Prolac

Each capsule contains synthetic retinol concentrate (powder form) 5000 IU, cholecalciferol 1000 IU, thiamine nitrate 10 mg, riboflavin 10 mg, pyridoxine hydrochloride 3 mg, α-tocopheryl acetate 15 mg, nicotinamide 50 mg, ascorbic acid 75 mg, biotin 0.25 mg, cyanocobalamin 15 mcg, folic acid 1.5 mg, calcium pantothenate 50 mg, heavy magnesium oxide 60 mg, manganese sulphate monohydrate 2.5 mg, copper sulphate pentahydrate 3.92 mg, zinc sulphate 27.45 mg, sodium molybdate dihydrate 0.25 mg, sodium borate 0.88 mg, potassium iodate 0.175 mg, sodium selenite 0.11 mg, chromium sulphate 1.377 mg, cobaltous chloride 0.22 mcg, nickel sulphate 13.2 mcg, stannous chloride dihydrate 17.5 mcg, sodium metavanadate 46.42 mcg and calcium hydrogen phosphate 75 mg.

Nestlé Protein Preparation (Prolac) is a nutritionally complete oral supplement specially formulated for older adults to help support immune function and recovery. Protein Preparation (Prolac) contains high quality protein, a heart-healthy fat blend and a moderate level of carbohydrates. It contains prebiotic fibers, probiotics and high amounts of specific micronutrients (vitamin E, folate, vitamin B6) which have been shown to have beneficial effects on gut microflora and/or immune function.

Nestlé Protein Preparation (Prolac) is a nutritionally complete, isocaloric (1 kCal/mL) and balanced enteral diet food replacement or food supplement which meets 100% of US RDAs for all essential vitamins, minerals and protein in only 2000 kCal.

Nestlé Protein Preparation (Prolac) is a nutritionally complete, balanced and isotonic diet intended for both enteral tube feeding and oral supplementation for patients requiring enteral nutrition support. Nestlé Protein Preparation (Prolac) provides total nutritional need for short- or long-term feeding of patients with normal or near normal gastrointestinal function, for the prevention and correction of malnutrition.

Special Characteristics: The unique blend of protein in Nestlé Protein Preparation (Prolac) (50% whey protein and 50% casein) is high in nutritional value and easily digested and well tolerated.

Protein source is 50% whey protein which enhances tolerance for patients with delayed gastric emptying due to their disease process (neurologically-impaired and diabetics), and reduce the risk of aspiration.

Essential amino acid requirements are fulfilled with this protein source and this blend has a high biological value with a chemical score of >100% of the Food and Agriculture Organization (FAO)/World Health Organization (WHO) standard (1997).

Nestlé Protein Preparation (Prolac) meets 100% of US RDAs for all essential vitamins, minerals and protein in only 1500 kCal which is important for patients with limited mobility and reduced energy requirements eg, the elderly or those with strokes.

Two thousand (2000) mL of Nestlé Protein Preparation (Prolac) contains protein 80 g (16% of total calories) which enhances healing and anabolism of patients.

Nestlé Protein Preparation (Prolac) provides a heart-healthy blend of fatty acids; it is low in saturated fatty acids (SFA), trans fatty acids and cholesterol, high in monounsaturated fatty acids (MUFA), and has a low ω-6:ω-3 ratio (5.4:1). Fat profile which meets the American Heart Association (2006) and American Diabetes Association (2008) guidelines.

Nestlé Protein Preparation (Prolac) contains complex carbohydrate at the moderate level [maltodextrin, sucrose, fructooligosaccharides (FOS) and inulin (fiber)] which helps in reducing risk of hyperglycemia and contributes to the low osmolality of Protein Preparation (Prolac).

Protein Preparation (Prolac) contains Prebio 1, a fiber blend compromised of FOS 70% and inulin 30%.

FOS and inulin fibers have been reported to increase fecal bifidobacteria counts, support bowel regularity and reduce inflammation.

Protein Preparation (Prolac) contains the probiotic 1 billion cfu/500 kCal Lactobacillus paracasei NCC 2461 (ST11) which has been found to survive the gastrointestinal tract. It has positive effects on immune function, and also appears to protect against bacterial-related diarrhea.

Protein Preparation (Prolac) provides supplemental vitamin E. Supplementation with vitamin E ≥60 mg/day appears to have a positive immune benefit in elderly individuals.

Isotonic osmolality of water 340 mOsmol/kg (osmolarity is 300 mOsmol/L) allows Nestlé Protein Preparation (Prolac) to be initiated at full strength and eliminates the risk of osmotic diarrhea and high osmotic intolerance.

