NDC 54643-7886 Pediatric Infuvite Multiple Vitamins
Ascorbic Acid, Vitamin A Palmitate, Cholecalciferol, Thiamine Hydrochloride, Riboflavin-5 Phosphate Sodium, Pyridoxine Hydrochloride, Niacinamide, Dexpanthenol, Alpha-tocopherol Acetate, Vitamin K1, Folic Acid, Biotin, Cyanocobalamin Injection, Solution Intravenous

Product Information

Product Code54643-7886
Proprietary Name What is the Proprietary Name?
The proprietary name also known as the trade name is the name of the product chosen by the medication labeler for marketing purposes.
Pediatric Infuvite Multiple Vitamins
Non-Proprietary Name What is the Non-Proprietary Name?
The non-proprietary name is sometimes called the generic name. The generic name usually includes the active ingredient(s) of the product.
Ascorbic Acid, Vitamin A Palmitate, Cholecalciferol, Thiamine Hydrochloride, Riboflavin-5 Phosphate Sodium, Pyridoxine Hydrochloride, Niacinamide, Dexpanthenol, Alpha-tocopherol Acetate, Vitamin K1, Folic Acid, Biotin, Cyanocobalamin
Product Type What kind of product is this?
Indicates the type of product, such as Human Prescription Drug or Human Over the Counter Drug. This data element matches the “Document Type” field of the Structured Product Listing.
Human Prescription Drug
Dosage FormInjection, Solution - A liquid preparation containing one or more drug substances dissolved in a suitable solvent or mixture of mutually miscible solvents that is suitable for injection.
Administration Route(s) What are the Administration Route(s)?
The translation of the route code submitted by the firm, indicating route of administration.
  • Intravenous - Administration within or into a vein or veins.
Product Labeler Information What is the Labeler Name?
Name of Company corresponding to the labeler code segment of the Product NDC.
Sandoz Manufacturing Inc
Labeler Code54643
FDA Application Number What is the FDA Application Number?
This corresponds to the NDA, ANDA, or BLA number reported by the labeler for products which have the corresponding Marketing Category designated. If the designated Marketing Category is OTC Monograph Final or OTC Monograph Not Final, then the Application number will be the CFR citation corresponding to the appropriate Monograph (e.g. “part 341”). For unapproved drugs, this field will be null.
NDA021265
Marketing Category What is the Marketing Category?
Product types are broken down into several potential Marketing Categories, such as NDA/ANDA/BLA, OTC Monograph, or Unapproved Drug. One and only one Marketing Category may be chosen for a product, not all marketing categories are available to all product types. Currently, only final marketed product categories are included. The complete list of codes and translations can be found at www.fda.gov/edrls under Structured Product Labeling Resources.
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date What is the Start Marketing Date?
This is the date that the labeler indicates was the start of its marketing of the drug product.
02-21-2001
Listing Expiration Date What is the Listing Expiration Date?
This is the date when the listing record will expire if not updated or certified by the product labeler.
12-31-2022
Exclude Flag What is the NDC Exclude Flag?
This field indicates whether the product has been removed/excluded from the NDC Directory for failure to respond to FDA"s requests for correction to deficient or non-compliant submissions ("Y"), or because the listing certification is expired ("E"), or because the listing data was inactivated by FDA ("I"). Values = "Y", "N", "E", or "I".
N
NDC Code Structure

Usage Information


Product Packages

NDC 54643-7886-1

Package Description: 10 VIAL in 1 CARTON > 5 mL in 1 VIAL

Product Details

Pediatric Infuvite Multiple Vitamins is a human prescription drug product labeled by Sandoz Manufacturing Inc. The generic name of Pediatric Infuvite Multiple Vitamins is ascorbic acid, vitamin a palmitate, cholecalciferol, thiamine hydrochloride, riboflavin-5 phosphate sodium, pyridoxine hydrochloride, niacinamide, dexpanthenol, alpha-tocopherol acetate, vitamin k1, folic acid, biotin, cyanocobalamin. The product's dosage form is injection, solution and is administered via intravenous form.


What are Pediatric Infuvite Multiple Vitamins Active Ingredients?

