Pharmacological properties
Elevit® Pronatal is a medicinal product containing 12 essential vitamins, 4 minerals and 3 trace elements. The quantitative content of vitamins and minerals corresponds to the doses recommended for use during pregnancy and breastfeeding.
Vitamin A is involved in the synthesis of various substances (proteins, lipids, mucopolysaccharides) and ensures the normal function of the skin, mucous membranes, and organs of vision.
Vitamin B1 normalizes the activity of the heart and contributes to the normal functioning of the nervous system.
Vitamin B2 promotes tissue regeneration processes, including skin cells.
Vitamin B6 helps maintain the structure and function of bones, teeth, gums, and has an effect on erythropoiesis.
Vitamin B12 is involved in erythropoiesis, contributes to the normal functioning of the nervous system. B vitamins are involved in the formation of various enzymes that regulate different types of metabolism in the body.
Vitamin C is involved in the oxidation of a number of biologically active substances, regulation of metabolism in connective tissue, carbohydrate metabolism, blood clotting and tissue regeneration, stimulates the formation of steroid hormones, and normalizes capillary permeability.
Vitamin D3 plays an important role in maintaining the balance of calcium and phosphorus in the body of a pregnant woman. Children with vitamin D deficiency develop rickets.
Vitamin E is a natural antioxidant.
Biotin takes part in metabolic processes, promotes the absorption of protein.
Calcium pantothenate is involved in the metabolism of fats, proteins and carbohydrates.
Folic acid stimulates erythropoiesis, prevents the development of congenital malformations (neural tube defects) in the fetus.
Nicotinamide takes part in redox processes, provides the transfer of hydrogen and phosphate.
Calcium is involved in the formation of bone tissue, blood clotting, transmission of nerve impulses, contraction of skeletal and smooth muscles.
Magnesium is involved in the formation of muscle and bone tissue, and also takes part in protein synthesis.
Iron is part of the hemoglobin molecule, is involved in the transfer of oxygen in the body and prevents the development of anemia, including during pregnancy.
Phosphorus, along with calcium, is involved in the formation of bones and teeth, and is also involved in the processes of energy metabolism.
Manganese contributes to the mineralization of bone tissue.
Copper is essential for normal red blood cell function and iron metabolism.
Zinc is necessary for the normal formation of the fetal skeleton and tissue regeneration; it is part of some hormones, including insulin.
Indications for use
Prevention and treatment of hypovitaminosis, deficiency of minerals and trace elements at the stage of pregnancy planning, during pregnancy, after childbirth and during breastfeeding.
Contraindications
Increased individual sensitivity to the components of the drug, vitamin A hypervitaminosis, vitamin D hypervitaminosis, hypercalcemia, hypercalciuria, severe renal failure, iron metabolism disorders, copper metabolism disorders (Wilson’s disease), lactase deficiency or glucose-galactose malabsorption (the drug contains lactose) , the period of treatment with retinoids (vitamin A, beta-carotene or its synthetic isomers isotretinoin, etretinate), urolithiasis; an allergic reaction to peanuts or soybeans (the composition includes soybean oil); intolerance to lactose, sucrose.
Carefully
Liver and kidney disorders..
Use during pregnancy and lactation
The drug is recommended for use during pregnancy and breastfeeding in the recommended doses: 1 tablet per day.
Pregnancy
Do not exceed the recommended daily dose (1 tablet).
It is necessary to take into account the additional intake of vitamin D in order to avoid overdose.
An overdose of vitamin D can cause hypercalcemia, which can lead to a delay in the mental and physical development of the fetus.
breastfeeding period
Do not exceed the recommended daily dose (1 tablet). The vitamins and minerals that make up the drug are excreted in breast milk.
Before using the drug, you should consult with your doctor.
Dosage and administration
Before use, consult your doctor. Women at the stage of pregnancy planning, during pregnancy, after childbirth and during breastfeeding are recommended to take 1 tablet per day with meals, drinking a small amount of water. The recommended duration of admission is one month before pregnancy (in case of pregnancy planning), during the entire period of pregnancy and breastfeeding.
