Multi-tabs® Perinatal (Tablets) Instructions for Use
Marketing Authorization Holder
Pfizer Innovations, LLC (Russia)
Manufactured By
Pfizer Consumer Manufacturing Italy, S.R.L. (Italy)
ATC Code
A11AA01 (Multivitamins and Iron)
Dosage Form
 |
Multi-tabs® Perinatal | Film-coated tablets: 30 or 60 pcs. |
Dosage Form, Packaging, and Composition
Film-coated tablets yellow, oval, biconvex.
| 1 tab. | |
| Retinyl acetate (vit. A) | 800 mcg (2666 IU) |
| D-α-tocopherol acetate (vit. E) | 10 mg (14.9 IU) |
| Colecalciferol (vit. D) | 5 mcg (200 IU) |
| Ascorbic acid (vit. C) | 90 mg |
| Thiamine nitrate (vit. B1) | 2.1 mg |
| Riboflavin (vit. B2) | 2.4 mg |
| Pantothenic acid (as calcium pantothenate) (vit. B5) | 9 mg |
| Pyridoxine hydrochloride (vit. B6) | 3 mg |
| Folic acid (vit. Bc) | 400 mcg |
| Cyanocobalamin (vit. B12) | 2 mcg |
| Nicotinamide (vit. PP) | 27 mg |
| Calcium (as carbonate) | 160 mg |
| Magnesium (as oxide) | 75 mg |
| Iron (as fumarate) | 14 mg |
| Copper (as sulfate) | 2 mg |
| Zinc (as oxide) | 15 mg |
| Manganese (as sulfate) | 2.5 mg |
| Iodine (as potassium iodide) | 150 mcg |
| Selenium (as sodium selenate) | 50 mcg |
| Chromium (as chloride) | 50 mcg |
Inactive ingredients included in the active substance components sucrose, gelatin, starch, butylated hydroxytoluene, sodium aluminosilicate, triglycerides, hypromellose, corn starch, maltodextrin, sodium citrate, citric acid, water.
Excipients : microcrystalline cellulose, calcium hydrogen phosphate dihydrate, corn starch, sodium croscarmellose, methylcellulose, Ascorbic acid, magnesium stearate, gelatin, colloidal anhydrous silicon dioxide, glycerol 85%, stearic acid, purified water.
Coating composition hypromellose 3, hypromellose 15, glycerol 85%, titanium dioxide, Riboflavin, talc.
15 pcs. – blisters (2) – cardboard packs.
15 pcs. – blisters (4) – cardboard packs.
50 pcs. – plastic jars (1) – cardboard packs.
100 pcs. – plastic jars (1) – cardboard packs.
Clinical-Pharmacological Group
Multivitamins with macro- and microelements
Pharmacotherapeutic Group
Multivitamin agent + minerals
Pharmacological Action
[I] – Instructions for medical use approved by the Pharmacological Committee of the Ministry of Health of the Russian Federation 24.06.2005
A combined preparation containing a complex of vitamins and minerals.
Insufficient supply of vitamins and minerals in pregnant and lactating women harms the health of the mother and child, is one of the causes of prematurity, congenital malformations, and disorders of physical and mental development in children.
Taking multivitamins during the conception period reduces the risk of serious birth defects, premature birth, and low birth weight by 50% and improves maternal health during pregnancy. Multivitamins and a complex of minerals increase the activity of immune responses and metabolic processes.
B vitamins (Folic acid, vitamin B6 and B12) affect the level of homocysteine in the blood – a risk factor for the development of vascular diseases and pregnancy complications (preeclampsia, fetal hypotrophy, fetal neural tube defect). Additional intake of these vitamins leads to a decrease and normalization of homocysteine levels in the blood.
Deficiency of folic acid in pregnant women is a trigger for the development of miscarriage, partial or complete placental abruption, spontaneous abortion or stillbirth, increases the risk of congenital malformations in the fetus, in particular neural tube defects, hydrocephalus, anencephaly, cerebral hernias.
An optimal amount of iodine during pregnancy is necessary for the formation of the fetal nervous, immune and reproductive systems, as well as for maintaining hormonal balance. Iodine is especially important in the I and II trimesters of pregnancy – the period of formation of the fetal organs and systems, including the thyroid gland.
Zinc is necessary for the normal formation of the fetal skeleton, affects the synthesis of sex hormones, is responsible for the functional state of the insular apparatus, and reduces the likelihood of a number of intrauterine anomalies.
Selenium, due to its antioxidant properties, has a protective effect on the immune system, preventing the formation of free radicals that have a damaging effect on the body.
Indications
- Period of preparation for pregnancy;
- Prevention and treatment of vitamin and mineral deficiency in women during pregnancy and breastfeeding;
- Prevention of congenital malformations of the fetus caused by deficiency of vitamins and minerals.
ICD codes
| ICD-10 code | Indication |
| E50-E64 | Other types of nutritional deficiencies (E50-E64) |
| O25 | Nutritional deficiencies in pregnancy |
| Z39.1 | Care and examination of lactating mother |
| ICD-11 code | Indication |
| 5B7Z | Malnutrition, unspecified |
| JA64 | Nutritional disorders during pregnancy |
| QA48.1 | Care or examination of a nursing mother |
Dosage Regimen
| The method of application and dosage regimen for a specific drug depend on its form of release and other factors. The optimal dosage regimen is determined by the doctor. It is necessary to strictly adhere to the compliance of the dosage form of a specific drug with the indications for use and dosage regimen. |
Take one tablet daily.
Administer with a meal or immediately after food intake to enhance absorption and minimize potential gastrointestinal discomfort.
Swallow the tablet whole with a sufficient amount of water; do not crush or chew.
Initiate supplementation during the preconception period and continue throughout pregnancy and lactation as recommended by a healthcare provider.
Adhere strictly to the one tablet per day dosage; do not exceed this amount.
Concurrent use of other multivitamin or mineral supplements is not recommended to prevent excessive cumulative intake, particularly of fat-soluble vitamins and iron.
If a dose is missed, take it as soon as remembered on the same day. Do not double the dose the following day to compensate.
Store the product in its original packaging, protected from light and moisture, at room temperature not exceeding 25°C (77°F).
Adverse Reactions
Possible allergic reactions.
Contraindications
- Individual intolerance to the components of the drug.
Use in Pregnancy and Lactation
The drug is approved for use in pregnant women.
Special Precautions
During the intake of Multi-tabs® Perinatal, it is not recommended to take other multivitamin preparations to prevent overdose. The specified daily dose should not be exceeded.
Storage Conditions
Store in a dry place out of the reach of children at a temperature not exceeding 25°C (77°F).
Shelf Life
Shelf life – 2 years. Do not use after the expiration date printed on the packaging.
Dispensing Status
Over-the-counter.
Important Safety Information
This information is for educational purposes only and does not replace professional medical advice. Always consult your doctor before use. Dosage and side effects may vary. Use only as prescribed.
Medical Disclaimer![Multi-tabs® Perinatal [Tablets] 1](https://www.medixlife.com/wp-content/uploads/Medixlife_favi_512.png "Multi-tabs® Perinatal [Tablets] 2")