The following is the list of active ingredients in this product. An active ingredient is the substance responsible for the medicinal effects of a product specified by the substance's molecular structure or if the molecular structure is not known, defined by an unambiguous definition that identifies the substance. Each active ingredient name is the preferred term of the UNII code submitted.


NDC to RxNorm Crosswalk

What is RxNorm? RxNorm is a normalized naming system for generic and branded drugs that assigns unique concept identifier(s) known as RxCUIs to NDC products.The NDC to RxNorm Crosswalk for this produdct indicates multiple concept unique identifiers (RXCUIs) are associated with this product:


Inactive Ingredient(s)

The inactive ingredients are all the component of a medicinal product OTHER than the active ingredient(s). The acronym "UNII" stands for “Unique Ingredient Identifier” and is used to identify each inactive ingredient present in a product.

  • POLYSORBATE 80 (UNII: 6OZP39ZG8H)
  • SODIUM HYDROXIDE (UNII: 55X04QC32I)
  • HYDROCHLORIC ACID (UNII: QTT17582CB)
  • WATER (UNII: 059QF0KO0R)
  • MANNITOL (UNII: 3OWL53L36A)
  • ANHYDROUS CITRIC ACID (UNII: XF417D3PSL)
  • SODIUM CITRATE, UNSPECIFIED FORM (UNII: 1Q73Q2JULR)
  • WATER (UNII: 059QF0KO0R)
  • POLYSORBATE 80 (UNII: 6OZP39ZG8H)
  • ANHYDROUS CITRIC ACID (UNII: XF417D3PSL)
  • SODIUM CITRATE, UNSPECIFIED FORM (UNII: 1Q73Q2JULR)
  • SODIUM HYDROXIDE (UNII: 55X04QC32I)
  • HYDROCHLORIC ACID (UNII: QTT17582CB)
  • WATER (UNII: 059QF0KO0R)
  • MANNITOL (UNII: 3OWL53L36A)


Pharmacologic Class(es)

A pharmacologic class is a group of drugs that share the same scientifically documented properties. The following is a list of the reported pharmacologic class(es) corresponding to the active ingredients of this product.


* Please review the disclaimer below.

Pediatric Infuvite Multiple Vitamins Labeling and Warnings

FDA filings in the form of structured product labels are documents that include all published material associated whith this product. Product label information includes data like indications and usage generic names, contraindications, active ingredients, strength dosage, routes of administration, appearance, usage, warnings, inactive ingredients, etc.

Table of Contents



1 Indications And Usage



INFUVITE PEDIATRIC is a combination of vitamins indicated for the prevention of vitamin deficiency in pediatric patients up to 11 years of age receiving parenteral nutrition.

The physician should not await the development of clinical signs of vitamin deficiency before initiating vitamin therapy.


2.1 Important Dosage Instructions



INFUVITE PEDIATRIC is a combination product that contains the following vitamins: ascorbic acid, vitamin A, vitamin D, thiamine, riboflavin, pyridoxine, niacinamide, dexpanthenol, vitamin E, vitamin K1, folic acid, biotin, and vitamin B12.

INFUVITE PEDIATRIC is supplied as a single dose or as a pharmacy bulk package, for intravenous use intended for administration by intravenous infusion after dilution:

  • •INFUVITE PEDIATRIC Single Dose consists of two vials. A weight-based volume from each vial must be added directly to dextrose or saline solution prior to intravenous administration [see Dosage and Administration (2.2, 2.3)].
  • •INFUVITE PEDIATRIC Pharmacy Bulk Package consists of two pharmacy bulk vials which must be mixed prior to use. The mixed solution will provide multiple daily doses which must be diluted prior to intravenous administration. Pharmacy bulk package of INFUVITE PEDIATRIC is intended for dispensing of single doses to multiple patients in a pharmacy admixture program and is restricted to the preparation of admixtures for infusion. [see Dosage and Administration (2.2, 2.3)].

2.2 Dosage Information



The recommended daily dosage volume is based on the patient's actual weight less than 1 kg, 1 kg to less than 3 kg, and 3 kg or greater.