Side effect
During the post-registration use of the drug Elevit® Pronatal, the following adverse reactions have been identified. Due to the fact that the data on reactions are scattered reports from different groups, it is not always possible to reliably estimate their frequency.
On the part of the immune system: in some cases, allergic or anaphylactic reactions to the components of the drug are possible (urticaria, swelling of the face, skin flushing, rash, blisters, wheezing, anaphylactic shock). If allergic reactions occur, stop taking the drug and consult a doctor.
From the gastrointestinal tract: abdominal pain, constipation, diarrhea, flatulence, nausea, vomiting.
From the nervous system: headache, dizziness, insomnia, irritability may occur.
Metabolic disorders: hypercalciuria.
Urine may be bright yellow in color. This effect is harmless and is explained by the content of riboflavin in the preparation.
The drug contains iron, which can lead to black coloring of the stool. This effect is harmless and has no clinical significance.
Nausea and vomiting may occur, which may be due to both the pregnancy itself and individual sensitivity to the iron complex that is part of the drug. If nausea occurs, it is recommended to take the drug in the afternoon, immediately after meals, drinking plenty of water.
Overdose
An overdose of the drug can cause hypervitaminosis of vitamins A and D, hypercalcemia, as well as an overdose of iron and copper.
Acute overdose of vitamins A and D is accompanied by symptoms such as: sudden headache, confusion, as well as disorders of the gastrointestinal tract, such as constipation, diarrhea, nausea, vomiting.
An overdose of vitamin A. Acute intoxication is possible when taking 25,000 IU / kg, accompanied by nausea, vomiting, diarrhea, dizziness, lethargy, drowsiness, increased intracranial pressure, skin manifestations in the form of erythema, itching, peeling.
Chronic intoxication is accompanied by fever, headache, fatigue, anorexia, intestinal disorders, hepatosplenomegaly, anemia, hypercalcemia, subcutaneous edema, nocturia, joint and bone pain, skin changes in the form of jaundice, dryness, alopecia, photosensitivity.
An overdose of vitamin D (colcalciferol) leads to hypercalcemia and its consequences in the form of nausea, vomiting, weakness, polyuria, and renal failure.
An overdose of iron can cause intoxication, accompanied by gastrointestinal manifestations, including nausea, vomiting, diarrhea, intestinal cramps and constipation. In more severe cases, blood clotting disorders, liver and kidney damage, cardiomyopathy and hemodynamic disturbances, gastrointestinal ulcers and bleeding, and hypersensitivity reactions are possible.
If symptoms of an overdose occur, treatment should be discontinued and a doctor should be consulted immediately.
Treatment: withdrawal of the drug, symptomatic, in case of acute overdose: gastric lavage.
Interaction with other drugs
Vitamin C enhances the action and side effects of antimicrobial agents from the sulfonamide group (including the appearance of crystals in the urine).
Iron absorption may be impaired by concomitant use of antacids, fluoroquinolone, bisphosphonates, levodopa, levothyroxine, penicillamine, antibiotics containing tetracycline or trientine. If simultaneous administration with one of these drugs is required, their administration should be separated from the administration of this drug by 2-3 hours.
Medicines containing calcium, magnesium, iron, copper, or zinc may interact with antacids, antibiotics (tetracyclines, fluoroquinolones), levodopa, bisphosphonates, penicillamine, thyroxine, trientine, digitalis, antivirals, thiazide diuretics, and medicines to treat diseases related to acidity. If simultaneous administration is required, the administration of these two drugs should be separated in time by 2 hours.
special instructions
The drug should be taken in accordance with the recommended doses.
In case of morning sickness, it is recommended to take the tablet at noon or in the evening.
Influence on the ability to drive a car and moving mechanisms
There are no data on the effect of the drug on the speed of psychomotor reactions when driving a car and working with precise mechanisms.
Release form
Film-coated tablets. 10 or 20 tablets per blister PVC/PE/PVDC/Al. 3, 10 blisters of 10 tablets or 5 blisters, divided by perforation in the middle into two equal parts, 20 tablets with instructions for use are placed in a cardboard box.
Storage conditions
At a temperature not higher than 25°C. Keep out of the reach of children.
Best before date
2 years. Do not use after the expiration date.
Holiday conditions
Without recipe.
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