Indications
This is a multi-ingredient food supplement that combines natural herbal extracts with amino acids (the building blocks of protein), vitamins and minerals. It is used to support general health and energy, during recovery from illness, for tiredness and low stamina, and when the diet may not provide enough nutrients. It is not a treatment for any disease. The exact herbs and amounts vary by product, so always read the label.
How It Works
Vitamins and minerals help the body turn food into energy, keep nerves, muscles, blood and immunity working normally, and protect cells. Amino acids support muscle and tissue repair. The herbal extracts are included for their traditional tonic or antioxidant effects, although evidence for many of them is limited.
Dosage and Administration
Take as directed on the label, usually once daily after a meal with a glass of water. Do not take more than the stated amount, and do not take another multivitamin at the same time unless your doctor advises it.
Interactions
Minerals such as iron, calcium, zinc and magnesium can reduce absorption of Levothyroxine and antibiotics such as Ciprofloxacin and Doxycycline, so take these medicines at least 2 to 4 hours apart. Vitamin K content may affect Warfarin. Some herbs (for example Ginseng or Ginkgo) can interact with blood thinners, diabetes medicines or sedatives. Tell your doctor about all medicines you take.
Contraindications
- Allergy to any ingredient.
- Conditions with iron overload, high calcium levels or high vitamin A levels.
- Serious kidney or liver disease, unless a doctor agrees.
- Children, unless the label states it is suitable.
Side Effects
It is usually well tolerated. Possible effects include mild nausea, stomach upset, constipation or loose stools, an unpleasant taste and bright yellow urine (from vitamin B2, which is harmless).
Get urgent medical help if you notice swelling of the face, lips or throat, difficulty breathing, a widespread rash, or severe stomach pain with vomiting.
Pregnancy and Lactation
Some herbal ingredients are not known to be safe in pregnancy, and high vitamin A can harm the unborn baby. Do not use during pregnancy or breastfeeding unless a doctor approves; a pregnancy-specific vitamin is usually preferred.
Precautions and Warnings
Supplements do not replace a balanced diet. Persistent tiredness, weight loss or weakness should be checked by a doctor. Tell your doctor before surgery that you take a herbal supplement. Keep out of reach of children, because iron in supplements can be dangerous to them.
Overdose
Taking too much may cause nausea, vomiting, stomach pain and diarrhoea. Accidental swallowing of many tablets by a child, especially if the product contains iron, is an emergency: go to a hospital with the pack.
Therapeutic Class
Food supplement (herbal extracts with amino acids, vitamins and minerals).
Storage
Store below 30°C in a dry place, away from light and out of the reach of children. Keep the container tightly closed.
Prepared by the Oshud Alo team from standard drug references. For information only; always follow your doctor's advice.