Release form and composition
The dosage form of Complivita “Mama” for pregnant and lactating women is film-coated tablets: oblong, biconvex, from light brown with a pinkish tint to yellow-brown; the core on the break is yellow-gray interspersed with various shades (30, 60 or 100 pieces in polymer cans, 1 can in a cardboard pack).
Active ingredients in 1 tablet:
- retinol acetate (vitamin A) – 0.567 5 mg;
- nicotinamide (vitamin PP) – 20 mg;
- α-tocopherol acetate (vitamin E) – 20 mg;
- ascorbic acid (vitamin C) – 100 mg;
- ergocalciferol (vitamin D2) – 0.006 25 mg;
- folic acid (vitamin B9) – 0.4 mg;
- Thiamine hydrochloride (vitamin B1) – 2 mg;
- riboflavin (vitamin B2) – 2 mg;
- calcium pantothenate (vitamin B5) – 10 mg;
- pyridoxine hydrochloride (vitamin B6) – 5 mg;
- cyanocobalamin (vitamin B12) – 0.005 mg;
- copper (in the form of copper sulfate pentahydrate) – 2 mg;
- iron (in the form of ferrous fumarate) – 10 mg;
- manganese (in the form of manganese sulfate monohydrate) – 2.5 mg;
- zinc (in the form of zinc sulfate heptahydrate) – 10 mg;
- calcium (in the form of calcium hydrogen phosphate) – 25 mg;
- phosphorus (in the form of calcium hydrogen phosphate dihydrate) – 19 mg;
- magnesium (in the form of magnesium oxide) – 25 mg.
Auxiliary components:
- core: sucrose – 74.02 mg; colloidal silicon dioxide – 6.72 mg; stearic acid – 5.69 mg; talc – 5.01 mg; citric acid – 6.15 mg; low molecular weight povidone – 6.04 mg; potato starch – 62.97 mg; calcium stearate – 8.20 mg;
- shells: talc – 5.4 mg; hyprolose – 7.6 mg; macrogol-4000 – 3.18 mg; titanium dioxide – 5.73 mg; low molecular weight povidone – 8.4 mg; dye tropeolin-0 – 0.15 mg; Azorubine dye (E 122) – 0.04 mg.
The need for vitamins in the 2nd trimester
Usually, obstetrician-gynecologists have standard vitamin prescriptions for pregnant women - folic acid and tocopherol (E). But such appointments are relevant during the first month and a half. These micronutrients are involved in the formation and formation of embryonic structures, and therefore are important in the first weeks of gestation.
Important! Having learned about conception, a woman simply must immediately adjust her diet, taking into account the saturation of the daily menu with valuable micronutrients, and start taking vitamins recommended by her obstetrician-gynecologist. At the same time, each trimester for pregnant women has its own vitamin needs, since full fetal development depends on this.
Most valuable micronutrients enter the body of every person as part of the diet. But not all necessary substances are able to be fully absorbed; some are not absorbed or are absorbed in minimal quantities. This is why there is a need to take additional multivitamin complexes.
Vitamins should only be taken as prescribed by a specialist. If a patient starts taking multivitamins in the 2nd trimester, but at the same time she consumes food rich in vitamins every day, then she may develop hypervitaminosis, characterized by an excess content of vitamins. This condition is not beneficial for pregnancy and has a negative impact on the condition of the fetus. Therefore, doctors usually first recommend that mothers change their diet, but if vitamins are also not enough, then multivitamins are prescribed. One of the most commonly prescribed is Complivit Trimester, designed for pregnant women individually for each period of gestation.
Pharmacological properties
Pharmacodynamics
Complivit "Mama" for pregnant and lactating women is one of the combined multivitamin preparations with macro- and microelements. Its action is due to the effects of the components included in its composition.
The compatibility of all components in one tablet is ensured by a special technology for the production of vitamin-mineral complexes.
