfeeding.

Vitamin A participates in the synthesis of various substances (proteins, lipids, mucopolysaccharides) and provides a normal function of the skin, mucous membranes, as well as organs of vision.

Vitamin B₁ normalizes the activity of the heart and promotes the normal functioning of the nervous system.

Vitamin B₂promotes the processes of tissue regeneration, including skin cells.

Vitamin B₆ helps maintain the structure and function of bones, teeth, gums, affects erythropoiesis.

Vitamin B₁₂ participates in erythropoiesis, promotes the normal functioning of the nervous system. B vitamins participate in the formation of various enzymes that regulate different types of metabolism in the body.

Vitamin C participates in the oxidation of a number of biologically active substances, regulation of metabolism in connective tissue, carbohydrate metabolism, blood coagulability and tissue regeneration,stimulates the formation of steroid hormones, normalizes the permeability of capillaries.

Vitamin D₃ plays an important role in maintaining the balance of calcium and phosphorus in the body of a pregnant woman. With vitamin deficiency D Rickets develop in children.

Vitamin E is a natural antioxidant.

Biotin takes part in metabolic processes, promotes the assimilation of protein.

Calcium pantothenate participates in the processes of metabolism of fats, proteins and carbohydrates.

Folic acid stimulates erythropoiesis, prevents fetal development of congenital malformations (neural tube defects).

Nicotinamide takes part in oxidation-reduction processes, provides the transfer of hydrogen and phosphate.

Calcium participates in the formation of bone tissue, coagulability of blood, transmission of nerve impulses, reduction of skeletal and smooth muscles.

Magnesium participates in the formation of muscle and bone tissue, and also takes part in the synthesis of protein.

Iron is part of the hemoglobin molecule, participates in the transfer of oxygen in the body and prevents the development of anemia, including during pregnancy.

Phosphorus, along with calcium, participates in the formation of bones and teeth, and also participates in the processes of energy metabolism.

Manganese promotes the mineralization of bone tissue.

Copper is necessary for the normal function of red blood cells and iron metabolism.

Zinc is necessary for the normal formation of the fetal skeleton and tissue regeneration, is part of some hormones, including insulin.

Indications:

Prevention and treatment of hypovitaminosis, mineral and micronutrient deficiencies during the planning stage of pregnancy, during pregnancy, after childbirth and during breastfeeding.

Contraindications:

Increased individual sensitivity to the components of the drug, hypervitaminosis of vitamin A, vitamin hypervitaminosis D, hypercalcaemia, hypercalciuria, severe renal failure, iron metabolism disorders, copper exchange disorders (Wilson's disease), lactose intolerance, lactase deficiency or glucose-galactose malabsorption (the drug contains lactose).

Carefully:

Diseases of the liver and kidneys, urolithiasis.

Pregnancy and lactation:

The drug is recommended for use during pregnancy and lactation in the recommended doses: 1tablet per day.

It is necessary to take into account the additional intake of vitamins A and D to avoid an overdose.

Dosing and Administration:

Before use, consult a doctor.

Women at the planning stage of pregnancy, during pregnancy, after childbirth and during breastfeeding are advised to take inside 1 tablet a day during meals, washing down with a small amount of water.

The recommended duration of admission is one month before the onset of pregnancy (in the case of pregnancy planning), throughout the period of pregnancy and breastfeeding.

Side effects:

Allergic reactions to the components of the drug are possible (urticaria, facial edema, skin hyperemia, rash, anaphylactic shock). If allergic reactions occur, stop taking the medication and consult a doctor.

Disorders from the gastrointestinal tract (abdominal pain, constipation, diarrhea, nausea, vomiting).

Hypercalciuria.

There may be headache, dizziness, insomnia, increased excitability.

It can be colored urine in a bright yellow color.This effect is harmless and is explained by the content of riboflavin in the formulation.

The drug contains iron, which can lead to staining the stool black. This effect is harmless and has no clinical significance.

Overdose:

An overdose of the drug can cause vitamin A hypervitaminosis and D, hypercalcemia, as well as an overdose of iron and copper.

Acute overdose is accompanied by symptoms such as: sudden headache, confusion, as well as disorders of the gastrointestinal tract, such as constipation, diarrhea, nausea, vomiting.

If such symptoms occur, stop taking the medication and consult a doctor.

Overdose of vitamin C (more than 15 g) can cause hemolytic anemia in some patients with glucose-6-phosphate dehydrogenase deficiency. Treatment: withdrawal of the drug, gastric lavage, symptomatic.

Interaction:

Vitamin C enhances the effect and side effects of antimicrobial agents from the group of sulfonamides (including the appearance of crystals in the urine).

The absorption of iron can be worsened by the combined administration of antacids, fluoroquinolone, bisphosphonates, levodopa,levothyroxine, penicillamine, antibiotics with tetracycline or trentin. If simultaneous reception with one of the indicated preparations is required, their reception should be protected from reception of the given preparation for 2-3 hours.

Preparations containing calcium, magnesium, iron, copper or zinc can interact with antacids, antibiotics (tetracyclines, fluoroquinolones), levodopa, bisphosphonates, penicillamine, thyroxine, trientine, digitalis, antiviral drugs, thiazide diuretics, as well as drugs for the treatment of diseases, associated with a violation of acidity. If simultaneous reception is required, the taking of such two drugs should be time-separated by 2 hours.

Special instructions:

The drug should be taken in accordance with recommended doses.

When taking other vitamins or multivitamin-mineral complexes, including food additives and / or fortified foods / drinks containing vitamin D, vitamin A, synthetic isomers isotretinoin and etretinate or beta-carotene, a doctor's consultation is necessary, since high doses of the latter can cause vitamin vitamins D and A.

Effect on the ability to drive transp. cf. and fur:

There are no data on the effect of the drug on the speed of psychomotor reactions when driving a car and working with precise mechanisms.

Form release / dosage:

Film-coated tablets.

Packaging:

For 10 or 20 tablets per blister PVC / PE / PVDC / Al.

3, 10 blisters of 10 tablets or 5 blisters, divided by perforation in the middle into two equal parts, 20 tablets with instructions for use are placed in a cardboard box.

Storage conditions:

At a temperature of no higher than 25 ° C.

Keep out of the reach of children.

Shelf life:

2 years.

Do not use after expiry date.

Terms of leave from pharmacies:Without recipe

Registration number:P N 015935/01

Date of registration:14.07.2009

The owner of the registration certificate:BAYER, AO BAYER, AO Russia

Manufacturer: & nbsp

BAYER, CJSC Russia

Representation: & nbspBAYER, AOBAYER, AO

Information update date: & nbsp23.08.2015

Illustrated instructions

Instructions

Elevit® Pronatal (Elevit® Pronatal)