Fivita
Generic Name
Multivitamin & Multimineral Preparation
Manufacturer
Square Pharmaceuticals Ltd.
Country
Bangladesh
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Price Details
Current market pricing information
| Variant | Unit Price | Strip Price |
|---|---|---|
| fivita capsule | ৳ 3.51 | ৳ 35.10 |
Description
Overview of the medicine
Fivita capsule is a comprehensive multivitamin and multimineral supplement designed to provide essential nutrients that may be lacking in a regular diet. It helps to support overall health, boost immunity, and maintain vital bodily functions. It's often used to prevent or treat vitamin and mineral deficiencies.
Uses & Indications
Dosage
Adults
Typically, one capsule once daily, or as directed by a physician. Best taken with meals to enhance absorption and reduce gastrointestinal upset.
Elderly
No specific dosage adjustment usually required, but consult a physician, especially if on other medications or with underlying health conditions. Often similar to adult dosage.
Renal_impairment
Use with caution and under medical supervision in severe renal impairment due to potential accumulation of certain minerals or fat-soluble vitamins. Dosage adjustment may be necessary.
Hepatic_impairment
Generally safe, but caution advised in severe hepatic impairment, especially with fat-soluble vitamins that are metabolized in the liver. Consult a physician.
How to Take
Take orally, preferably with a meal and a glass of water, to aid absorption and minimize gastric irritation.
Mechanism of Action
Vitamins and minerals are crucial cofactors for numerous enzymatic reactions, hormones, and neurotransmitters in the body. They play vital roles in energy metabolism, immune function, bone health, nerve function, vision, and antioxidant defense. Fivita supplies these essential micronutrients, ensuring proper cellular function and preventing deficiency-related disorders.
Pharmacokinetics
Onset
Nutritional benefits are gradual and cumulative, typically observed over weeks to months of consistent use.
Excretion
Water-soluble vitamins and excess minerals are primarily excreted via urine. Fat-soluble vitamins and certain minerals (e.g., iron, zinc) can be excreted via bile into feces.
Half life
Highly variable depending on the specific vitamin or mineral. Water-soluble vitamins have short half-lives (hours to days), while fat-soluble vitamins can be stored in the body for longer periods (weeks to months). Minerals also vary significantly.
Absorption
Water-soluble vitamins (B and C) are readily absorbed in the small intestine, while fat-soluble vitamins (A, D, E) require dietary fat and bile salts for absorption. Minerals are absorbed through various active and passive transport mechanisms, primarily in the small intestine.
Metabolism
Water-soluble vitamins are generally not extensively metabolized before excretion. Fat-soluble vitamins undergo metabolism in the liver. Minerals are largely utilized or stored in their elemental forms.
Side Effects
Contraindications
- Hypersensitivity to any component of the capsule.
- Hypervitaminosis (excessive levels of specific vitamins, especially fat-soluble ones).
- Hemochromatosis (iron overload) or other conditions of mineral overload.
- Severe renal or hepatic impairment without medical consultation.
Drug Interactions
Antacids
Can reduce the absorption of iron and other minerals.
Levothyroxine
Iron and calcium can interfere with levothyroxine absorption. Take Fivita several hours apart.
Diuretics (e.g., Thiazides)
May affect mineral excretion (e.g., calcium retention).
Anticoagulants (e.g., Warfarin)
High doses of Vitamin K can counteract the effects of warfarin. Fivita typically contains safe levels, but caution with additional Vitamin K supplements.
Tetracycline and Quinolone Antibiotics
Minerals like iron, calcium, and zinc can chelate these antibiotics, reducing their absorption. Take Fivita at least 2-4 hours before or after these antibiotics.
Storage
Store below 30°C in a dry place, protected from light. Do not freeze.
Overdose
Acute overdose is rare with standard multivitamin formulations. Chronic overdose, especially of fat-soluble vitamins (A, D, E) and certain minerals (Iron, Zinc), can lead to toxicity (e.g., hypervitaminosis A, hypercalcemia, iron overload). Symptoms may include nausea, vomiting, headache, fatigue, and severe organ damage. Management involves discontinuing the supplement and supportive care.
Pregnancy & Lactation
Often recommended during pregnancy and lactation to meet increased nutritional demands, but always consult a physician or obstetrician before taking any supplement. Specific prenatal formulations may be more appropriate.
Side Effects
Contraindications
- Hypersensitivity to any component of the capsule.
- Hypervitaminosis (excessive levels of specific vitamins, especially fat-soluble ones).
- Hemochromatosis (iron overload) or other conditions of mineral overload.
- Severe renal or hepatic impairment without medical consultation.
Drug Interactions
Antacids
Can reduce the absorption of iron and other minerals.
Levothyroxine
Iron and calcium can interfere with levothyroxine absorption. Take Fivita several hours apart.
Diuretics (e.g., Thiazides)
May affect mineral excretion (e.g., calcium retention).
Anticoagulants (e.g., Warfarin)
High doses of Vitamin K can counteract the effects of warfarin. Fivita typically contains safe levels, but caution with additional Vitamin K supplements.
Tetracycline and Quinolone Antibiotics
Minerals like iron, calcium, and zinc can chelate these antibiotics, reducing their absorption. Take Fivita at least 2-4 hours before or after these antibiotics.
Storage
Store below 30°C in a dry place, protected from light. Do not freeze.
Overdose
Acute overdose is rare with standard multivitamin formulations. Chronic overdose, especially of fat-soluble vitamins (A, D, E) and certain minerals (Iron, Zinc), can lead to toxicity (e.g., hypervitaminosis A, hypercalcemia, iron overload). Symptoms may include nausea, vomiting, headache, fatigue, and severe organ damage. Management involves discontinuing the supplement and supportive care.
Pregnancy & Lactation
Often recommended during pregnancy and lactation to meet increased nutritional demands, but always consult a physician or obstetrician before taking any supplement. Specific prenatal formulations may be more appropriate.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
2 to 3 years from manufacturing date
Availability
Available in pharmacies nationwide
Approval Status
Approved by regulatory authorities (e.g., DGDA)
Patent Status
Generic (not patented)
Clinical Trials
While specific clinical trials for 'Fivita-Capsule' are limited, the efficacy of its individual vitamin and mineral components in addressing deficiencies and supporting health is well-established through extensive research.
Lab Monitoring
- Generally not required for routine multivitamin use. In cases of suspected deficiency or toxicity, specific vitamin/mineral levels may be monitored (e.g., Vitamin D, Iron, Ferritin).
Doctor Notes
- Educate patients on the importance of a balanced diet alongside supplementation.
- Advise caution regarding interactions with other medications, particularly for elderly or polymedicated patients.
- Monitor for signs of hypervitaminosis or mineral toxicity in patients on high-dose or prolonged supplementation.
Patient Guidelines
- Take as directed by your doctor or pharmacist.
- Do not exceed the recommended dose to avoid potential toxicity.
- Store in a cool, dry place away from direct sunlight.
- Keep out of reach of children.
Missed Dose Advice
If you miss a dose, take it as soon as you remember. If it's almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose.
Driving Precautions
Fivita capsule is not known to affect the ability to drive or operate machinery.
Lifestyle Advice
- While Fivita helps supplement nutrients, it should not replace a balanced and healthy diet rich in fruits, vegetables, and whole grains.
- Maintain adequate hydration.
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