Component properties:
- α-tocopherol acetate (vitamin E): has an antioxidant effect, prevents hemolysis, maintains the stability of erythrocytes; has a positive effect on the functions of the sex glands, muscle and nervous tissue. If there is a deficiency of vitamin E in early pregnancy, miscarriage is possible;
- riboflavin (vitamin B2): one of the most important catalysts for the processes of visual perception and cellular respiration;
- retinol acetate (vitamin A): takes part in redox processes, the synthesis of proteins, mucopolysaccharides and lipids. Promotes normal ovo- and spermatogenesis, placental development, growth, development and differentiation of embryonic tissues, including epithelial structures and bone tissue. Participates in the formation of visual pigments, which are necessary for normal color and twilight vision, regulates bone growth, ensures the integrity of epithelial tissues;
- Thiamine hydrochloride (vitamin B1): as a coenzyme, it is involved in the functioning of the nervous system and carbohydrate metabolism;
- pyridoxine hydrochloride (vitamin B6): as a coenzyme, it is involved in the synthesis of neurotransmitters and protein metabolism. During pregnancy, it is necessary for women who have previously taken oral contraceptives;
- nicotinamide (vitamin PP): takes part in the processes of tissue respiration, carbohydrate and fat metabolism;
- cyanocobalamin (vitamin B12): participates in the synthesis of nucleotides, is one of the important factors in normal growth, development of epithelial cells and hematopoiesis; necessary for myelin synthesis and folic acid metabolism;
- ascorbic acid (vitamin C): ensures collagen synthesis, takes part in the formation and maintenance of the function and structure of cartilage tissue, teeth and bones, affects the maturation of red blood cells, the formation of hemoglobin. Vitamin C increases the body's resistance to infections and reduces the severity of inflammatory reactions;
- folic acid (vitamin B9): takes part in the synthesis of nucleic acids, nucleotides, amino acids; necessary for normal erythropoiesis. In the early stages of pregnancy, it reduces the likelihood of neural tube defects in the fetus, as well as the risk of malformations of the maxillofacial area;
- calcium pantothenate (vitamin B5): as the main part of coenzyme A, it plays an important role in the processes of oxidation and acetylation; promotes the construction and regeneration of endothelium and epithelium;
- manganese: has an anti-inflammatory effect, prevents the development of osteoarthritis;
- copper: prevents anemia and oxygen starvation of tissues and organs, strengthens the walls of blood vessels, helps prevent osteoporosis;
- magnesium: helps normalize blood pressure, has a sedative effect, reduces the likelihood of preeclampsia, spontaneous abortion and premature birth;
- iron: takes part in erythropoiesis, ensures oxygen transport to tissues (as part of hemoglobin); in pregnant women it prevents the development of anemia, especially in the 2nd–3rd trimesters;
- zinc: necessary for tissue regeneration and normal formation of the fetal skeleton, takes part in the formation of certain hormones, including insulin; reduces the likelihood of a number of intrauterine anomalies. Simultaneously with retinol, it promotes the formation of normal color and twilight vision;
- phosphorus: strengthens teeth and bone tissue, enhances mineralization, is part of adenosine triphosphate (ATP) - the source of cell energy;
- Calcium: takes part in the formation of bone tissue, promotes normal blood clotting, participates in the contraction of smooth/skeletal muscles and the transmission of nerve impulses, as well as the regulation of cardiac activity.
Pharmacokinetics
The patterns of chemical and biological processes occurring in the body with a multicomponent drug represent the combined effect of each of its components, and therefore it is not possible to carry out kinetic observations.
Complivit for pregnant women
Price for Complivit: 150-240 rub.
Is it possible to take Complivit vitamins during pregnancy?
What could be more beautiful in a woman’s life than expecting a future baby?! During pregnancy, changes occur in the expectant mother's body that may require support for her and the child's health, for successful pregnancy, and later for easy childbirth.
The most effective remedy is vitamins. There are many manufacturers of such drugs on the Russian pharmaceutical market. One of them is the Complivit vitamins; it is unique in that the vitamins are provided for the three trimesters of pregnancy.
This means that for the first trimester you will need one complex, for the second - a second, and for the third - a third, respectively. Each of them, by its nature, has a different composition for each group.
This is correct, because the body of both the mother and the child at each stage of pregnancy requires something that meets their physiological needs.
Three vitamin complexes from Complevit
The name of the vitamins from Complevit speaks for itself “Trimester”. As we said earlier, there are three complexes of Complivit vitamins, each of them is responsible for a certain stage of pregnancy.
Thanks to this, each complex has its own name, so for the first three months of pregnancy it is “1st trimester”, for the second “2nd trimester”, for the third - “3rd trimester”.
When you come to the antenatal clinic once again for an appointment, your attending doctor will easily prescribe exactly your vitamin complex, based on your state of health, the state of health of your unborn baby, taking into account the characteristics of pregnancy and following contraindications, if any.
Due to the ease of use of vitamins, you can purchase them at a pharmacy without a prescription, which you should not do; it is better to consult your doctor and discuss this issue with him. It is also worth noting that Trimester has the same composition of vitamins, microelements and substances in each preparation .
Drug interactions
- antimicrobial drugs from the sulfonamide group: increased pharmacological action and side effects, including an increased risk of crystalluria;
- antibiotics of the fluoroquinolone and tetracycline group: slowing their absorption from the gastrointestinal tract;
- thiazide diuretics: increased likelihood of hypercalcemia;
- antacids containing aluminum, calcium, magnesium, and cholestyramine: decreased iron absorption.
