Multimax® for pregnant and nursing (Tablets) Instructions for Use
Marketing Authorization Holder
Unipharm, Inc. (USA)
ATC Code
A11AB (Multivitamins in combination with other drugs)
Dosage Form
| Multimax® for pregnant and nursing | Coated tablets: 30, 60, 90, or 120 pcs. |
Dosage Form, Packaging, and Composition
| Film-coated tablets | 1 tab. |
| α-Tocopherol acetate | 15 mg |
| Ascorbic acid | 60 mg |
| Biotin | 20 mcg |
| Iron (in the form of fumarate) | 18 mg |
| Iodine (in the form of potassium iodide) | 200 mcg |
| Calcium (in the form of carbonate) | 50 mg |
| Pantothenic acid (in the form of calcium pantothenate) | 10 mg |
| Colecalciferol | 6.25 mcg |
| Magnesium (in the form of oxide) | 25 mg |
| Manganese (in the form of sulfate monohydrate) | 3 mg |
| Copper (in the form of oxide) | 2 mg |
| Molybdenum (in the form of sodium molybdate) | 25 mcg |
| Nicotinamide | 20 mg |
| Pyridoxine hydrochloride | 5 mg |
| Retinyl acetate | 1600 IU |
| Riboflavin | 2 mg |
| Selenium | 20 mcg |
| Thiamine mononitrate | 2 mg |
| Folic acid | 400 mcg |
| Chromium | 25 mcg |
| Cyanocobalamin | 5 mcg |
| Zinc (in the form of oxide) | 10 mg |
30 pcs. – polyethylene bottles (1) – cardboard packs.
30 pcs. – contour cell packs (1) – cardboard packs.
30 pcs. – contour cell packs (2) – cardboard packs.
30 pcs. – contour cell packs (3) – cardboard packs.
30 pcs. – contour cell packs (4) – cardboard packs.
Clinical-Pharmacological Group
Multivitamins with macro- and microelements
Pharmacotherapeutic Group
Multivitamin agent + multimineral
Pharmacological Action
A complete complex of 12 vitamins and 10 minerals.
It ensures the replenishment of vitamin and mineral deficiencies in a woman’s body during pregnancy planning, pregnancy, and the breastfeeding period. The pharmacological action of the drug is determined by the properties of its constituent vitamins and minerals.
Indications
- Prevention of hypovitaminosis and mineral deficiency during pregnancy planning, pregnancy, and the breastfeeding period.
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 orally once daily.
Administer the tablet after breakfast to enhance tolerability and absorption.
Swallow the tablet whole with a full glass of water; do not chew or crush.
Initiate supplementation during the preconception period and continue throughout pregnancy.
Continue daily intake during the entire postpartum period while breastfeeding.
Adhere strictly to the recommended daily dose of one tablet.
Do not exceed the stated dosage without specific medical instruction.
Concurrent use with other vitamin-mineral complexes is not recommended without physician approval.
Consult a healthcare professional before use if you have any pre-existing medical conditions.
Discontinue use and seek medical advice if any adverse reactions occur.
Adverse Reactions
Allergic reactions to the components of the drug are possible.
Urine may turn an intense yellow color, which is not dangerous as it is due to the presence of riboflavin in the drug’s composition.
Contraindications
- Increased individual sensitivity to the components of the drug.
Use in Pregnancy and Lactation
It is recommended for women during pregnancy planning, pregnancy, and the breastfeeding period.
Special Precautions
Do not exceed the recommended dosage.
Do not use simultaneously with other medicines containing vitamins and minerals without a doctor’s prescription.
Overdose
Symptoms: nausea, weakness, visual disturbances, gastrointestinal disorders.
Treatment: activated charcoal orally, gastric lavage, symptomatic treatment. In case of overdose, it is necessary to consult a doctor.
Drug Interactions
The drug contains Iron and Calcium and therefore may delay the intestinal absorption of antibiotics from the tetracycline group, as well as fluoroquinolone derivatives.
Vitamin C enhances the action and side effects of antimicrobial agents from the sulfonamide group (including the appearance of crystals in urine).
Antacid preparations containing aluminum, Magnesium, Calcium reduce iron absorption.
When prescribed simultaneously with diuretics from the thiazide group, the likelihood of hypercalcemia increases.
Storage Conditions
Store the drug in a dry place at a temperature of 10-30°C (50-86°F). Keep out of reach of children.
Shelf Life
Shelf life – 5 years. Do not use after the expiration date.
Dispensing Status
The drug is approved for use as an over-the-counter product.
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