Patients with multiple vitamin deficiencies or with increased vitamin requirements may need multiple daily dosages as indicated or additional doses of individual vitamins. Supplemental vitamin A may be required for low-birth weight infants.

Additional daily dosages of Vitamin E in infants are not recommended [see Warnings and Precautions (5.8)].

INFUVITE PEDIATRIC Single Dose (see Table 1):

One daily dose of Vial 1 (1.2 mL, 2.6 mL or 4 mL) and one daily dose of Vial 2 (0.3 mL, 0.65 mL or 1 mL) based on the patient’s weight are added directly to a specified volume of an intravenous fluid [see Dosage and Administration (2.3)] (see Table 1).

Table 1: Recommended Weight-Based Dosage of INFUVITE PEDIATRIC Single Dose

Less than 1 kg

1 kg to less than 3 kg

3 kg or greater

Daily Dosage Volume – Vial 1

1.2 mL

2.6 mL

4 mL

Ascorbic acid (Vitamin C)

24 mg

52 mg

80 mg

Vitamin A (as palmitate)

690 IU (equals 0.2 mg)

1495 IU (equals 0.5 mg)

2,300 IU (equals 0.7 mg)

Vitamin D3 (cholecalciferol)

120 IU (equals 3 mcg)

260 IU (equals 7 mcg)

400 IU (equals 10 mcg)

Thiamine (Vitamin B1) (as the hydrochloride)

0.4 mg

0.8 mg

1.2 mg

Riboflavin (Vitamin B2) (as riboflavin 5-phosphate sodium)

0.4 mg

0.9 mg

1.4 mg

Pyridoxine HCl (Vitamin B6)

0.3 mg

0.7 mg

1 mg

Niacinamide

5.1 mg

11.1 mg

17 mg

Dexpanthenol (as d-pantothenyl alcohol)

1.5 mg

3.3 mg

5 mg

Vitamin E (dl-α-tocopheryl acetate)

2.1 IU (equals 2 mg)

4.6 IU (equals 5 mg)

7 IU (equals 7 mg)

Vitamin K1

0.1 mg

0.1 mg

0.2 mg

Daily Dosage Volume – Vial 2

0.3 mL

0.65 mL

1 mL

Folic acid

42 mcg

91 mcg

140 mcg

Biotin

6 mcg

13 mcg

20 mcg

Vitamin B12 (cyanocobalamin)

0.3 mcg

0.7 mcg

1 mcg

INFUVITE PEDIATRIC Pharmacy Bulk Package (see Table 2):

The recommended daily dosage volume of combined content of vials 1 and 2 (1.5 mL, 3.25 mL or 5 mL) is based on the patient’s weight and then added directly to the specific volume of an intravenous fluid [see Dosage and Administration (2.3)].

Table 2: Recommended Weight-Based Dosage of INFUVITE PEDIATRIC Pharmacy Bulk Package

Less than 1 kg

1 kg to less than 3 kg

3 kg or greater

Daily Dosage Volume(combined contents of Vial 1 and Vial 2)

1.5 mL

3.25 mL

5 mL

Ascorbic acid (Vitamin C)

24 mg

52 mg

80 mg

Vitamin A (as palmitate)

690 IU (equals 0.2 mg)

1495 IU (equals 0.5 mg)

2,300 IU (equals 0.7 mg)

Vitamin D3 (cholecalciferol)

120 IU (equals 3 mcg)

260 IU (equals 7 mcg)

400 IU (equals 10 mcg)

Thiamine (Vitamin B1) (as the hydrochloride)

0.4 mg

0.8 mg

1.2 mg

Riboflavin (Vitamin B2) (as riboflavin 5-phosphate sodium)

0.4 mg

0.9 mg

1.4 mg

Pyridoxine HCl (Vitamin B6)

0.3 mg

0.7 mg

1 mg

Niacinamide

5.1 mg

11.1 mg

17 mg

Dexpanthenol (as d-pantothenyl alcohol)

1.5 mg

3.3 mg

5 mg

Vitamin E (dl-α-tocopheryl acetate)

2.1 IU (equals 2 mg)

4.6 IU (equals 5 mg)

7 IU (equals 7 mg)

Vitamin K1

0.1 mg

0.1 mg

0.2 mg

Folic acid

42 mcg

91 mcg

140 mcg

Biotin

6 mcg

13 mcg

20 mcg

Vitamin B12 (cyanocobalamin)

0.3 mcg

0.7 mcg

1 mcg


2.3 Preparation And Administration Instructions



Do not administer INFUVITE PEDIATRIC as a direct, undiluted intravenous injection as it may cause dizziness, faintness, and possible tissue irritation.

