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Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 15 Jun 2010 13:11:24 EDT
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from today's MEDwatch report....   
Vitamin D Supplement Products: Medication Use Error  
Audience: Pediatrics, Family Practice, Consumer  
ISSUE: Some liquid Vitamin D supplement products are sold  with droppers 
that could allow parents to accidentally give harmful amounts of  Vitamin D to 
their infant. Excessive amounts of Vitamin D can be harmful to  infants, 
and may be characterized by nausea and vomiting, loss of appetite,  excessive 
thirst, frequent urination, constipation, abdominal pain, muscle  weakness, 
muscle and joint aches, confusion, and fatigue, as well as more  serious 
consequences like kidney damage.  
BACKGROUND: The American Academy of Pediatrics has  recommended a dose of 
400 International Units (IU) of Vitamin D Supplement per  day to breast-fed 
and partially breast-fed infants (AAP Pediatric Nutrition  Handbook, 6th 
edition, p.466).  
RECOMMENDATION: The easiest way to insure that an infant  will not get more 
than the recommended dose is to use a product supplied with a  dropper that 
will give no more than 400 IU per dose. If a caregiver cannot  clearly 
determine the dose of Vitamin D that should be given to an infant or has  any 
other questions, FDA recommends consulting with a healthcare provider before  
giving any of these products to an infant.  
Healthcare professionals and patients are encouraged to report adverse 
events  or side effects related to the use of these products to the FDA's 
MedWatch  Safety Information and Adverse Event Reporting Program:  
    *   Online: _www.fda.gov/MedWatch/report.htm_ 
(http://www.fda.gov/MedWatch/report.htm)    
    *   Phone: 1-800-332-1088  
    *   Mail: return the postage-paid FDA form 3500, which may be 
downloaded from  the MedWatch "_Download  Forms_ 
(http://www.fda.gov/Safety/MedWatch/HowToReport/DownloadForms/default.htm) " page, to address on the 
pre-addressed form  
    *   Fax: 1-800-FDA-0178 
Read the complete safety alert, including links to the FDA Note to  
Correspondents and the FDA Consumer Update, at:  
_http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMe
dicalProducts/ucm215523.htm_ 
(http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm215523.htm)   
 
____________________________________
You are encouraged to report all serious adverse events and  product 
quality problems to FDA MedWatch at _www.fda.gov/medwatch/report.htm_ 
(http://www.fda.gov/medwatch/report.htm)   
Peace, 
Judy 

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA
[log in to unmask]

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