Nestlé Protein Preparation (Prolac) provides appropriate level of all essential vitamins and minerals for the nutritionally-compromised tube- and oral-fed patients, including additional amounts of vitamins A, D, folic acid, biotin.

Nestlé Protein Preparation (Prolac) added ultra trace minerals to assure optimum nutrition, particularly for those individuals on extended feeding. It provides additional levels of calcium, phosphorous, magnesium, iodine, potassium, chromium, molybdenum and selenium.

Protein Preparation (Prolac) contains the artificial sweetening agent acesulfame potassium (28 mg/55 g serving) and nature-identical vanilla flavour.

Nestlé Protein Preparation (Prolac) is easy to dissolve and mix and thus, can be reconstituted at higher caloric densities, 1.5 kCal/mL and 2 kCal/mL. This provides a reliable technique for the clinician to meet the fluid-restricted or volume-sensitive patient's energy requirements in a limited volume. It minimizes preparation time and reduces risk of clogging tubes.

To maintain the probiotic activity, ensure water temperature has cooled down to 45°C or below before adding the powder.

Nestlé Protein Preparation (Prolac) contains only readily digested nutrients to assure a minimum residue.

Cholesterol-Free: Minimizes hyperlipidemia and arteriosclerosis.

Lactose-Free: Minimizes diarrhea and other side effects of lactose intolerance.

Gluten-free.

See Tables 1 and 2.

Peripheral parenteral nutrition for provision & maintenance of water & electrolytes & for provision of calories in patients in whom oral nutrition cannot be tolerated or is inadequate.

Multivitamins (Prolac) is indicated for the distinct nutritional requirements of patients in need of folate and Vitamin D supplementation as determined by a licensed medical practitioner.

Multivitamins (Prolac) should be administered under the supervision of a licensed medical practitioner.

Nestlé Protein Preparation (Prolac) can be used as a full liquid diet or liquid supplement. It can be fed orally or by tubes (eg, nasogastric, nasoduodenal and nasojejunal feeding tubes) for paediatric patients with GI compromise eg, patients with critical illness eg, trauma, surgery, burns, GI surgery, pancreatitis, protein-energy malnutrition, hypoalbuminaemia, chronic diarrhea, short bowel syndrome, HIV/AIDS, cystic fibrosis, Crohn's disease, elevated gastric residuals, oncology and radiation enteritis. Many paediatric patients experience malabsorption, diarrhea, GI tract atrophy and organ dysfunction. Enteral diets containing peptides have been associated with better protein absorption, nitrogen retention and utilization, and better maintenance of the GI integrity, and better GI tolerance when compared with free amino acid or intact protein diets.

Multivitamins (Prolac) are a combination of many different vitamins that are normally found in foods and other natural sources.

Multivitamins (Prolac) are used to provide vitamins that are not taken in through the diet. Multivitamins (Prolac) are also used to treat vitamin deficiencies (lack of vitamins) caused by illness, pregnancy, poor nutrition, digestive disorders, and many other conditions.

Multivitamins (Prolac) may also be used for other purposes not listed in this medication guide.

As directed by the physician

Dosage Forms

Excipient information presented when available (limited, particularly for generics); consult specific product labeling. [DSC] = Discontinued product

Capsule,

Oral:

Generic: Folic acid 1 mg, cyanocobalamin 400 mcg, and pyridoxine hydrochloride 50 mg

Tablet,

Oral:

Airavite: Folic acid 2.5 mg, cyanocobalamin 1000 mcg, and pyridoxine hydrochloride 25 mg

Av-VITE FB: Folic acid 2.5 mg, cyanocobalamin 1000 mcg, and pyridoxine hydrochloride 25 mg

CenFol: Folic acid 2.3 mg, cyanocobalamin 2000 mcg, and pyridoxine hydrochloride 24.5 mg

Multivitamins (Prolac): Folic acid 2.2 mg, cyanocobalamin 1000 mcg, and pyridoxine hydrochloride 25 mg

Folbee: Folic acid 2.5 mg, cyanocobalamin 1000 mcg, and pyridoxine hydrochloride 25 mg [dye free, lactose free, and sugar free]

Folbic: Folic acid 2.5 mg, cyanocobalamin 2000 mcg, and pyridoxine hydrochloride 25 mg

Folgard RX: Folic acid 2.2 mg, cyanocobalamin 1000 mcg, and pyridoxine hydrochloride 25 mg

Folplex 2.2: Folic acid 2.2 mg, cyanocobalamin 500 mcg, and pyridoxine hydrochloride 25 mg

