REEPLACE is a multi-vitamins formulation specifically designed to suit the nutritional needs of patients of kidney disease and/or on dialysis treatment, as regular multi-vitamins are not suitable for such patients.

Water soluble B vitamins are removed during dialysis and need to be replaced. The fat soluble vitamins A, D, E and K are not removed through dialysis and accumulate in the body. Accumulation of fat soluble vitamins can result in "vitamin toxicity". At the same there are specialdietary restrictions, which limit intake of dairy products, vegetables or fruits as well as poor appetite may coexist. These factors decrease food intake, which, in turn, may contribute to inadequate nutrition. It is for these reasons there is a need to take a renal multi-vitamin.

Composition

REEPLACE combines various water soluble Vitamins in proportion lost during Dialysis

Vitamin C 100 mg (ascorbic acid); folate 1 mg; niacin 20 mg (niacinamide) thiamine 1.5 mg (thiamine mononitrate); riboflavin 1.7 mg; Vitamin B-6 10 mg (pyridoxine HCl); Vitamin B-12 6 mcg (cyanocobalamin); pantothenic acid 5 mg (calcium pantothenate); and biotin 300 mcg.

Indications

In the wasting syndrome in chronic renal failure; uremia; impaired metabolic functions of the kidney and to maintain levels when the dietary intake of vitamins is inadequate or excretion and loss are excessive. Also, highly effective as a stress vitamin.

Side Effects

When taken as directed, multivitamins are not expected to cause serious side effects. Less serious side effects may include:

  • upset stomach
  • headache; or
  • unusual or unpleasant taste in your mouth

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

Precautions

Folic acid may mask the symptoms of pernicious anemia in that hematological remission may occur while neurological manifestations remain progressive..

Dosage and Administration

One capsule daily or as directed by a physician. If on dialysis, take after treatment. Use this medication as directed on the label, or as your doctor has prescribed. Do not use the medication in larger amounts or for longer than recommended.

Never take more than the recommended dose of a multivitamin. Avoid taking more than one multivitamin product at the same time unless your doctor tells you to. Taking similar vitamin products together can result in a vitamin overdose or serious side effects.

Avoid the regular use of salt substitutes in your diet if your multivitamin contains potassium. If you are on a low-salt diet, ask your doctor before taking a vitamin or mineral supplement.

Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the multivitamin.

It is important to take multivitamins regularly to get the most benefit

Overdose

Overdose symptoms may include stomach pain, vomiting, diarrhea, constipation, loss of appetite, hair loss, peeling skin, tingly feeling in or around your mouth, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine, pale skin, and easy bruising or bleeding.

Storage

Store REEPLACE at room temperature away from moisture and heat.

Presentation

REEPLACE is available as hard gelatin capsules  in a aluminium foil blister of 10 capsules and 5 such strips in a box.