  •  INFUVITE PEDIATRIC Single Dose:
  • •Use only in a suitable work area such as a laminar flow hood (or an equivalent clean air compounding area).
  •  Add one weight-based dose of Vial 1 (1.2 mL, 2.6 mL or 4 mL) and one weight-based dose of Vial 2 (0.3 mL, 0.65 mL or 1 mL) directly to at least 100 mL of intravenous dextrose or saline solution.
  • •Discard unused portion.
  • •Visually inspect for particulate matter and discoloration prior to administration.
  • •After INFUVITE PEDIATRIC is diluted in an intravenous infusion, refrigerate the resulting solution unless it is to be used immediately, and use the solution within 24 hours after dilution.
  • •Minimize exposure to light because some of the vitamins in INFUVITE PEDIATRIC, particularly A, D and riboflavin, are light sensitive.
  •  INFUVITE PEDIATRIC Pharmacy Bulk Package:
  • •Use only in a suitable work area such as a laminar flow hood (or an equivalent clean air compounding area).
  • •Transfer the contents of Vial 2 (10 mL of solution) into the contents of Vial 1 (40 mL of solution). The mixed solution (50 mL) will provide thirty-three 1.5 mL single doses, fifteen 3.25 mL single doses or ten 5 mL single doses.
  • •Each bulk vial closure shall be penetrated only one time with a suitable sterile transfer device or dispensing set that allows measured dispensing of the contents.
  • •Once the closure system has been penetrated, complete dispensing from the pharmacy bulk vial should be completed within 4 hours. The mixed solution may be refrigerated and stored for up to 4 hours.
  • •Discard unused portion.
  • •Visually inspect for particulate matter and discoloration prior to administration.
  • •Add one dose directly to at least 100 mL of intravenous dextrose or saline solution for each patient.
  • •After INFUVITE PEDIATRIC is diluted in an intravenous infusion, refrigerate the resulting solution unless it is to be used immediately, and use the solution within 24 hours after dilution.
  • •Minimize exposure to light because some of the vitamins in INFUVITE PEDIATRIC, particularly A, D and riboflavin, are light sensitive.

2.4 Monitoring Vitamin Blood Levels



Blood vitamin concentrations should be monitored to ensure maintenance of adequate levels, particularly in patients receiving parenteral multivitamins as the only source of vitamins for long periods of time.


2.5 Drug Incompatibilities



  • •INFUVITE PEDIATRIC is not physically compatible with moderately alkaline solutions such as a sodium bicarbonate solution and other alkaline drugs such as acetazolamide sodium, aminophylline, ampicillin sodium, tetracycline HCl and chlorothiazide sodium.
  • •Folic acid is unstable in the presence of calcium salts such as calcium gluconate.
  • •Vitamin A and thiamine in INFUVITE PEDIATRIC may react with bisulfite solutions such as sodium bisulfite or vitamin K bisulfite.
  • •Do not add INFUVITE PEDIATRIC directly to intravenous fat emulsions.
  • •Consult appropriate references for additional listings of physical and chemical compatibility of solutions and drugs with the vitamin infusion when needed. If incompatibilities are identified, avoid admixture or Y-site administration with vitamin solutions.

3 Dosage Forms And Strengths



INFUVITE PEDIATRIC Single Dose is an injection consisting of two single-dose vials labeled Vial 1 (4 mL) and Vial 2 (1 mL). For the vitamin strengths [see Dosage and Administration (2.2) and Description (11)].

