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• Interactions

Vitamin and mineral supplements can interact with certain medications, or affect how medications work in your body. Before taking a vitamin/mineral product, tell your doctor if you also use:

• diuretics (water pills);

• heart or blood pressure medications;

• tretinoin (Vesanoid);

• isotretinoin (Accutane, Amnesteen, Clavaris, Sotret);

• trimethoprim and sulfamethoxazole (Cotrim, Bactrim, Septra, TMP/SMX); or

• an NSAID (non-steroidal anti-inflammatory drug) such as ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), diclofenac (Cataflam, Voltaren), etodolac (Lodine), indomethacin (Indocin), ketoprofen (Orudis), and others.

This list is not complete and there may be other medications that can interact with or be affected by multivitamins and minerals. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

When taken as directed, multivitamins and minerals are not expected to cause serious side effects. Less serious side effects may include:

• upset stomach;

• headache; or

• unusual or unpleasant taste in your mouth.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.