Indications

Thit in indicated as a daly multitamin mainanance doeage foradulte and children aged H ywars and aboe receiving parentaral nutrition. it is alto indicatd in othr altuatona whr admineiration by the intravenout
route ie nequired. Such ltuationa Indudn surgary, aotaraive burne, fractures and othar trauma, owwre indacisous dissaoes and comatoss states, whic may pravoks a "atress" aituason with profound altaration in th
body'a matabolic demande and conanquant tesu deplation af nutriente.

Composition

Thit in a lyophilized, atarls powder for injection/Infusion which conains both vaer solubin and fat soluble vitamine. Fach vial containt:
VitaminA DP 3500 I
Vitamin DS DP 220 I
Vitamin E LGP-11.2 IL
Aucorbic Aeld DP 105 mg
Vitamin DH OP 3.51 mg
Vitamin 02 DP 4.14 mg
Nicstinamide DP 46 mg
Panothanic Add DP 17.25 mg
Vitamin d OP 4.53 mg
Witamin DHO: DP & meg
Folic Aeid DP 454 mcg
Dotin DP 6R mcp

Description

Thit ie a staria. lyaphilliaed powder for injaction/Infurion which containe nine water-ssluble and thren fat: uolble vitarnirit. Micd micailat ln mnd an a molublllrg agamt. it: im parmn arc n a lyspphllilid, ut rilm poor ta:
In to ba reconetituted with 5 ml of watar for Injection or athar parentaral fulde ja.g. a 0% Sodium cioride or 5% Glucoss anluan], prior is administration by parenteral roube.

Dosage & Administration

Adulta and children agad + years and abowe: 1 vial/day. Tha singia doon vial of this peeparaton le nacortituted by acding 5ml of atarie viater for iinjaciian or othar intrawwnoun flulde ika 0.% Sodium Chloride Injection ar
5% Glucoun injaction. 5ml af diluant should be acded by maar of stariin syringe into the vial and gantly mixed to dissolvn the lyophilized powder. Tha entire volume af the resuitan solution should than be acminetard by
now intravenoun injaction [at lsant over i0 minutan) ar furthr dilutd for intrawenoun inutian. To minimize vitarnin lloasa in parenaral mutrion adrixuree, add the witarrina. Imrnadiataly prior to acministratian and
compate administratian within 24 hourt.

Interaction

Patiente nacalving drugs that bind to arl-acd glycapratein should be dloosly monitored for inersatns In rsponen to thass druge. ag. praprandlel, prazosinand quinidine. Falle acid may Inereacs the matabolem of soma
antlaplieptlex much as phancbarbital, phanytoin and primidons. Pyridoune can naduce the effect of lwvodop. Dleamyein can be inactiwated by ascorble acld and riboftavin.

Contraindications

Thit ln cantraindicated in patents with pre-sodsting hyparvitarninosle or knon hyparsansltivity to any af the active ingrediente. This produc should nat be injected to patanta with pre-ntting Intolerance to thiamina.
Simiary, thie praduct should not be administered to paants with mpaired hapatic furction. This preparation should not be administared to thaos cuffering from yperparathyrsidiern dus to hypercalcasmlc
compicationt.

Side Effects

Anaphyfactie rctione haes baan reportad following llarge intrawenous dosss of Tamina. Licarla and ranh have also aan associaied with Prawibn-N. Thare hve bean vary rare reporti off anapltylactic reactione
following N injacian/Infunon with Proviten-M over 1-4 minutee.

Aregnancy & Lactation

The uce of thi praparation as not baan shudied in human during pregnancy. Thix should ba gluen to a pregnant worran onlyif claarly nasded. Tha uss of the product in lactating woman in noft recommanded.

Precautions & Warnings

Anaphyfactic ractone may occur in allergie subjecta who am cutcaptible to Thiamina [Vitarin Dif) and nicolnamide corponants of Praviten-N. Mik allargie racane nuc an unaaring ormid anthma are warning tigna
that furthar injaction/infution may glue rias to aruphylactc thock. Dus to glychacalc acid cantant, eapasted and prolanged administraton in patiente with jaundicn of hapatic origin ar swvwe blachamical edenca of
choletatie recures careful manitoring of liwer function. Nso in the caos afimpalred kldnwy funetion, tat-asluble vitamin lwvelt should ba carefully manitored.

Overdose Effects

Accumulation of Vitamin A.and Vitamin D may be occured with prolanged acministrason of high dotns.

Therapeutic Class

Spacifc combinad witamnin praparaione

Storage Conditions

Defore nconetitutiors Store balow 25℃. Pratect fram light and da not freaos. Aftarnecanatution The recoratitubed preduct ahould ba unnd immadiataly or it thouldbe stond at 2C to 0'C for nat mare than 24 hourt.
Discard any unued portion of tha rcanaituted solution.