Floriva

Multivitamins provide important vitamins and minerals that might not be consumed through diet.

Fluoride helps make tooth enamel stronger, which can help stop dental cavities. In many large U.S. communities, fluoride is added to the water supply.

Floriva are used as a supplement for infants and children who do not get enough fluoride from their drinking water. Floriva are also used to help prevent tooth decay in people receiving radiation treatment, which can lead to dry mouth and a higher risk of tooth decay.

Floriva may also be used for reasons not mentioned in this medication guide.

Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Taking in too much fluoride can cause an irreversible condition called fluorosis. This condition can permanently damage teeth and possibly other cells in the body.

The chewable tablet must be chewed or allowed to dissolve in the mouth before swallowing it. You may also allow the tablet to dissolve in drinking water, fruit juice, or infant formula (but not milk or other dairy products).

Do not give a chewable tablet to a child younger than 4 years old. The child may choke on the tablet. Use only liquid forms of this medicine in young children.

Measure the liquid form of multivitamins with fluoride using the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.

The liquid may also be mixed with water, fruit juice, or infant formula.

It is important to take Floriva regularly to get the most benefit.

Be sure that a child using this medicine is not taking in extra amounts of fluoride by swallowing toothpaste, or drinking water from sources that contain adequate levels of fluoride.

Brush teeth regularly, at least two times each day or after meals. This will help prevent tooth discoloration.

Many multivitamin products also contain minerals such as calcium, magnesium, potassium, and zinc. Minerals (especially taken in large doses) can cause side effects such as tooth staining, increased urination, stomach bleeding, uneven heart rate, confusion, and muscle weakness or limp feeling. Read the label of any multivitamin product you take to make sure you are aware of what it contains.

Store in the original container at room temperature away from moisture and heat. Do not allow the liquid to freeze.

Do not use this medicine without talking to a doctor. You should not use Floriva if the fluoride level in your drinking water is adequate (0.6 parts per million or higher). Check with your local water department if you are unsure about the fluoride level in your drinking water.

Getting too much fluoride can lead to an irreversible condition that can permanently harm teeth and possibly other cells in the body.

Get emergency medical help if you think you have used too much of this medicine. An overdose of certain vitamins or minerals found in a multivitamin can lead to serious or life-threatening side effects.

Do not use Floriva without your doctor's advice. Floriva should not be used if the fluoride level in your drinking water is adequate (0.6 parts per million or higher). Check with your local water department if you are unsure about the fluoride level in your drinking water.

Your vitamin and mineral needs may change during pregnancy. It is not known if fluoride will harm an unborn baby. Do not use this medicine without your doctor's advice if you are pregnant.

Your dose may also be different while you are nursing. Do not use this medicine without your doctor's advice if you are breast-feeding a baby.

Do not give this medicine to a child without medical advice.

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

When taken as directed, multivitamins are not expected to cause serious side effects.

Fluoride may cause the tooth enamel to become discolored. This is a rare side effect that has mainly occurred with large doses or long-term use of multivitamins with fluoride. Stop using Floriva and call your dentist or doctor right away if you notice any change in the appearance of your teeth.

Common side effects of Floriva may include:

• upset stomach;
• headache; or
• weakness.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Take the missed dose as soon as you remember. If it is almost time for your next scheduled dose, skip the missed dose. Do not take extra medicine to make up for the missed dose.

Seek emergency medical help or call the Poison Help line at 1-800-222-1222, especially if a child has accidentally swallowed Floriva.

Taking too much of vitamins A, D, E, or K can lead to serious or life-threatening problems. Iron and other minerals in a multivitamin can also cause serious overdose symptoms.

Overdose symptoms may include severe stomach pain, vomiting, bloody diarrhea, coughing up blood, constipation, loss of appetite, hair loss, peeling skin, warmth or a tingly feeling, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine or stools, black and tarry stools, pale skin, easy bruising or bleeding, weakness, shallow breathing, weak and rapid pulse, pale skin, blue lips, and seizures (convulsions).

Avoid taking any other multivitamin product within 2 hours before or after you take Floriva. Taking similar vitamin products together at the same time can lead to a vitamin overdose or serious side effects.

Also avoid taking an antibiotic medicine within 2 hours before or after you take Floriva. This is especially important if you are taking an antibiotic.

Do not take this medicine with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the multivitamin.

Other drugs may interact with multivitamins with fluoride, including prescription and over-the-counter medicines, vitamins, and herbal products. Inform each of your health care providers about all medicines you are currently using and any medicines you begin or stop using.