INFUVITE PEDIATRIC Pharmacy Bulk Package is an injection consisting of two vials labeled Vial 1 (40 mL Fill in 50 mL Vial) and Vial 2 (10 mL). The mixed solution (50 mL) will provide thirty-three 1.5 mL single doses, fifteen 3.25 mL single doses or ten 5 mL single doses. For the vitamin strengths [see Dosage and Administration (2.2) and Description (11)].


4 Contraindications



INFUVITE PEDIATRIC is contraindicated in patients who have:

  • •An existing hypervitaminosis, or
  • •A history of hypersensitivity to any vitamins or excipients contained in this formulation.

5.1 Aluminum Toxicity



INFUVITE PEDIATRIC contains aluminum that may be toxic. Aluminum may reach toxic levels with prolonged parenteral administration in pediatric patients with renal impairment. Premature neonates are particularly at risk because their kidneys are immature, and they require large amounts of calcium and phosphate solution, which contain aluminum.

Research indicates that patients with impaired kidney function, including premature neonates who receive parenteral levels of aluminum at greater than 4 to 5 mcg/kg/day accumulate aluminum at levels associated with central nervous system and bone toxicity. Tissue loading may occur at even lower rates of administration. To prevent aluminum toxicity periodically monitor aluminum levels with prolonged parenteral administration of INFUVITE PEDIATRIC.


5.2 Allergic Reactions To Thiamine



Allergic reactions such as urticaria, shortness of breath, wheezing and angioedema have been reported following intravenous administration of thiamine, which is found in INFUVITE PEDIATRIC. There have been rare reports of anaphylaxis following intravenous doses of thiamine. No fatal anaphylaxis associated with INFUVITE PEDIATRIC has been reported.


5.3. Hypervitaminosis A



Hypervitaminosis A, manifested by nausea, vomiting, headache, dizziness, blurred vision has been reported in patients with renal failure receiving 1.5 mg/day retinol and in patients with liver disease. Therefore, supplementation of renal failure patients and patients with liver disease with vitamin A, an ingredient found in INFUVITE PEDIATRIC, should be undertaken with caution [see Use in Specific Populations (8.6, 8.7)]. Blood levels of Vitamin A should be monitored periodically.


5.4 Decreased Anticoagulant Effect Of Warfarin



INFUVITE PEDIATRIC contains Vitamin K which may decrease the anticoagulant action of warfarin. In patients who are on warfarin anticoagulant therapy receiving INFUVITE PEDIATRIC monitor blood levels of prothrombin/INR to determine if dose of warfarin needs to be adjusted.


5.5 Interference With Diagnosis Of Megaloblastic Anemia



INFUVITE PEDIATRIC contains folic acid and cyanocobalamin which can mask serum deficiencies of folic acid and cyanocobalamin in patients with megaloblastic anemia. Avoid the use of INFUVITE PEDIATRICS in patients with suspected or diagnosed megaloblastic anemia prior to blood sampling for the detection of the folic acid and cyanocobalamin deficiencies.


5.6 Potential To Develop Vitamin Deficiencies Or Excesses



In patients receiving parenteral multivitamins such as with INFUVITE PEDIATRIC, blood vitamin concentrations should be periodically monitored to determine if vitamin deficiencies or excesses are developing. INFUVITE PEDIATRIC may not correct long-standing specific vitamin deficiencies. The administration of additional doses of specific vitamins may be required [see Dosage and Administration (2.2)].


5.7 Interference With Urine Glucose Testing



INFUVITE PEDIATRIC contains vitamin C which is also known as ascorbic acid. Ascorbic acid in the urine may cause false negative urine glucose results.


5.8 Vitamin E Overdose In Infants Receiving Additional Vitamin E



Additional vitamin E supplementations of patients receiving INFUVITE PEDIATRIC may result in elevated blood concentrations of vitamin E and potential vitamin E toxicity in infants. Avoid additional oral or parental doses of vitamin E in infants. Daily dose of INFUVITE PEDIATRIC contains adequate concentrations of vitamin E required to achieve normal blood levels of vitamin E.


