Vivacia Multi A-Z (Tablets) Instructions for Use

Marketing Authorization Holder

Artelar, LLC (Russia)

Manufactured By

Maryvery, Limited (UK)

Dosage Form

Vivacia Multi A-Z

Tablets: 60 pcs.

Dosage Form, Packaging, and Product Composition

Tablets weighing 715 mg.

* extract of orange tree fruits (Citrus sinensis) from 40 mg of extract 2:1.
^# recommended intake norm.

60 pcs. – bottles (1).

Therapeutic Category

Dietary supplement – additional source of vitamins and minerals

Indications

• For individuals with increased physical and mental stress to support metabolic processes and energy production.
• To help compensate for vitamin and mineral deficiencies associated with an unbalanced or inadequate diet.
• As an adjunct to support overall health and well-being during periods of seasonal immune system challenges.
• For individuals in need of supplemental intake of iron, B vitamins, and antioxidants such as vitamins C, E, and alpha-lipoic acid.

It is important to understand that this dietary supplement is not a medicine and is not intended for the diagnosis, treatment, or prevention of any disease. Its use should be part of a balanced lifestyle.

Contraindications

• Individual hypersensitivity or allergy to any of the components of the dietary supplement, including the active ingredients or excipients.
• Pregnancy and breastfeeding without prior consultation with a healthcare professional, due to the specific vitamin A content and other components whose safety in these periods requires medical supervision.
• Patients with hemochromatosis, Wilson’s disease, or other conditions involving impaired metabolism of iron or copper, as the product contains these minerals.
• Children and adolescents under the age of 18, as the safety and efficacy for this age group have not been established for this formulation.
• Concomitant use with other vitamin-mineral complexes or supplements containing vitamins A, D, E, K, iron, or other fat-soluble vitamins to avoid the risk of cumulative overdose.

Before starting use, it is strongly recommended to consult with a physician or pharmacist, especially in the presence of any chronic diseases or ongoing medication therapy.

Dosage Regimen

The recommended dosage for adults is one tablet once daily, taken with a meal. Swallow the tablet whole with a sufficient amount of water (approximately 150-200 ml). Do not chew or crush the tablet.

The duration of continuous use should not exceed one to two months. If there is a need for a repeated course, a break of several weeks is recommended. The specific duration of use should be determined based on individual needs and preferably under the guidance of a healthcare specialist.

Strictly adhere to the recommended dosage. Exceeding the stated dose does not enhance the beneficial effects and may increase the risk of adverse reactions. The supplement is intended for use as part of a balanced and varied diet and is not a substitute for a healthy lifestyle.

Adverse Reactions

Vivacia Multi A-Z is generally well-tolerated when used at the recommended dosage. However, in rare cases, or in individuals with particular sensitivity, the following adverse reactions may occur, primarily associated with the gastrointestinal tract or allergic manifestations.

Gastrointestinal disturbances such as nausea, epigastric discomfort, constipation, or diarrhea may occur, especially if the tablet is taken on an empty stomach. These symptoms are usually mild and transient. Allergic reactions, including skin rash, itching, urticaria, and redness, are possible in predisposed individuals.

Due to the content of riboflavin (vitamin B2), a harmless change in urine color to a bright yellow may be observed, which is a normal physiological phenomenon and does not require discontinuation of the supplement. If any persistent or severe adverse reactions occur, discontinue use immediately and seek medical advice.

Drug Interactions

The components of Vivacia Multi A-Z may interact with certain medications, potentially altering their effectiveness or increasing the risk of side effects. It is crucial to inform your doctor about all the medications and supplements you are taking.

Iron contained in the supplement can reduce the absorption of tetracycline and fluoroquinolone antibiotics, levodopa, levothyroxine, and bisphosphonates. To minimize this interaction, take the supplement at least 2-3 hours before or after taking these medications.

Vitamin K (phytomenadione) may antagonize the effect of oral anticoagulants like warfarin, potentially reducing their anticoagulant efficacy. Patients on such therapy should use this supplement with caution and under strict medical supervision with regular monitoring of INR (International Normalized Ratio).

Fat-soluble vitamins (A, D, E, K) are better absorbed when taken with food. The minerals calcium, magnesium, zinc, and iron can interfere with the absorption of each other and with certain medications; maintaining a time interval is the primary strategy to manage these interactions.

Overdose

Acute overdose with a single ingestion of a very large number of tablets is unlikely but could lead to symptoms associated with hypervitaminosis of fat-soluble vitamins (A, D, E, K) and iron toxicity. Symptoms of vitamin A overdose may include severe headache, dizziness, blurred vision, nausea, and peeling of the skin. Iron overdose is particularly dangerous and can cause abdominal pain, bloody diarrhea, vomiting, lethargy, and in severe cases, metabolic acidosis, shock, and liver damage.

Chronic overdose resulting from prolonged intake of doses exceeding the recommended one is more common. This can lead to the accumulation of fat-soluble vitamins (especially A and D) and minerals like copper, selenium, and iron, causing toxic effects. Symptoms may include bone and joint pain, hair loss, dry skin, liver function abnormalities, and neurological symptoms.

In case of suspected overdose, immediately discontinue use and seek urgent medical attention. Treatment is symptomatic and supportive. Gastric lavage may be considered if ingestion was recent. Specific antidotes, such as deferoxamine for iron poisoning, may be used in a hospital setting. Keep the product out of reach of children to prevent accidental ingestion.

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.