What kind of vitamins
Complivit Trimesterum is a line of vitamin complexes, the composition of which is selected taking into account gestational needs for each stage. For example, the content of components in Trimester 3 is noticeably higher than in the complex, which is taken in the 1st or 2nd trimester. The dosage of micronutrients corresponds to the transformations occurring in the mother’s body at each gestational stage.
Regular examination will help to detect pathology in time
The first trimester is typically characterized by increased levels of iodine, cyanocobalamin and folic acid. And Trimester 2 multivitamins are designed to provide intensive micronutrient support in mid-gestation. Its composition is designed to ensure full fetal development in the 2nd trimester, i.e. from 14 to 27 weeks.
Sometimes vitamin deficiencies have a detrimental effect on pregnancy, causing its termination or premature delivery. Complivit Trimester 2 will help mothers receive a complete micronutrient set throughout the second trimester. At the same time, you don’t have to worry about what substances your baby is missing; he will receive all the valuable components. And the patient herself will feel great, since the composition of Trimester 2 series Complivit will provide her with additional micronutrient replenishment.
Instructions for use
The drug is designed to cover the needs of vitamins and minerals in a woman’s body, taking into account the rules of balanced nutrition, which is why the content of the components of each tablet is equal to 75% of the daily requirement.
In its action on the body, the vitamin complex has the following properties:
- Normalizes hemoglobin levels;
- Improves blood composition caused by a lack of vitamins and microelements;
- Normalizes pathologies of lipid metabolism;
- Eliminates sugar tolerance and atrogenic lipidemia;
- Improves the general condition of the body.
Indications for use
The drug is taken for the treatment and prevention of hypovitaminosis, as well as microelements for:
- Preparing for pregnancy;
- Pregnancy;
- Breastfeeding.
Taking the drug is recommended as a prophylaxis against deficiency of vitamins and microelements , including during normal pregnancy.
When is it prescribed?
Complivit supplements for pregnant women are intended primarily for the treatment of deficiency of vitamins and mineral compounds, which often develops while expecting a child. Such complexes are used to improve the health of women who are preparing to conceive, are already expecting a baby, or are breastfeeding a newborn. They are also used prophylactically to prevent hypovitaminosis and lack of minerals during pregnancy.
Reviews
There are many positive reviews from doctors and patients about the use of Complivit vitamins. In them, expectant mothers are satisfied with such complexes, note an improvement in their general condition after taking them, an affordable price, and rare side effects. Some negative reviews complain about the large size of the tablets and the appearance of allergies or nausea.
Contraindications
The use of Complivit supplements does not always bring benefits to expectant mothers, so before taking such tablets you should definitely consult with an obstetrician-gynecologist who is monitoring the pregnant woman. The drugs are prohibited in the case of hypervitaminosis A or D, B12-deficiency anemia, increased levels of iron or calcium in the female body, urolithiasis and in some other cases.
Additionally, they should not be taken if you are hypersensitive to any ingredient. If the expectant mother, after starting to use Complivit, develops a skin rash, reddened skin, abdominal discomfort or other alarming symptoms, it is advisable to refuse such multivitamins and select an adequate replacement.
If the supplement causes nausea, it is recommended to postpone taking the tablet until the second half of the day and drink the drug with sufficient volume of water.
At the same time, changes in urine (more intense yellow color) or stool (darker color) are not side symptoms and should not cause concern in pregnant women. This is a consequence of the presence of vitamin B2 and iron fumarate in the tablets. Such ingredients color the contents of the intestines and urine, but this does not harm either the female body or the baby in the tummy.
Instructions for use
A single dose of any supplement from the Complivit line is one tablet. It contains all daily dosages, so the drugs are taken only once a day. The optimal time to take the complexes is considered to be morning. The tablet is swallowed during breakfast or immediately after a meal with water. The duration of use is checked with a specialist, since for some expectant mothers a course lasting 1 month is enough, while others should take multivitamins for much longer.
When using Complivit, it is important to consider compatibility with other medications. If a woman takes antacids, this will affect the absorption of the active substances from the tablets. When combined with diuretics (thiazide diuretics), the risk of increased calcium levels in the urine will increase. If the expectant mother was prescribed tetracycline antibiotics or fluoroquinolones, then Complivit will interfere with their absorption in the intestine. It is not recommended to combine such complexes with other multivitamin supplements.
Side effects
In rare cases, after taking Complivit Mama, an allergy to the drug is observed.
Contraindications
Complivit Mama is contraindicated for:
Intolerance to any component of the drug;- Urolithiasis;
- Percinous anemia associated with vitamin B12 deficiency;
- Hypervitaminosis A;
- Excess iron and calcium in the body;
- Stones in the urinary tract;
- Children under 12 years of age.
During pregnancy
The simultaneous intake of two or more vitamin complexes is not allowed due to the risk of overdose . The daily dose should not exceed 5000 IU.
After administration, urine may turn dark yellow due to riboflavin, which is normal.