Composition, form of production and packaging
? The tablets covered with a cover of light yellow, orange, green or reddish-brown color, round, biconcave; inclusions are allowed.
retinol palmitate (Vitamin A) 600 IU
Colcalciferol (Vit. D 3 ) 80 IU
ascorbic acid (vit C.) 10 mg
thiamine mononitrate (Vit B 1 ) 250 Ојg
riboflavin (Vit B 2 ) 300 Ојg
calcium pantothenate (Vit B 5 ) 1.2 mg
pyridoxine hydrochloride (Vit B 6 ) 300 Ојg
Folic acid (Vit B c ) 40 Ојg
cyanocobalamin (Vit B 12 ) 0.2 Ојg
nicotinamide (vit. PP) 3 mg
calcium (in the form of hydrophosphate) 12.5 mg
phosphorus (in the form of hydrophosphate) 10 mg
Auxiliary substances: mannitol, raspberry flavor, polysorbate 80, glycerol, castor oil, maltitol (in the form of 75% of r-ra), magnesium stearate, emulsion wax (Capol 600 Pharma), povidone, silicon dioxide colloidal anhydrous, maltitol, butylhydroxyanisole and butylhydroxytoluene (in the retinol palmitate), D, L -? - tocopherol and triglycerides medium-chain (in the composition of colcalciferol).
1 tablet of yellow color additionally contains: titanium dioxide (E171) and beta-carotene 1% CWS (E 160a).
1 orange tablet additionally contains: titanium dioxide (E 171) and betakarotene 10% CWS (E 160a).
1 tablet of green color additionally contains: dye indigocarmine (E 132), dye quinoline yellow (E104), titanium dioxide (E171).
1 tablet of red color additionally contains: iron dye red oxide (E 172).
10 pieces. - blisters (3) - packs of cardboard.
INSTRUCTION FOR THE SPECIALIST.
Description of the drug approved by the manufacturer for the printed edition of 2013.
Multivitamins with macro elements. Pikovit В® D contains the 10 most important vitamins, as well as calcium and phosphorus.
B group vitamins (B1, B2, B6, B12, pantothenic acid and nicotinamide) are involved in the metabolism of carbohydrates, proteins and fats.
Folic acid (vitamin B c ) is inactive, but in the body it is converted into biologically active coenzyme - tetrahydrofolic acid, which is necessary for the biosynthesis of nucleic acids. It enhances growth and is involved in the ripening of red blood cells. Folic acid is involved in the formation and regeneration of platelets and their functions.
Retinol (vitamin A) is necessary for the development of epithelial cells and the synthesis of visual pigment.
РљРѕР»РµРєР°Р»СЊС†РёС„РµСЂРѕР» (vitamin D) participates in an exchange of calcium and promotes correct mineralization of bones and a teeth.
Ascorbic acid (vitamin C) accelerates the absorption of iron and takes part in many oxidation-reduction processes in the body.
Calcium and phosphorus play a key role in the mineralization of bones and teeth. Calcium ions activate numerous enzymes, they take part in regulating the tone of the heart muscle, in the transmission of nerve impulses and regulate the permeability of cell membranes.
Water-soluble vitamins (B vitamins, vitamin C and biotin) are well absorbed in amounts corresponding to the daily needs of the organism. The amounts exceeding the saturation level of the tissues are excreted by the kidneys and, to a lesser extent, through the gastrointestinal tract.
After ingestion, fat-soluble vitamins A and D are well absorbed from the small intestine in the presence of fats. Higher amounts of fat-soluble vitamins accumulate in the liver and, therefore, are more toxic than water-soluble vitamins.
Vitamin-mineral tablets Pikovit В® D do not contain sugar.
The preparation contains sweeteners maltitol and mannitol, which do not adversely affect the teeth.
Conditions accompanied by an increased need in children in vitamins, calcium and phosphorus:
- decrease or absence of appetite;
- fatigue in children of school age;
- as an auxiliary therapy for the administration of antibiotics;
- Inadequate and unbalanced nutrition (including as a result of insufficient consumption of fresh vegetables and fruits).
The use of the drug in children under the age of 14 years - on the advice of a doctor.
At children in the age of 4 till 6 years apply on 1 tab. 4-5 times / day.
In children aged 7 to 14 years old , 1 tablet is used. 5-7 times / day.
Tablets should be kept in the mouth until completely dissolved.
The duration of the course of treatment is 1 month. The need for longer use of the drug is determined by the doctor.
Allergic reactions are possible. In such cases, stop using the drug and consult a doctor.
Due to the presence of picovit В® D 0.9 g of maltitol in doses exceeding the recommended ones, it is possible to develop diarrhea.
- hypervitaminosis A;
- hypervitaminosis D;
- renal failure of severe degree (CK <30 ml / min);
- Children's age up to 4 years;
- Hypersensitivity to the components of the drug.
PREGNANCY AND LACTATION
Data on the use of the drug during pregnancy and during breastfeeding are not provided.
APPLICATION FOR FUNCTIONS OF THE LIVER
Contraindicated use of the drug in severe renal failure (CC <30 ml / min).
APPLICATION FOR CHILDREN
Contraindication: children under 4 years. The use of the drug in children under the age of 14 years - on the advice of a doctor.
Do not give children higher doses than recommended.
Long-term use of the drug in high doses can cause hypervitaminosis A and D, although the likelihood of an overdose is minimal.
If you want to use other multivitamin-mineral complexes at the same time, you should consult your doctor.
Patients with diabetes mellitus may take Pikovit В® D. But remember that 1 tablet contains 0.9 g of maltitol, i.e. The daily dose is 3.6-6.3 g of maltitol. For the metabolism of maltitol, insulin is needed, although due to slow hydrolysis and absorption in the digestive tract, the need for insulin is small. The energy value of maltitol (10 kJ / g or 2.4 kcal / g) is less than in sucrose.
Symptoms: with prolonged use of the drug (> 1 month) in high doses, hypervitaminosis A and D is possible. With prolonged use of vitamin B 6 in high doses, peripheral neuropathy is possible. Mannitol and maltitol are not absorbed enough in the digestive tract and can cause diarrhea and flatulence in high doses. The laxative effect develops when taking maltitol> 60 g / day (66 tablets, coated) or mannitol> 10 g / day (68 tablets, coated).
Treatment: symptomatic therapy.
Data on drug interaction of the drug are not provided.
TERMS OF RELEASE FROM PHARMACY
The drug is approved for use as a means of OTC.
TERMS AND CONDITIONS OF STORAGE
The drug should be stored out of reach of children, dry, protected from light at a temperature of no higher than 30 В° C. Shelf life - 3 years.