Foltabs 800: Folic acid 0.8 mg, cyanocobalamin 115 mcg, and pyridoxine hydrochloride 10 mg [gluten free]

Homocysteine Formula: Folic acid 0.8 mg, cyanocobalamin 100 mcg, and pyridoxine hydrochloride 50 mg

Multivitamins (Prolac): Folic acid 2.5 mg, cyanocobalamin 2000 mcg, and pyridoxine hydrochloride 25 mg [DSC]

NuFol: Folic acid 2.5 mg, cyanocobalamin 1000 mcg, and pyridoxine hydrochloride 25 mg

Virt-Gard: Folic acid 2.2 mg, cyanocobalamin 1000 mcg, and pyridoxine hydrochloride 25 mg

Virt-Vite: Folic acid 2.5 mg, cyanocobalamin 1000 mcg, and pyridoxine hydrochloride 25 mg [DSC]

Virt-Vite Forte: Folic acid 2.5 mg, cyanocobalamin 2000 mcg, and pyridoxine hydrochloride 25 mg [DSC]

Vita-Respa: Folic acid 2.2 mg, cyanocobalamin 1300 mcg, and pyridoxine hydrochloride 25 mg [dye free and sugar free] [DSC]

Generic: Folic acid 0.5 mg, cyanocobalamin 200 mcg, pyridoxine hydrochloride 5 mg; Folic acid 0.8 mg, cyanocobalamin 100 mcg, and pyridoxine hydrochloride 50 mg; Folic acid 2.2 mg, cyanocobalamin 500 mcg, and pyridoxine hydrochloride 25 mg; Folic acid 2.5 mg, cyanocobalamin 200 mcg, and pyridoxine hydrochloride 25 mg

Dosing: Adult

Dietary supplement:

Oral: One tablet daily

Dosing: Geriatric

Refer to adult dosing.

To prepare a 230-mL feeding, put 195 mL of cooled or cold water in a glass. Gradually add 6 level scoops (scoop enclosed) or 53.5 g of powder, while stirring and mix until dissolved. When mixed as directed, Protein Preparation (Prolac) provides approximately 1 calorie/mL. A 1-kg can of powder yields approximately 18½ of 230-mL servings.

1 Serving size: 230 calories/230 mL when mixed as directed.

Tube Feeding or Sole Source of Nutrition: Follow physician's or dietitian's directions. When starting tube feeding, the flow rate, volume and dilution are dependent on patient's condition and tolerance. Care should be taken to avoid contamination of Protein Preparation (Prolac) during preparation and administration.

Severe hepatic or renal disorder, patients w/ abnormal carbohydrate metabolism, hyperkalemia, hypercalcemia, hyperphosphatemia, hypermagnesemia, inherited fructose intolerance.

See also:
What is the most important information I should know about Multivitamins (Prolac)?

Known hypersensitivity to any of the ingredients of Multivitamins (Prolac).

Intolerance to any of the ingredients of Protein Preparation (Prolac).

Use Multivitamins (Prolac) as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Multivitamins (Prolac) by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
• If you are also taking eltrombopag, a quinolone antibiotic (eg, levofloxacin), or a tetracycline antibiotic (eg, doxycycline), ask your doctor how you should take it with Multivitamins (Prolac).
• If you miss a dose of Multivitamins (Prolac), take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Multivitamins (Prolac).

This medication is a Multivitamins (Prolac) product used to treat or prevent vitamin deficiency due to poor diet, certain illnesses, or during pregnancy. Vitamins are important building blocks of the body and help keep you in good health.

How to use Multivitamins (Prolac)

Take this medication by mouth, usually once daily or as directed. Follow all directions on the product package, or take as directed by your doctor. Do not take more than the recommended dosage. If you are uncertain about any of the information, consult your doctor or pharmacist.

Use a medication-measuring device to carefully measure the prescribed dose. Do not use a household spoon. If your liquid is a suspension, shake the bottle well before each dose.

Take this medication regularly in order to get the most benefit from it. To help you remember, take it at the same time each day.

See also:
What other drugs will affect Multivitamins (Prolac)?

Treatment with Levodopa for Parkinson is not recommended when taking Multivitamins (Prolac)

Vascular pain. On large dose & rapid infusion: Cerebral edema, pulmonary edema, peripheral edema, water intoxication, hyperkalemia, thrombophlebitis, hepatic or renal disorders.

See also:
What are the possible side effects of Multivitamins (Prolac)?

Nausea, stomach upset, diarrhea, drowsiness, flushing, and numbness/tingling may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

If your doctor has prescribed this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if any of these unlikely but serious side effects occur: mental/mood changes, unusual weakness.

A very serious allergic reaction to this product is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.