This preparation is indicated during preparation for pregnancy, pregnancy and lactation; however, the recommended dosage must not be exceeded (see Overdosage). As for every medicinal product, consult the health care professional.
Pregnancy: Chronic overdose of vitamin D might be harmful to the fetus.
For pregnant women, the Institute of Medicine (USA) has set the Tolerable Upper Intake Levels (UL) of vitamin D of 100 mcg (4000IU) per day, which is considered as safe. Elevit contains 1000 IU/tablet.
An overdose of vitamin D must be avoided as permanent hypercalcaemia can lead to physical and mental retardation, supravalvular, aortic stenosis and retinopathy in the child.
In animals, overdoses of vitamin D during pregnancy have been shown to have teratogenic effects. There is no evidence that vitamin D at the recommended dose is teratogenic in humans.
Before, during pregnancy and lactation the daily intake should not exceed 2500mg calcium and 4000IU (100μg) vitamin D.
Intake of food rich in vitamin D and intake of fortified foods and drinks, which may contain high levels of these vitamins, must be taken into account.
General remark: Adequate maternal micronutrient status is especially critical during preparation for pregnancy, pregnancy and lactation and the requirements for most micronutrients are higher in these periods. A complete multivitamin product containing folic acid and safe amounts of vitamin D, as well as of the other ingredients can thus be used during preparation for pregnancy, pregnancy and lactation to ensure sufficient micronutrient intakes.
Lactation: Permanent overdose of vitamin D might be harmful to the neonate.
The vitamins and minerals in this preparation are excreted into breast milk. This must be taken into consideration if the infant is receiving any respective supplements.
For lactating women the Institute of Medicine (USA) has set the Tolerable Upper Intake Levels (UL) of vitamin D of 100mcg (4000IU) per day, which is considered as safe. Elevit contains 1000IU/tablet.
Fertility: There are no data on the effect of the medicinal product on fertility.
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