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Enfamil Poly-Vi-Sol with Iron Drops

Enfamil® Poly-Vi-Sol® with Iron Drops

Last updated: 8/22/2012.

Multivitamin Supplement

Indication

Multivitamin and iron supplementation for infants and children.

Multivitamin and iron supplementation for infants and children.
Enfamil Poly-Vi-Sol with Iron vitamin drops are recommended for infants around 4-6 months of age who are transitioning to solid foods.

Rationale and Special Characteristics

Enfamil Poly-Vi-Sol multivitamin and iron supplement drops have iron and 8 important vitamins in a convenient daily dropper and are an excellent supplement for a child's transition to solid foods, during growth spurts and for the picky eater. Infants may especially require supplemental iron, as around 4–6 months of age, infants begin to lose their iron stores that they have accreted during the third trimester of pregnancy.

Enfamil Poly-Vi-Sol drops are gluten-free and do not contain ingredients derived from the most common food allergies: milk, eggs, peanuts, tree nuts, fish, shellfish, soy or wheat.

The American Academy of Pediatrics (AAP) recommends 400 IU of supplemental vitamin D per day beginning in the first days of life for all breastfed and partially breastfed infants who do not receive at least 1 L of infant formula per day1.

Refrigeration is not required.

Nutrients

  Drops
(per mL)
% DV Infants % DV Infants
under 4 years
Vitamin A, IU 1500 100 60
Vitamin D, IU 400 100 100
Vitamin E, IU 5 100 50
Vitamin C, mg 35 100 88
Thiamin, mg 0.5 100 71
Riboflavin, mg 0.6 100 75
Niacin, mg 8 100 89
Vitamin B6, mg 0.4 100 57
Elemental Iron, mg 10* 67 100
* From 50 mg ferrous sulfate heptahydrate.

Note: Enfamil Poly-Vi-Sol with Iron Drops do not include folic acid.

Enfamil Poly-Vi-Sol with Iron Drops do not include vitamin B12 since it is unstable in a solution that has the concentrations of iron and vitamin C found in Enfamil Poly-Vi-Sol with Iron Drops.

Osmolality

When added to 2 fl oz of infant formula or breast milk, 1 mL of Enfamil® Poly-Vi-Sol® with Iron increases the osmolality by +160 mOsmol/kg water2. If the resulting osmolality is higher than desired for a particular baby, an option is to add 0.5 mL of the supplement to the feeding twice per day.

Product Form

Enfamil Poly-Vi-Sol with Iron is available as drops in 50 mL bottles.

Item # Description Unit Size Calories/
Unit
Product Yield/
Unit (fl oz)
Case NDC #
040506 With Dropper 50 mL N/A N/A 12 bottles per case 0087-040501

Usual Daily Dose

Drops: 1.0 mL

Composition

Ingredients: Glycerin, water, ascorbic acid, ferrous sulfate, vitamin E succinate, niacinamide, natural and artificial flavor, artificial caramel color, polysorbate 80, vitamin A palmitate, thiamin hydrochloride, riboflavin-5-phosphate sodium, vitamin B6 hydrochloride, vitamin D3.

Accidental Overdosage or Intake

In case of accidental overdose, the physician, Poison Control Center or hospital emergency should be notified immediately. Patients with a known exposure of more than 40 mg/kg of elemental iron, or with severe, persistent symptoms related to iron ingestion, should be referred to a healthcare facility for medical evaluation and observation. The vitamin ingredients would not be expected to cause ill effects from a one-time overdose.

WARNING: Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6. Keep this product out of the reach of children.

Administration

Drops: The dropper is marked with 0.5 mL and 1.0 mL dose lines. To administer directly, place the dropper in the child's mouth with the tip against the inside of the cheek. A firm pressure on the dropper bulb will deliver the proper dose. A slight excess will remain in the dropper. If preferred, the drops may be slowly mixed with formula, juice, cereal or other food and fed within 1 hour.

Storage

Store at room temperature. Refrigeration is not required, but will not harm the drops.

Precautions

As with all vitamin products, parents should be cautioned against excessive dosage.

The bottle should be kept out of the reach of children.

References

  1. Baker RD, et al. Diagnosis and prevention of iron deficiency and iron-deficiency anemia in infants and young children (0-3 years of age). Pediatrics. 2010;126:1040–1050.
  2. Testing was conducted in September 2009 by Mead Johnson Nutrition, Quality Control.
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