Enervon Z+

Prevention & treatment of vit & mineral deficiencies.

1 tab once daily.

May be taken with or without food.

Hypersensitivity.

Headache, paresthesia; nausea; sleepiness; flushing; heartburn, vomiting; blurred vision; diarrhea; flatulence; abdominal pain/intestinal cramps. Riboflavin (vit B₂): Yellow-orange urine discoloration. Niacinamide: Hunger pain, syncope, vasovagal attack; tachycardia; abdominal distention; increased sebaceous gland activity, pruritus. Pyridoxine HCl (vit B₆): Allergic reaction; increased serum AST; decreased serum folic acid conc. Na ascorbate (vit C): Hemolysis (after large oral doses of vit C in patients w/ G6PD deficiency); delayed-type allergic response; insomnia; abdominal cramps, esophagitis (rare), flatulent distention, gastric discomfort, intestinal obstruction (rare), nausea, transient colic. Increased urination (mild), kidney stone formation; erosion of dental enamel. d-α-tocopheryl acid succinate (vit E): Gonadal dysfunction, thyroid problems; emotional disturbances; dizziness; HTN, thrombophlebitis; rash; myopathy; creatinuria; breast soreness/gynecomastia; fatigue/weakness; decreased serum thyroxine & triiodothyronine; increased serum creatinine kinase, serum cholesterol, triglycerides, urinary estrogens & androgens. Zn: Loss of appetite; drowsiness; metallic taste; gastritis, GI discomfort/irritation.

Niacinamide: May decrease carbamazepine clearance. Pyridoxine HCl (vit B₆): Reversed effects of l-dopa. Decrease serum level of phenobarb & phenytoin. May enhance amiodarone-induced photosensitivity reactions. Na ascorbate (vit C): Increased risk of Al toxicity w/ antacids. Increased urinary excretion of ascorbic acid & decreased excretion of aspirin. May interfere w/ alcohol-disulfiram reaction. Decreases plasma level of fluphenazine. May accelerate excretion of mexiletine. Increases apparent t_¹/2 w/ paracetamol. Reduced blood levels w/ OCs (containing estrogens). Decreased anticoagulant effect of warfarin. D-α-tocopheryl acid succinate (vit E): May result in hemorrhage w/ anticoagulants. May potentiate effects of antiplatelets (eg, aspirin, clopidogrel, ticlopidine) & herbs w/ antithrombotic activity (eg, garlic & ginkgo). Lowered plasma levels w/ anticonvulsants (eg, phenobarb, phenytoin, carbamazepine) & OCs. May decrease/impair absorption w/ cholestyramine, colestipol, INH, mineral oil, neomycin, orlistat, or sucralfate. May reduce the requirement for digoxin & insulin. May decrease antioxidative effect of a supplement containing vit E. Enhanced side effects of some drugs (eg, amiodarone, ciclosporin, & zidovudine). Zn: Decreased absorption w/ quinolone antibiotics (eg, ciprofloxacin, levofloxacin, ofloxacin) & tetracyclines (eg, doxycycline). Decreased absorption w/ bisphosphonates (eg, alendronate, etidronate, risedronate). Additive effects w/ cholesterol medicines. Inhibits absorption w/ Cu & Fe. Reduce absorption of penicillamine. Reduced absorption w/ caffeine or tea, high levels of P, Ca (dairy), phytates (eg, bran, brown bread), or folic acid.

Vitamins &/or Minerals

A11JB - Vitamins with minerals ; Used as dietary supplements.
A11BA - Multivitamins, plain ; Used as dietary supplements.

Non-Rx