Vitrum^® Circus (Tablets) Instructions for Use

Marketing Authorization Holder

Unipharm, Inc. (USA)

ATC Code

A11BA (Multivitamins)

Dosage Form

Vitrum^® Circus

Chewable tablets: 30 or 100 pcs.

Dosage Form, Packaging, and Composition

Chewable tablets	1 tab.
α-Tocopherol acetate	15 IU
Iron (as fumarate)	15 mg
Colecalciferol	400 IU
Sodium ascorbate	60 mg
Nicotinamide	13.5 mg
Pyridoxine hydrochloride	1.05 mg
Retinol acetate	2.5 thousand IU
Riboflavin	1.2 mg
Thiamine mononitrate	1.05 mg
Folic acid	300 mcg
Cyanocobalamin	4.5 mcg

30 pcs. – polyethylene bottles (1) – cardboard packs.
100 pcs. – polyethylene bottles (1) – cardboard packs.

Clinical-Pharmacological Group

Multivitamins with microelements

Pharmacotherapeutic Group

Multivitamin agent + multimineral

Pharmacological Action

The description of the drug is given in strict accordance with the text of the instructions approved by the Pharmacological Committee of the Ministry of Health of the Russian Federation dated February 22, 2001, protocol No. 2.

An agent affecting metabolic processes. A combined preparation containing multivitamins and Iron in specially selected doses that correspond to the needs of the child’s body. The pharmacological action of the drug is determined by the properties of its constituent ingredients.

Indications

Prevention and treatment of hypovitaminosis and iron deficiency in children during periods of intensive growth;
Increased need for vitamins and iron during high mental and physical stress;
Unbalanced or inadequate nutrition;
During the recovery period after illnesses.

ICD codes

Open the list of ICD codes

ICD-10 code	Indication
E50-E64	Other types of nutritional deficiencies (E50-E64)
E61.1	Iron deficiency
E63.1	Disparate intake of food elements
Z54	Convalescence
Z73.0	Burn-out
Z73.3	Stress, not elsewhere classified (physical and mental strain)

ICD-11 code	Indication
5B5K.0	Iron deficiency
5B7Z	Malnutrition, unspecified
QB7Z	Convalescence, unspecified
QD85	Burn-out
QE01	Stress, not elsewhere classified

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.

Administer orally, strictly after a meal to enhance tolerability and absorption.

For children aged 2 to 4 years, prescribe one chewable tablet per day.

For children over 4 years of age, the dosage is one to two chewable tablets per day, as determined by the physician based on the child’s nutritional status and clinical need.

Instruct the child to chew the tablet thoroughly before swallowing; do not swallow whole.

The duration of therapy is determined individually by the attending physician, based on the indication and treatment response.

Do not exceed the recommended daily dosage to avoid the risk of vitamin accumulation or iron overload.

Concurrent long-term use with other multivitamin or iron-containing preparations is not recommended due to the potential for cumulative toxicity of fat-soluble vitamins (A, D, E) and iron.

Monitor for potential adverse reactions, including allergic responses or darkening of stool, which is a harmless and expected effect.

Adverse Reactions

Allergic reactions to any of the components of the drug are possible. Stool may turn dark in color.

Contraindications

Hypersensitivity to any of the components of the drug.

Pediatric Use

Use is possible in children over 2 years of age according to the dosing regimen.

Special Precautions

Do not exceed the recommended dosage. It is not recommended to use Vitrum^® Circus for a long time with other medicines containing these vitamins and Iron, as accumulation and, consequently, an overdose of vitamins A, D, E, or iron is possible.

Storage Conditions

Store at 2°C (36°F) to 25°C (77°F). Keep in original packaging, protected from light. Keep out of reach of children.

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