Multivitamins

Name	Multivitamins
Uses	Comprehensive blend of essential vitamins used to support general wellness, energy production, immune function, antioxidant defense, and cellular health. In wellness settings, multivitamins are often included in IV formulations to provide broad-spectrum micronutrient support.
Route Of Administration	Intravenous (IV)
Frequency Of Use	Typically administered once weekly for general wellness. May be given twice weekly for patients recovering from illness, stress, or physical exertion, followed by reassessment after 4 to 6 weeks.
Concentration(s)	Concentration varies by formulation. A common IV multivitamin product such as Infuvite provides: Vitamin A (3,300 IU), Vitamin D (200 IU), Vitamin E (10 IU), Vitamin C (200 mg), Thiamine (B1) (6 mg), Riboflavin (B2) (3.6 mg), Niacinamide (B3) (40 mg), Pyridoxine (B6) (6 mg), Folic Acid (B9) (600 mcg), Cyanocobalamin (B12) (5 mcg), Biotin (B7) (60 mcg), and Pantothenic Acid (B5) (15 mg) per 10 mL.
Maximum Dosage (Day, Wk) (g/mL)/mL	Maximum dose per infusion: 10 mL. Maximum weekly dose: 20 mL. Excessive dosing may contribute to hypervitaminosis for fat-soluble vitamins (A, D, E) or transient side effects such as flushing (niacin).
Contraindications	Known hypersensitivity to any component of the multivitamin formulation. Severe renal impairment (risk of vitamin accumulation). Active hypervitaminosis (especially fat-soluble vitamins A and D). Pregnancy and breastfeeding unless cleared by OB provider.
Possible Side Effects	Flushing, warmth, mild nausea, or dizziness during infusion. Injection site irritation. Rare: allergic reaction (rash, itching, hypersensitivity). High doses of certain B vitamins (niacin, B6) may cause transient nerve irritation or tingling.
Compatibility With Other Drugs	Compatible with normal saline and D5W. Commonly combined with amino acids, magnesium, and vitamin C in comprehensive wellness IVs. Compatibility should always be verified before mixing.
Allergies	True allergy to vitamins is rare, but hypersensitivity to preservatives, stabilizers, or additives in compounded multivitamin formulations is possible.
Administration Time	Typical infusion time: 30 to 60 minutes when part of a multi-nutrient IV formulation.
IV Dosing	For general wellness: 5 mL to 10 mL IV once weekly. For enhanced recovery: up to 10 mL IV twice weekly for 4 to 6 weeks, followed by reassessment.
IM/Push	Not recommended for IM or IV push due to high concentration and potential for irritation. Controlled IV infusion is preferred.
What To Do If Adverse Reaction Occurs	1. Stop the infusion immediately if a reaction occurs. 2. Assess vital signs (blood pressure, heart rate, oxygen saturation). 3. If flushing or mild nausea occurs, slow the infusion rate and provide supportive care. 4. For allergic reactions (rash, itching, shortness of breath), administer antihistamines and consider epinephrine if severe. 5. If symptoms persist or worsen, arrange for emergency transfer to a higher level of care (call 911 if necessary).