Chronic excessive consumption of Vitamin A may cause liver damage.
Vitamin C should be used with caution in patients with renal failure (risk of oxalate stones), erythrocyte glucose-6-phosphate dehydrogenase (G6PD) deficiency (risk of hemolytic anemia), hemochromatosis, sickle cell anemia and thalassemia.
High doses of Vitamin E (greater than 100 IU) should be used with caution in patients on warfarin.
Vitamin E should be used with extreme caution in those with any lesions that have the tendency to bleed, those with history of hemorrhagic stroke and those with inherited bleeding disorders.
Zinc should be used with caution in patients with kidney disease.
Do not take more than the recommended dose.
Missed Dose: If the patient misses the dose for the day, just give the next dose and the subsequent doses at the usual recommended schedule (i.e once a day). Do not double the dose unless recommended by a physician.
Consult doctor: If any undesirable effect occurs consult a doctor.
Consult a doctor before using this medicine if the patient is pregnant or breastfeeding.
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