VITAMIN E

(VYE ta min E) Brand: Amino-Opti-E, Aqua-E, Aquasol E, Aquavite-E, Aqueous Vitamin E, E Pherol, E-400 Clear, Vita-Plus E Natural

What is the most significant information I must know about vitamin E?

• Till using vitamin E, speak your healthcare provider if you have liver malady, diabetes, active bleeding, a vitamin K deficiency, retinitis pigmentosa, chronic diarrhea, if you are being treated for cancer, or if you have a history of heart onslaught, stroke, blood clot, or last surgery.

• Do not use this product without a doctor's advice your doctor if you are pregnant or breast-feeding. Your doze needs may be various during pregnancy or while you are nursing a baby.

• Do not take vitamin E without a doctor's advice if you are using any type of medicine to treat or prevent blood clots.

• There are much another drugs that can interact with or be made smaller effective by vitamin E. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor. Hold a list of all your medicines and show it to any healthcare provider who treats you.

• Stop taking vitamin E and call your doctor at once if you have any unusual bleeding or bruising, or if you feel like you might pass out.

What is vitamin E?

• Vitamin E is an antioxidant that occurs naturally in foods such as nuts, seeds, and leafy green vegetables. Vitamin E is significant for much processes in the body.

• Vitamin E is used to prevent and to treat a deficiency vitamin E. People with determined illness may need extra vitamin E.

• Vitamin E may also be used for another purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till taking vitamin E?

• Till using vitamin E, conversation to your doctor, pharmacist, herbalist, or another healthcare provider. You may not be able to take vitamin E if you have determined medical conditions.

• You may need a doze adjustment or particular trials if you have:

· liver disease;

· diabetes;

· active or uncontrolled bleeding;

· a vitamin K deficiency;

· retinitis pigmentosa;

· short bowel syndrome;

· chronic diarrhea;

· a history of heart onslaught, stroke, or blood clot;

· if you have recently had surgery; or

· if you are receiving cancer treatment (chemotherapy or radiation).

• It is not known whether vitamin E is deleterious to an unborn child. Your doze needs may be various during pregnancy. Do not use this product without a doctor's advice if you are pregnant or plan to become pregnant while using vitamin E.

• It is not known whether vitamin E passes into breast milk or if it could harm a nursing child. Your doze needs may be various while you are nursing. Do not use this product without a doctor's advice if you are breast-feeding a baby.

How must I take vitamin E?

• Take exactly as directed on the label, or as predesigned by your doctor. Do not take in larger or less amounts or for longer than recommended.

• Take vitamin E with a full glass of water.

• The chewable tablet should be chewed completely till you swallow it.

• Measure liquid medication with a particular dose-measuring spoon or medication cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

• You may take vitamin E with or without food. You do not need to ate extra thick to help your body absorb vitamin E.

• The recommended dietary allowance of vitamin E increases with age. Follow your healthcare provider's instructions. You may also consult the National Academy of Sciences "Dietary Reference Intake" or the U.S. Department of Agriculture's "Dietary Reference Intake" (formerly "Recommended Daily Allowances" or RDA) listings for more information.

• Store at room temperature away from moisture and heat.

What happens if I miss a dose?

• Skip the missed doze if it is nearly time for your following scheduled doze. Do not use extra medication to create up the missed dose.

What happens if I overdose?

• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222.

• Overdose symptoms may include unusual bleeding or bruising.

What must I avoid while taking vitamin E?

• Avoid taking another vitamins, mineral supplements, or nutritional commodity without your doctor's advice.

What are the possible side effects of vitamin E?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your person, lips, tongue, or throat.

• Stop taking vitamin E and call your doctor at once if you have a serious side effect such as:

· feeling like you might pass out;

· light bruising; or

· unusual bleeding (nose, mouth, vagina, or rectum).

• Smaller serious side effects may include:

· nausea, diarrhea, stomach cramps;

· weary feeling;

· headache;

· blurred vision; or

· mild rash.

• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect vitamin E?

• Do not take vitamin E without a doctor's advice if you are using any type of medicine to treat or prevent blood clots, such as:

· heparin, warfarin (Coumadin);

· alteplase (Activase), tenecteplase (TNKase), urokinase (Abbokinase);

· argatroban (Acova), bivalirudin (Angiomax), lepirudin (Refludan);

· dalteparin (Fragmin), enoxaparin (Lovenox), fondaparinux (Arixtra); or

· abciximab (ReoPro), anagrelide (Agrylin), cilostazol (Pletal), clopidogrel (Plavix), dipyridamole (Persantine, Aggrenox), eptifibatide (Integrelin), prasugrel (Effient), ticlopidine (Ticlid), tirofiban (Aggrastat).

• The next drugs can interact with or be made smaller effective by vitamin E. Speak your doctor if you are using any of these:

· cyclosporine (Gengraf, Neoral, Sandimmune);

· diazepam (Valium) and another sedatives;

· fluoxetine (Prozac) and another antidepressants;

· mineral oil, orlistat (alli, Xenical);

· an antibiotic such as clarithromycin (Biaxin), doxycycline (Doryx, Vibramycin), trimethoprim (Bactrim, Septra, SMX-TMP), and others;

· antifungal medicine such as itraconazole (Sporanox) or ketoconazole (Extina, Ketozole, Nizoral, Xolegal);

· cholesterol-lowering medicines such as atorvastatin (Lipitor), cholestyramine (Questran), colestipol (Colestid), simvastatin (Zocor, Simcor), lovastatin (Mevacor, Advicor), pravastatin (Pravachol), niacin (Niaspan, Slo-Niacin), and others;

· heart or blood pressure medications such as diltiazem (Cartia, Cardizem), losartan (Cozaar), propranolol (Inderal), verapamil (Calan, Covera, Isoptin), and others;

· HIV medicines such as fosamprenavir (Lexiva), ritonavir (Norvir, Kaletra), and others;

· narcotic medicine such as fentanyl (Actiq, Duragesic, Fentora);

· seizure medicine such as carbamazepine (Carbatrol, Tegretol), phenobarbital (Solfoton), phenytoin (Dilantin), and others; or

· stomach acid reducers such as cimetidine (Tagamet), omeprazole (Prilosec), lansoprazole (Prevacid), and others.

• This list is not complete and there are much another drugs that can interact with vitamin E. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor. Hold a list of all your medicines and show it to any healthcare provider who treats you.

Where can I get more information?

• Your pharmacist can provide more information about vitamin E.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.