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Drug Safety-related Labeling Changes (SrLC)

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M.V.I. ADULT (PHARMACY BULK PACKAGE) (NDA-021643)

(ASCORBIC ACID; BIOTIN; CYANOCOBALAMIN; DEXPANTHENOL; ERGOCALCIFEROL; FOLIC ACID; NIACINAMIDE; PYRIDOXINE HYDROCHLORIDE; RIBOFLAVIN 5'-PHOSPHATE SODIUM; THIAMINE HYDROCHLORIDE; VITAMIN A; VITAMIN E; VITAMIN K)

Safety-related Labeling Changes Approved by FDA Center for Drug Evaluation and Research (CDER)

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11/09/2017 (SUPPL-19)

Approved Drug Label (PDF)

4 Contraindications

(addition underlined)

M.V.I. Adult is contraindicated in patients who have:

    • A history of known hypersensitivity to any of the vitamins or excipients in M.V.I. Adult.

    • An existing hypervitaminosis

8 Use in Specific Populations

8.3 Nursing Mothers

(additions underlined)

M.V.I. Adult has not been studied in lactating women. Lactating women should follow the U.S. Recommended Daily Allowances for their condition, because their vitamin requirements may exceed those of nonlactating women. Caution should be exercised when M.V.I. Adult is administered to a nursing woman.

8.4 Pediatric Use

(additions underlined)

M.V.I. Adult is indicated for the prevention of vitamin deficiency in pediatric patients aged 11 years and older receiving parenteral nutrition. M.V.I. Adult is not indicated for use in pediatric patients below the age of 11 years.

8.5 Geriatric Use

(new subsection added)

Reported clinical experience has not identified differences in responses between the elderly and younger patients.

17 PCI/PI/MG (Patient Counseling Information/Patient Information/Medication Guide)

PATIENT COUNSELING INFORMATION

(additions underlined)

Instruct patients (if age appropriate) and caregivers:

To watch for and immediately report signs of allergic reactions (i.e. urticaria, periorbital and digital edema.

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