Instructions

Chew the pill and swallow.

It is better to take this medicine on an empty stomach. However, if the medicine is not tolerated well, it may be taken with food.

Do not eat or drink for 30 minutes after taking this medicine.

Store at room temperature in a dry place. Do not keep in the bathroom.

Keep the medicine away from heat and light.

Do not take any antacid or vitamins with magnesium or aluminum for 2 hours before and 2 hours after taking this medicine.

This medicine can reduce the absorption of other medicines. Talk to your doctor or pharmacist about the best times to use this product.

It is important that you keep taking each dose of this medicine on time even if you are feeling well.

If you forget to take a dose on time, take it as soon as you remember. If it is almost time for the next dose, do not take the missed dose. Return to your normal schedule. Do not take 2 doses at one time.

Drug interactions can change how medicines work or increase risk for side effects. Tell your health care providers about all medicines taken. Include prescription and over-the-counter medicines, vitamins, and herbal medicines. Speak with your doctor or pharmacist before starting or stopping any medicine.

Speak with your doctor or pharmacist before starting any other vitamins.

Visit your dentist regularly. Proper care of your teeth is very important while taking this medicine. Brush your teeth and floss regularly.

Keep all appointments for medical exams and tests while on this medicine.

Cautions

Tell your doctor and pharmacist if you ever had an allergic reaction to a medicine. Symptoms of an allergic reaction can include trouble breathing, skin rash, itching, swelling, or severe dizziness.

Do not use the medication any more than instructed.

Tell the doctor or pharmacist if you are pregnant, planning to be pregnant, or breastfeeding.

Ask your doctor or pharmacist if this medicine contains folic acid.

Before taking vitamins that contain folic acid, make sure your doctor knows if you have a Vit B12 deficiency.

Vitamins that contain iron or other minerals may interact with antacids or other medications when taken together. Ask your pharmacist how long you should wait between taking this vitamin and your other medicines.

Please tell all your doctors and dentists that you are on this medicine before they provide care.

Do not share this medicine with anyone who has not been prescribed this medicine.

Side Effects

The following is a list of some common side effects from this medicine. Please speak with your doctor about what you should do if you experience these or other side effects.

• bloating
• constipation
• diarrhea
• nausea
• stomach upset or abdominal pain
• changes in taste or unpleasant taste

If you have any of the following side effects, you may be getting too much medicine. Please contact your doctor to let them know about these side effects.

• stomach pain
• color changes or pitting of the teeth
• vomiting

Call your doctor or get medical help right away if you notice any of these more serious side effects:

• agitated feeling or trouble sleeping
• difficulty concentrating
• confusion
• irritability

A few people may have an allergic reaction to this medicine. Symptoms can include difficulty breathing, skin rash, itching, swelling, or severe dizziness. If you notice any of these symptoms, seek medical help quickly.