Indication

Oral\r\nAdult\r\n30 multivitamin multimineral with complete antioxidant\r\nTablet: 1 tablet once daily or as recommended by the physician.\r\n\r\n

Adult Dose

Should not use in over dosage. Patients with mild to moderate renal failure. Diabetes, patients prone to recurrent renal calculi. Long term intake of high levels of vitamin A (Excluding that sourced from Beta carotene) may increase the risk of osteoporosis in postmenopausal women. Do not take this product if taking other vitamin A supplements. Folic acid in doses above 0.1 mg daily may obscure pernicious anemia in that hematological remission can occur while neurological manifestations remain progressive.

Renal Dose

1. Suitability Warning: Standard A-Z Silver formulas are generally not recommended for patients with Chronic Kidney Disease (CKD) or those on dialysis. Like the Gold versions, they contain fat-soluble vitamins and specific minerals that the kidneys cannot properly process.

2. The Renal Adjustment (The "Dose"): When a patient has renal impairment, the "A-Z Silver" is usually replaced by a specialized Renal Multivitamin.

The Dose: Usually one tablet daily.
Removal of Vitamin A: Renal doses must exclude Vitamin A (present in A-Z Silver) because it can build up to toxic levels, causing bone and joint pain.
Mineral Restrictions: Silver formulas often contain Potassium, Magnesium, and Phosphorus. In a renal dose, these are removed to prevent life-threatening heart rhythm issues.
High-Dose B & C: The renal dose increases Vitamin B-complex and Vitamin C levels to compensate for nutrients lost during treatment.

3. Dialysis Timing: The dose must be taken AFTER the dialysis session. Taking it before makes the supplement ineffective as the machine filters it out of the blood.

Mode of Action

Taken with food.

Precaution

Prevention and treatment of vitamin and mineral deficiencies for adults over 50 years of age. It is indicated for improving the nutritional status of elderly patients.

Pregnancy Category Note

Generally, this preparation is well tolerated. Allergic sensitization has been reported following oral administration of folic acid.\r\nVitamin C and vitamin E may cause diarrhea and other gastrointestinal disturbances.

Interaction

Patients with a known hypersensitivity to any of the ingredients.