5.9 Risk Of Low Vitamin A Levels



Lower vitamin A concentrations may occur after administration of INFUVITE PEDIATRIC due to the adherence of Vitamin A to plastic. Monitor blood vitamin A concentrations periodically. Additional administration of therapeutic doses of vitamin A may be required, especially in low-birth weight infants.


5.10 Risk Of E-Ferol Syndrome In Low-Birth Weight Infants



E-Ferol syndrome manifested by thrombocytopenia, renal dysfunction, hepatomegaly, cholestasis, ascites, hypotension and metabolic acidosis has been reported in low-birth weight infants following administration of polysorbates which are found in INFUVITE PEDIATRIC. No E-Ferol syndrome associated with INFUVITE PEDIATRIC has been reported.


6 Adverse Reactions



The following adverse reactions are discussed in greater detail in other sections of the labeling.

  • •Allergic reactions to thiamine [see Warnings and Precautions (5.2)].
  • •Hypervitaminosis A [see Warnings and Precautions (5.3)]
  • The following adverse reactions have been identified during postapproval use of INFUVITE PEDIATRIC. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.

    •  Dermatologic: rash, erythema, pruritis
    •  CNS: headache, dizziness, agitation, anxiety
    •  Ophthalmic: diplopia

7 Drug Interactions



A number of interactions between vitamins and drugs have been reported. The following are examples of these types of interactions.


7.1 Drug Interactions Affecting Co-Administered Drugs



  •  Warfarin: Vitamin K, a component of INFUVITE PEDIATRIC, antagonizes the anticoagulant action of warfarin. In patients who are co-administered warfarin and INFUVITE PEDIATRIC, blood levels of prothrombin/INR should be monitored to determine if dose of warfarin needs to be adjusted [see Warnings and Precautions (5.4)].
  •  Antibiotics: Thiamine, riboflavin, pyridoxine, niacinamide, and ascorbic acid decrease antibiotic activities of erythromycin, kanamycin, streptomycin, doxycycline, and lincomycin.
  •  Bleomycin: Ascorbic acid and riboflavin inactivate bleomycin in vitro, thus the activity of bleomycin may be reduced.
  •  Levodopa: Pyridoxine may increase the metabolism of levodopa (decrease blood levels of levodopa) and decrease its efficacy.
  •  Phenytoin: Folic acid may increase phenytoin metabolism and lower the serum concentration of phenytoin resulting in increased seizure activity.
  •  Methotrexate: Folic acid may decrease a patient’s response to methotrexate therapy.

7.2 Drug Interactions Affecting Vitamin Levels



  •  Hydralazine, Isoniazid: Concomitant administration of hydralazine or isoniazid may increase pyridoxine requirements.
  •  Phenytoin: Phenytoin may decrease serum folic acid concentrations.

Pregnancy Category C.



INFUVITE PEDIATRIC has not been studied in pregnant women. Pregnant women should follow the U.S. recommended daily allowances for pregnancy because their vitamin requirements may exceed those of non-pregnant women. Animal reproduction studies have not been conducted with INFUVITE PEDIATRIC (multiple vitamins injection).


8.3 Nursing Mothers



INFUVITE PEDIATRIC has not been studied in nursing mothers. Lactating women may have vitamin requirements that exceed those of non-lactating women. Caution should be exercised when INFUVITE PEDIATRIC is administered to nursing mothers.


8.4 Pediatric Use



INFUVITE PEDIATRIC is approved for the prevention of vitamin deficiency in pediatric patients up to 11 years old receiving parenteral nutrition. INFUVITE PEDIATRIC has not been studied in pediatric patients older than 11 years.

INFUVITE PEDIATRIC contains aluminum that may be toxic for premature neonates. Aluminum levels should be monitored periodically during administration of INFUVITE PEDIATRIC to premature neonates [see Warnings and Precautions (5.1)].

Additional vitamin E supplementations of infants receiving INFUVITE PEDIATRIC may result in elevated blood concentrations of vitamin E and potential vitamin E toxicity [see Warnings and Precautions (5.8)].

E-Ferol syndrome has been reported in low-birth weight infants following administration of polysorbates which are found in INFUVITE PEDIATRIC. No E-Ferol syndrome associated with INFUVITE PEDIATRIC has been reported [see Warnings and Precautions (5.10)].


