Capsule: Nicotinamide (Vitamin B3) in large doses should be used with caution in patients with gallbladder disease or diabetes. Nicotinamide may elevate uric acid levels, use with caution in patients predisposed to gout. Nicotinamide should be avoided in most patients with severe peptic ulcer.
Vitamin D should be used with caution in patients with impairment of renal function and the effect on calcium and phosphate levels should be monitored.
Administration of vitamin A in patients with renal disease is contraindicated as the clearance of vitamin A is low, which may lead to vitamin A toxicity.
Buclizine may cause drowsiness and patients taking the drug should be cautioned against engaging in activities like driving and use of machineries.
Oral iron preparation may cause gastrointestinal irritation and abdominal pain with nausea, vomiting, diarrhea, or constipation. Administration of iron for more than six months should be avoided except in patients with continued bleeding, menorrhagia, or repeated pregnancies; avoid in patients with peptic ulcer, enteritis, or ulcerative colitis.
Use cautiously in long-term therapy.
Do not take more than the recommended dose. Keep out of reach of children as overdose may be fatal.
Syrup: Do not take more than the recommended dosage unless prescribed by a physician.
Keep out of reach of children as overdose may be fatal.
When should a patient consult a doctor: Consult the doctor if the patient experiences any undesirable effects. (See Adverse Reactions.)
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