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Pronunciation: muhl-tee-VYE-ta-mins/MIN-er-als/FOE-lik AS-id/EYE-urn/DOK-ue-sate
Generic Name: Multivitamins with Minerals/Folic Acid/Iron/Docusate
Brand Name: Examples include Glutofac-MX and Hemax

Accidental overdose of products that contain iron is a leading cause of fatal poisoning in children younger than 6 years old. Keep this and all medicines out of the reach of children. In case of accidental ingestion, call a doctor or poison control center right away.

Hemax is used for:

Treating or preventing low levels of vitamins, folic acid, iron, and minerals in the body. It may also be used for other conditions as determined by your doctor.

Hemax is a vitamin, folic acid, iron, mineral, and stool softener combination. It works by providing extra vitamins, folic acid, iron, and minerals to the body when you need more than what you get in your diet. The stool softener helps prevent constipation that may occur with iron products.

Do NOT use Hemax if: you are allergic to any ingredient in Hemax you have certain iron metabolism problems (eg, hemosiderosis, hemochromatosis) or high levels of iron in your blood

Contact your doctor or health care provider right away if any of these apply to you.

Before using Hemax:

Some medical conditions may interact with Hemax. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

if you are pregnant, planning to become pregnant, or are breast-feeding if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement if you have allergies to medicines, foods, or other substances if you have bowel problems (eg, colitis, Crohn disease, diverticulitis), certain blood disorders (eg, hemolytic or pernicious anemia, porphyria cutanea tarda, thalassemia), or a peptic ulcer if you have had multiple blood transfusions

Some MEDICINES MAY INTERACT with Hemax. Tell your health care provider if you are taking any other medicines, especially any of the following:

Anticoagulants (eg, warfarin) or fluorouracil because the risk of their side effects may be increased by Hemax Hydantoins (eg, phenytoin), levodopa, mycophenolate, or penicillamine because their effectiveness may be decreased by Hemax Many prescription and nonprescription medicines (eg, used for infections, heart problems, high blood pressure, immune system suppression, cancer, low blood platelets, osteoporosis, thyroid problems, bladder problems, Parkinson disease, psoriasis, swelling, and other conditions) may interact with Hemax. This may increase the risk of side effects or decrease the effectiveness of your other medicines. Ask your doctor or pharmacist if any medicines you take may interact with Hemax and how to take them with Hemax

This may not be a complete list of all interactions that may occur. Ask your health care provider if Hemax may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Hemax:

Use Hemax as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Take Hemax by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation. Take Hemax with a full glass of water (8 oz/240 mL). Do not take an antacid within 1 hour before or 2 hours after you take Hemax. Avoid taking Hemax with dairy products; they may interfere with the absorption of the iron in Hemax. If you miss a dose of Hemax, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Hemax.

Important safety information: Do NOT take more than the recommended dose without checking with your doctor. Do not take large doses of vitamins (megadoses or megavitamin therapy) while you use Hemax unless your doctor tells you to. Hemax may discolor the stools. This is normal and not a cause for concern. Hemax has iron in it. Iron overdose is a leading cause of fatal poisoning in children younger than 6 years old. In case of an overdose, call a doctor or poison control center right away. Tell your doctor or dentist that you take Hemax before you receive any medical or dental care, emergency care, or surgery. Hemax has pyridoxine (vitamin B6), iron, and folic acid in it. Before you start any new medicine, check the label to see if it has pyridoxine, iron, or folic acid in it too. If it does or if you are not sure, check with your doctor or pharmacist. PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Hemax while you are pregnant. Hemax is found in breast milk. If you are or will be breast-feeding while you use Hemax, check with your doctor. Discuss any possible risks to your baby. Possible side effects of Hemax:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Constipation; dark or discolored stools; diarrhea; nausea; stomach upset; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); black, tarry stools; blood or streaks of blood in the stools; persistent nausea, vomiting, or diarrhea; stomach pain or cramping.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Hemax side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include black, tarry stools; chest pain; lack of feeling alert; loss of balance; seizures; severe nausea, vomiting, diarrhea, or stomach pain; shortness of breath; sluggishness; trouble breathing; unusual tiredness or weakness; unusually pale skin; weak pulse.

Proper storage of Hemax:

Store Hemax at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Hemax out of the reach of children and away from pets.

General information: If you have any questions about Hemax, please talk with your doctor, pharmacist, or other health care provider. Hemax is to be used only by the patient for whom it is prescribed. Do not share it with other people. If your symptoms do not improve or if they become worse, check with your doctor. Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Hemax. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012 Database Edition Copyright © 2012 Wolters Kluwer Health, Inc. 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