V-Plex Plus

Multivitamin & Multimineral is a balanced nutritional supplement used to treat and prevent deficiencies of essential vitamins and minerals. It replenishes nutrients the body may lack due to inadequate diet or increased physiological demand, helping to restore normal metabolic function, immunity, and overall vitality.

It is commonly recommended in the following situations:

• Vitamin and mineral deficiencies caused by restricted diets, poor or improper food intake, or reduced nutrient absorption.
• Deficiency states linked to chronic alcoholism and malabsorption disorders.
• Increased nutritional requirements during acute and chronic illnesses.
• Additional nutritional support during pregnancy, lactation, and menopause.
• Recovery and convalescence following infections, surgery, or prolonged illness.
• Nutritional support during antibiotic therapy, when normal gut flora and nutrient balance may be affected.
• Periconceptional supplementation (from three months before conception through the first trimester) to help reduce the risk of certain serious birth defects.

This supplement is intended to correct general nutritional gaps and should not be used as a substitute for the treatment of severe, specific single-nutrient deficiencies.

Multivitamin & Multimineral is a carefully balanced formulation combining essential vitamins and minerals in appropriate amounts. It is designed to correct nutritional deficiencies and support healthy growth, metabolism, and the body's natural resistance to disease. Each sugar-coated tablet contains the following active ingredients:

Vitamins

Minerals

Multivitamin & Multimineral belongs to the following therapeutic classes:

• Multi-vitamin & multi-mineral combined preparations
• Specific mineral & vitamin combined preparations

Vitamins and minerals are essential micronutrients required for normal metabolic function, energy production, tissue maintenance, and blood cell formation (hematopoiesis). This combination delivers a spectrum of these nutrients, each contributing a specific biological role in maintaining health.

The B-group vitamins (B1, B2, B6, B12, nicotinamide, calcium pantothenate, and folic acid) act as essential cofactors in enzyme systems that regulate the metabolism of carbohydrates, fats, and proteins, supporting energy release and nervous system function. Folic acid and vitamin B12 are also central to red blood cell production and DNA synthesis.

Vitamin C contributes to tissue repair, collagen formation, and enhanced iron absorption, while also functioning as an antioxidant. Vitamin A is vital for normal retinal function, healthy vision, and the growth and differentiation of epithelial (skin and mucosal) tissue. Vitamin E is a powerful antioxidant that protects cell membranes and essential cellular components from oxidative damage. Vitamin D supports calcium balance and bone mineralization, aiding in the prevention and correction of nutritional rickets and metabolic bone disorders.

The minerals iron, copper, zinc, and magnesium act as catalysts within enzyme systems that drive vital cellular processes. Iron is crucial for hemoglobin synthesis and oxygen transport, zinc supports immunity and wound healing, copper aids iron utilization, and iodine is essential for normal thyroid hormone production.

Certain components of this supplement may interact with other medicines, potentially affecting their absorption or effectiveness. Key interactions to be aware of include:

• Levodopa: Pyridoxine (Vitamin B6) can reduce the effectiveness of levodopa used in Parkinson's disease, so this combination is not recommended in patients on levodopa therapy.
• Antibiotics (tetracyclines and fluoroquinolones): Iron, zinc, and other minerals may bind to these antibiotics and reduce their absorption. Doses should be separated by a few hours.
• Thyroid medications (levothyroxine): Iron and calcium-containing products may interfere with absorption; spacing the doses is advised.
• Other vitamin or mineral supplements: Concurrent use may lead to excessive intake of certain nutrients, particularly fat-soluble vitamins (A, D, E) and iron.

Always inform your physician or pharmacist about all medicines, supplements, and herbal products you are taking to avoid potential interactions.

Multivitamin & Multimineral is generally well tolerated when taken at the recommended dose. Reported side effects are usually mild and uncommon, as the nutrient levels in each tablet are well below those associated with adverse reactions.

The most commonly noted effect is:

• Gastrointestinal discomfort: The iron content may occasionally cause nausea, stomach upset, constipation, or, less often, mild diarrhea in sensitive individuals.

Serious side effects are typically associated only with intake of specific vitamins or minerals at levels substantially higher than those present in this preparation. If any unusual or persistent symptoms occur, discontinue use and consult a physician.

Multivitamin & Multimineral can provide valuable nutritional support during pregnancy and breastfeeding, when the body's requirements for vitamins and minerals are increased. However, it must be used with caution and under medical supervision.

During the first trimester of pregnancy, the recommended daily dose should not be exceeded. Excessive intake of Vitamin A (multiple tablets per day) may be teratogenic and can harm the developing baby. Pregnant and breastfeeding women should always take this supplement strictly as prescribed by their physician and avoid combining it with other Vitamin A–containing products without medical advice.

Please observe the following precautions when using Multivitamin & Multimineral:

• This supplement is not intended for the treatment of pernicious anemia or other megaloblastic anemias associated with Vitamin B12 deficiency, as it may mask the underlying condition.
• It should not be used to treat severe, specific vitamin or mineral deficiencies, which require targeted diagnosis and therapy.
• Do not exceed the recommended daily dose, as excessive intake of certain vitamins and minerals can be harmful.
• Avoid taking additional vitamin or mineral supplements at the same time without consulting a physician, to prevent nutrient overdose.
• Patients with existing medical conditions such as iron-overload disorders, kidney disease, or thyroid disorders should seek medical advice before use.

Taking more than the recommended dose can lead to toxicity, particularly from fat-soluble vitamins (A, D, and E) and iron, which accumulate in the body. Symptoms of overdose may include nausea, vomiting, abdominal pain, headache, dizziness, and, in severe cases involving high iron intake, more serious gastrointestinal and systemic effects.

Chronic overdose of Vitamin A may cause liver damage, bone pain, and other toxic effects, while excessive Vitamin D can raise blood calcium levels. In case of accidental overdose or ingestion of a large quantity—especially by a child—seek immediate medical attention or contact a poison control center. Keep this and all medicines out of the reach of children.

Store below 30°C, protected from direct light and moisture. Keep the tablets in their original packaging until use. Keep this medicine out of the reach and sight of children. Do not use after the expiry date printed on the pack.

Certain groups of patients require additional care when using Multivitamin & Multimineral:

• Children: The tablet is intended for children over 5 years of age. Younger children should use age-appropriate pediatric formulations under a physician's guidance.
• Elderly patients: Generally well tolerated and often beneficial in supporting nutrition, but dosing should account for kidney function and other ongoing medications.
• Patients with kidney or liver impairment: Should use the supplement cautiously and under medical supervision, as the handling of certain vitamins and minerals may be altered.
• Patients with iron-overload conditions (e.g. hemochromatosis, thalassemia): Should avoid iron-containing supplements unless specifically directed by a physician.

Multi-vitamin & Multi-mineral combined preparations, Specific mineral & vitamin combined preparations

Vitamins and minerals are essential for normal metabolic functions including hematopoiesis. The members of vitamin B-group are components of enzyme system that regulate various stages of carbohydrate, fat and protein metabolism, each of the components playing a specific biological role. Vitamin C is involved in tissue repair and collagen formation. Vitamin A plays an essential role in the function of retina and is essential for growth and differentiation of epithelial tissue. Vitamin E is an antioxidant which preserves essential cellular constituents. Vitamin D is supplemented for prevention and cure of nutritional and metabolic rickets and for treatment of hypoparathyroidism. Iron, Copper, Manganese, Zinc serve as catalysts in enzyme systems which perform vital cellular functions.

During the first trimester of pregnancy, recommended daily dose should not be exceeded. Because larger doses of Vitamin-A (multiple tablets per day) may be teratogenic.