Dosage:
Adults and children over 12 years: half a capsule daily after a meal or as directed by a physician. Do not exceed the recommended doses.
Packaging: White container containing 120 capsules, with a pull-off strip at opening.
Shelf life: Twenty-four (24) months unopened. This product should be used within 10–12 weeks after opening.
Keep the container tightly closed, in a cool (below 25°C) and dry place. Protect from light. KEEP OUT OF REACH OF CHILDREN.
INTERACTIONS
There is an increased risk of vitamin A hypervitaminosis if vitamin A is given together with synthetic retinoids, such as acitretin, isotretinoin and tretinoin. There is also an increased risk of hypercalcemia if vitamin D is given with thiazide diuretics, calcium or phosphate. Remember to inform your doctor if you are taking any medicines.
CONTRAINDICATIONS
Use of Environ vitamins is not recommended in: hypervitaminosis A or D, pregnancy, during treatment with retinoids (e.g. for acne) or vitamin D, or if there is hypersensitivity to any ingredient.
WARNINGS
The recommended daily dose should not be exceeded. Do not take this product if you are allergic to any of its ingredients. If you are unsure whether you can take these vitamins, consult your doctor. A dietary supplement should not be used as a substitute for a varied diet.
NOTICE
This supplement was manufactured in a facility that processes other products which may contain nuts.
PREGNANCY AND BREASTFEEDING
Safe use of Environ A & D Vitamins during pregnancy and breastfeeding has not been established. 10,000 IU of Vitamin A from all sources, including dietary sources, is considered the maximum allowable dose during pregnancy; however, higher doses are not associated with fetal defects. If you are pregnant or breastfeeding, consult your doctor before using the supplement.
SIDE EFFECTS
Frequency categories: Very common (≥1/10); Common (≥1/100, <1/10); Uncommon (≥1/1,000, <1/100); Rare (≥1/10,000, <1/1,000); Very rare (<1/10,000).
Adverse effects reported with use of Vitamin A:
- Immune system disorders — Reported adverse effect, frequency not specified: Hypersensitivity
- Nervous system disorders — Very rare: headache
- Skin and subcutaneous tissue disorders — Common: photosensitivity; Rare: dry skin or itching, chapped lips
- Pregnancy, puerperium and perinatal conditions — Reported adverse effect, frequency not specified: Fetal developmental abnormalities
KNOWN SYMPTOMS OF OVERDOSAGE:
Toxicity of Environ A & D Vitamins will be that of fat-soluble vitamins A and D. A dose of vitamin A exceeding 15,000 IU per day (3 capsules or more) may rarely cause nausea, dizziness, headaches and visual disturbances. A dose exceeding 100,000 IU per day (20 capsules or more) may cause liver damage, menstrual disturbances, dry skin, itching, irritability, vomiting, hair loss, bone and muscle pain, headache and anemia.
A vitamin D dose up to 2400 IU daily (4 capsules provide 2000 IU) may rarely cause adverse effects. A sustained dose above 3800 IU per day may cause excessive blood calcium levels, which can cause nausea, vomiting, weakness, headache, drowsiness, dry mouth, constipation, metallic taste, muscle and bone pain. If untreated, it may develop into pancreatitis, photosensitivity, rhinitis, skin itching, raised body temperature, decreased libido, increased liver enzyme activity, kidney stones, high blood pressure and heart rhythm disturbances.