Vitamins and Fluoride (Systemic)

Before Using This Dietary Supplement

In deciding to use a dietary supplement, the risks of taking the dietary supplement must be weighed against the good it will do. This is a decision you and your medical doctor or dentist will make. For multiple vitamins and fluoride, the following should be considered:

Allergies - Tell your medical doctor or dentist if you have ever had any unusual or allergic reactions to fluoride. Also, tell your medical doctor, dentist, and pharmacist if you are allergic to any other substances, such as foods, preservatives, or dyes.

Pregnancy - Fluoride occurs naturally in water and has not been shown to cause problems in infants of mothers who drank fluoridated water or took recommended doses of supplements.

Breast-feeding - Small amounts of fluoride pass into breast milk; however, problems have not been documented with normal intake.

Children - Doses of fluoride that are too large or are taken for a long time may cause bone problems and teeth discoloration in children.

Older adults - This dietary supplement has not been shown to cause different side effects or problems in older people than it does in younger adults.

Medicines or other dietary supplements - Although certain medicines or dietary supplements should not be used together at all, in other cases they may be used together even if an interaction might occur. In these cases, your medical doctor or dentist may want to change the dose, or other precautions may be necessary. When you are taking multiple vitamins and fluoride it is especially important that your medical doctor or dentist, and pharmacist know if you are taking any of the following:

• Anticoagulants, coumarin- or indandione-derivative (blood thinners) - Use with vitamin K (in the multiple vitamins and fluoride preparations) may prevent the anticoagulant from working properly

• Iron supplements - Use with vitamin E (in the multiple vitamins and fluoride preparation) may prevent the iron supplement from working properly

• Vitamin D and related compounds - Use with vitamin D (in the multiple vitamins and fluoride preparations) may cause high blood levels of vitamin D, which may increase the chance of side effects

Other medical problems - The presence of other medical problems may affect the use of multiple vitamins and fluoride. Make sure you tell your medical doctor or dentist if you have any other medical problems, especially:

• Dental fluorosis (teeth discoloration) - Fluorides may make this condition worse