8.6 Renal Impairment



INFUVITE PEDIATRIC has not been studied in patients with renal impairment. Monitor renal function, calcium, phosphorus and vitamin A levels in patients with renal impairment [see Warnings and Precautions (5.1, 5.3)].


8.7 Hepatic Impairment



INFUVITE PEDIATRIC has not been studied in patients with liver impairment. Monitor vitamin A levels in patients with liver disease [see Warnings and Precautions (5.3)].


10 Overdosage



Signs and symptoms of acute or chronic overdosage may be those of individual INFUVITE PEDIATRIC component toxicity. There is no clinical experience with INFUVITE PEDIATRIC overdosage.


11 Description



INFUVITE PEDIATRIC (multiple vitamins injection) is a sterile product consisting of two vials provided as a single dose or as a pharmacy bulk package for intravenous use intended for administration by intravenous infusion after dilution:

INFUVITE PEDIATRIC (multiple vitamins injection) supplied as single dose consists of:

  • (a)Vial 1 (4 mL); and
  • (b)Vial 2 (1 mL).
  • Vial 1 will provide one daily dose of 1.2 mL, 2.6 mL or 4 mL and Vial 2 will provide one daily dose of 0.3 mL, 0.65 mL or 1 mL [see Dosage and Administration (2.2)].

    INFUVITE PEDIATRIC (multiple vitamins injection) supplied as pharmacy bulk package consists of:

    • (a)Vial 1 (40 mL Fill in 50 mL Vial); and
    • (b)Vial 2 (10 mL).
    • The mixed solution will provide many single doses [see Dosage and Administration (2.2)].

      Each 4 mL of Vial 1 contains 10 vitamins and each 1 mL of Vial 2 contains 3 vitamins (see Table 3).

      Table 3: INGREDIENTS IN INFUVITE PEDIATRIC FORMULATION

      Vial 1

      Active Ingredient

      Quantity per 4 mL

      Ascorbic acid (Vitamin C)

      80 mg

      Vitamin A* (as palmitate)

      2,300 IU (equals 0.7 mg)

      Vitamin D3* (cholecalciferol)

      400 IU (equals 10 mcg)

      Thiamine (Vitamin B1) (as the hydrochloride)

      1.2 mg

      Riboflavin (Vitamin B2) (as riboflavin 5-phosphate sodium)

      1.4 mg

      Pyridoxine HCl (Vitamin B6)

      1 mg

      Niacinamide

      17 mg

      Dexpanthenol (as d-pantothenyl alcohol)

      5 mg

      Vitamin E* (dl-α-tocopheryl acetate)

      7 IU (equals 7 mg)

      Vitamin K1*

      0.2 mg

      *Polysorbate 80 is used to water solubilize the oil-soluble vitamins A, D, E, and K.

      Inactive ingredients in 4 mL of Vial 1: 50 mg polysorbate 80, sodium hydroxide and/or hydrochloric acid for pH adjustment, and water for injection.

      Vial 2

      Active Ingredient

      Quantity per 1 mL

      Folic acid

      140 mcg

      Biotin

      20 mcg

      Vitamin B12 (cyanocobalamin)

      1 mcg

      Inactive ingredients in 1 mL of Vial 2: 75 mg mannitol, citric acid and/or sodium citrate for pH adjustment and water for injection.

      INFUVITE PEDIATRIC (multiple vitamins injection) makes available a combination of oil-soluble and water-soluble vitamins in an aqueous solution, formulated for incorporation into intravenous solutions. The liposoluble vitamins A, D, E, and K have been solubilized in an aqueous medium with polysorbate 80, permitting intravenous administration of these vitamins.

      INFUVITE PEDIATRIC contains no more than 30 mcg/L of aluminum (combined Vials 1 and 2).


13.1 Carcinogenesis, Mutagenesis, Impairment Of Fertility



Carcinogenicity, mutagenicity, and fertility studies have not been performed with INFUVITE PEDIATRIC.


