Multivitamins are a combination of many different vitamins that are normally found in foods and other natural sources.

Iron is a mineral that helps maintain your body's red blood cells.

Fluoride helps prevent tooth decay in people who have a low level of fluoride in their drinking water. In most major U.S. communities, fluoride is put into the water supply.

Multivitamin with iron and fluoride is a combination medicine used in infants and children who do not get enough fluoride in their drinking water.

Multivitamin with iron and fluoride may also be used for purposes not listed in this medication guide.

An overdose of iron can be fatal to a child younger than 6 years old.

Do not use this medicine without a doctor's advice. Check with your local water department if you are unsure about the level of fluoride in the drinking water.

Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.

Do not use this medicine without a doctor's advice.

Take your medicine with a full glass of water.

The chewable tablet must be chewed before you swallow it.

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 liquid medicine with 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.

Brush your teeth regularly, and visit a dentist every 6 months. Taking multivitamin with iron and fluoride is not a replacement for good oral hygiene and routine dental checkups.

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

Do not use multivitamin with iron and fluoride if there is enough fluoride in your drinking water (0.6 parts per million or higher). Check with your local water department if you are unsure. Getting too much fluoride can cause a condition that can permanently damage teeth or other cells in the body.

Before you use multivitamin with iron and fluoride, tell your doctor about all your medical conditions or allergies.

It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. Your dose needs may be different during pregnancy.

Multivitamin with iron and fluoride can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby. Your dose needs may be different while you are nursing.

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

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of iron can be fatal to a child younger than 6 years old.

Avoid using other multivitamins or mineral supplements that also contain iron. Getting too much iron can cause serious medical problems.

Calcium can make it harder for your body to absorb all the nutrients in multivitamin with iron and fluoride. For at least 2 hours before or 2 hours after you take multivitamin with iron and fluoride:

• do not drink milk or eat dairy products; and

• do not take calcium supplements, or antacids that contain calcium.

Avoid taking any other multivitamin product unless your doctor tells you to.

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

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

In rare cases, multivitamin with iron and fluoride may discolor your tooth enamel. This has occurred mainly with large doses or long-term use. Stop using multivitamin with iron and fluoride and call your dentist or doctor at once if you notice any change in the appearance of your teeth.

Less serious side effects may be more likely, and you may have none at all.

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.

Other drugs may interact with multivitamin with iron and fluoride, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.