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Multiple Micronutrient Supplements

Indications

This combination tablet is indicated for use in improving the nutritional status of women throughout the pregnancy. This is a micronutrient supplements but not a substitute of balanced diet during pregnancy.

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Composition

Each film-coated tablet contains:

  • Vitamin A (Retinyl Acetate): 800 mcg RAE
  • Vitamin C (Ascorbic Acid): 70 mg
  • Vitamin D (Cholecalciferol): 5 mcg (200 IU)
  • Vitamin E (Vitamin E Acetate): 10 mg α-TE
  • Vitamin B1 (Thiamine Mononitrate): 1.4 mg
  • Vitamin B2 (Riboflavin): 1.4 mg
  • Vitamin B3 (Niacinamide): 18 mg NE
  • Vitamin B6 (Pyridoxine HCl): 1.9 mg
  • Folic Acid: 680 mcg DFE (400 mcg)
  • Vitamin B12 (Cyanocobalamin): 2.6 mcg
  • Iron (Ferrous Fumarate): 30 mg
  • Iodine (Potassium Iodide): 150 mcg
  • Zinc (Zinc Gluconate): 15 mg
  • Selenium (Sodium Selenite): 65 mcg
  • Copper (Cupric Gluconate): 2 mg

Pharmacology

Multiple Micronutrient Supplements (MMS) is a nutritional supplement for use during pregnancy based on United Nations International Multiple Micronutrient Antenatal Preparation (UNIMMAP) formulation following WFIO specification. It contains 15 micronutrients including Iron and Folic Acid (IFA) at dosages that approximate the recommended dietary allowances for pregnancy. Micronutrients are only needed in very small quantities but are essential for normal physiological function, growth and development. Deficiencies of micronutrients such as vitamin A, iron, iodine and folate are particularly very common during pregnancy due to increased nutrient requirements of the mother and developing fetus. These deficiencies can negatively impact the health of the mother, her pregnancy, as well as the health of the newborn baby. Recent evidence shows that the provision of MMS for women starting early in pregnancy provides clear benefits for both women and their unborn and newborn infants, beyond IFA supplementation alone. MMS can improve birth outcomes significantly by reducing the risk of low birth weight (LBW), being born small-for-gestational age (SGA), and preterm births.

Dosage & Administration

Take only one tablet daily starting as soon as possible after conception and continue to use 180 tablets for 6 months throughout the pregnancy or as directed by the physician. It is not recommended for children and adolescents.

Interaction

No drug interactions have been reported.

Contraindications

Individuals with known hypersensitivity to any of the ingredients.

Side Effects

Daily intake of recommended dose has no risk of adverse health effects in almost all individuals.

Pregnancy & Lactation

This is recommended to use only during pregnancy.

Precautions & Warnings

Accidental overdose of iron containing products is a leading cause of fatal poisoning in children under 6 years. In case of accidental overdose, call a doctor or immediately visit the nearest hospital.

Storage Conditions

Keep out of the reach of children. Keep between 15°C to 30°C, protect from light and humidity.

Overdose Effects

Tolerable Upper Limit (UL) of ingredients are significantly above the levels of the UNIMMAP formulation, the highest level of nutrient intake that is likely to pose no risk of adverse health effects for almost all individuals in the general population. However, overdose with iron produces increased risk of gastrointestinal side effects that includes constipation, nausea, vomiting, diarrhea, stomach pain, loss of appetite and requires doctor’s consultation.