16 How Supplied/Storage And Handling



How Supplied:

INFUVITE PEDIATRIC (multiple vitamins injection) is supplied as follows:

INFUVITE PEDIATRIC (multiple vitamins injection) Single Dose:

  • •NDC 54643-7886-1 - Boxes containing ten single dose vials – five each of Vial 1 (4 mL) and five each of Vial 2 (1 mL), one Vial 1 plus one Vial 2 to be used for a single dose [see Dosage and Administration (2.2, 2.3)].
  • INFUVITE PEDIATRIC (multiple vitamins injection) Pharmacy Bulk Package:

    • •NDC 54643-7898-0 - Boxes containing two vials – Vial 1 (40 mL Fill in 50 mL Vial) and Vial 2 (10 mL). Mixed contents of Vial 2 with Vial 1 provide thirty-three 1.5 mL single doses, fifteen 3.25 mL single doses or 10 single 5 mL doses [see Dosage and Administration (2.2, 2.3)].
    • Storage and Handling:

      Minimize exposure of INFUVITE PEDIATRIC to light because vitamins A, D and riboflavin are light sensitive.

      Store under refrigeration 2 to 8°C (36 to 46°F).


17 Patient Counseling Information



Instruct caregiver(s) and patients (if age appropriate):

  • •To watch for signs of allergic reactions such as urticaria, shortness of breath, wheezing and angioedema since hypersensitivity reactions may occur to any of the vitamins or excipients contained in INFUVITE PEDIATRIC.
  • •To watch for and immediately report nausea, vomiting, headache, dizziness, blurred vision, especially if patients have renal impairment, as these may be signs of hypervitaminosis A.
  • •To report other adverse reactions that patients may experience such as rash, erythema, pruritus, headache, dizziness, agitation, anxiety, and diplopia.
  • •Patients on warfarin anticoagulant therapy will be monitored periodically with blood prothrombin/ INR levels to determine if the dose of warfarin needs to be adjusted.
  • •About the significance of periodic monitoring of blood vitamin concentrations to determine if vitamin deficiencies or excesses are developing and the need to monitor renal function, calcium, phosphorus, aluminum and vitamin A levels in patients with renal impairment.
  • •That INFUVITE PEDIATRIC should be avoided in patients with suspected or diagnosed megaloblastic anemia prior to blood sampling for the detection of the folic acid and cyanocobalamin deficiencies.
  • •That vitamin C (ascorbic acid) contained in INFUVITE PEDIATRIC may cause false negative urine glucose results.
  • Manufactured by

    Sandoz Canada Inc.

    145 Jules-Léger Street

    Boucherville, Qc, Canada, J4B 7K8

    Distributed by

    Baxter Healthcare Corporation for PremierProRx®

    Clintec Nutrition Division

    Deerfield, IL 60015 USA

    PremierProRx® is a trademark of Premier, Inc., used under license

    Printed in Canada

    ® INFUVITE is a registered trademark of Sandoz Canada Inc.

    46194733

    10-2016


Vials Carton



  •  2A9008PRORX NDC 54643-7886-1
  • INFUVITE PEDiatric

    Multiple Vitamins Injection

    For intravenous infusion after dilution only.

    •  Sterile Rx only
    • Contains 5 each of Vial 1 (4 mL) and Vial 2 (1 mL).

      One vial of each to be used for a single dose.

      Store under refrigeration, 2 to 8°C (36 to 46°F).

      Vial 1 (4 mL)

      Vial 2 (1 mL)

      PremierProRx®


Pharmacy Bulk Package Carton



  •  2A9061 PRORX NDC 54643-7898-0
  • INFUVITE® PEDiatric

    PHARMACY BULK PACKAGE

    Multiple Vitamins Injection

    PHARMACY BULK PACKAGE

    NOT FOR DIRECT INFUSION

    For intravenous infusion after dilution only.

    •  STERILE Rx only
    • Contents: Vial 1 (40 mL fill in 50 mL) and

      Vial 2 (10 mL).

      Both vials combined produce 10 single doses.

      Store under refrigeration, 2 to 8°C (36 to 46°F)

      Vial (40 mL)

      Vial 2 (10 mL)

      PremierProRx®


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