ADVERSE REACTIONS. Allergic rash and other idiosyncrasies have been rarely reported.


CLINICAL PHARMACOLOGY. Itis well established that fluoridation of the water supply (1 ppmfluoride) during the period of tooth development leads to significantdecrease in the incidence of dental caries.Multivitaminwith 0.5 mg Fluoride Chewable Tablets provide sodium fluoride and tenessential vitamins in chewable tablet. Because the tablets arechewable, they provide topical as well as systemic source of fluoride.Hydroxyapatite is the principal crystal for all calcified tissue in the human body.The fluoride ion reacts with the hydroxyapatite in the tooth as it isformed to produce the more caries-resistant crystal, fluorapatite. Thereaction may be expressed by the equation: Ca10(PO4)6(OH)2 2F- ------- Ca10(PO4)6F2 2OH- (Hydroxyapatite) (Fluorapatite) Three stages of fluoride deposition in tooth enamel can be distinguished: 1. Small amounts (reflecting the low levels of fluoride in tissue fluids) are incorporated into the enamel crystals while they are being formed. 2. After enamel has been laid down, fluoride deposition continues in the surface enamel. Diffusion of fluoride from the surface inward is apparently restricted. 3. After eruption, the surface enamel acquires fluoride from the water, food, supplementary fluoride and smaller amounts from saliva.


DOSAGE AND ADMINISTRATION. One tablet daily, to be dissolved in the mouth or chewed before swallowing. Do not give chewable tablet to child younger than years old.


HOW SUPPLIED. Multivitamin chewable tablets containing 0.5 mg fluoride are purple-colored, grape flavor, un-scored, square debossed 108 tablets are available on prescription only in bottles of 100 tablets. NDC: 59088-108-59.


INDICATIONS AND USAGE. Supplementation of the diet with ten essential vitamins. Supplementation of the diet with fluoride for caries prophylaxis. Multivitamin with 0.5 mg Fluoride Chewable Tablets provide 0.5 mg fluoride in tablet form for children 4-6 years of age in areas where the drinking water fluoride level is less than 0.3 ppm, and for children years of age and above where the drinking water contains 0.3 through 0.6 ppm of fluoride. Multivitamin with 0.5 mg Fluoride Chewable Tablets supply significant amounts of Vitamins A, C, D, E, thiamine, riboflavin, niacin, vitamin B6, vitamin B12, and folate to supplement the diet, and to help assure that nutritional deficiencies of these vitamins will not develop. Thus, in single easy-to-use preparation, children obtain ten essential vitamins and the important mineral, fluoride. The American Academy of Pediatrics recommends that children up to age 16, in areas where drinking water contains less than optimal levels of fluoride, receive daily fluoride supplements. Children using Multivitamin with 0.5 mg Fluoride Chewable Tablets regularly should receive semiannual dental examinations. The regular brushing of teeth and attention to good oral hygiene practices are also essential. Multivitamin with Fluoride Chewable Tablets is precsription product for the clinical dietary management of the metabolic processes of caries prophylaxis and provides supplementation of the diet with ten essential vitamins.


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PRECAUTION. The suggested dose of Multivitamin with 0.5 mg Fluoride Chewable Tablets should not be exceeded, since dental fluorosis may result from continued ingestion of large amounts of fluoride. Before prescribing Multivitamin with 0.5 mg Fluoride Chewable Tablets: 1. Determine the fluoride content of the drinking water from all major sources. 2. Make sure the child is not receiving significant amounts of fluoride from other sources such as medications and swallowed toothpaste. 3. Periodically check to make sure that the child does not develop significant dental fluorosis.


STORAGE. Store at 20-25C (68-77F); excursions permitted to 15-30C (59-86F). See USP Controlled Room Temperature. Dispense in tight, light resistant container with child-resistant closure as defined in the USP/NF. All prescription substitutions using this product shall be pursuant to state statutes as applicable. This is not an Orange Book product.


WARNING. Keep out of the reach of children. In case of accidental overdose, seek professional assistance or contact Poison Control Center immediately.Caution: Do not eat or drink dairy products within one hour after fluoride administration.Should be chewed. This product, as all chewable tablets, is not recommended for children under age due to risk of choking.


DESCRIPTION:. Other Ingredients: Aspartame, Croscarmellose Sodium, Grape Flavor, Magnesium Stearate (vegetable source), Microcrystalline Cellulose, Stearic Acid (vegetable source), Sucrose, CI 45410 (Red 27 Lake), CI 42090 (FD&C Blue No. Aluminum Lake). SF.