This product is a man-made form of vitamin E, a fatty substance that the body needs. Natural vitamin E is found in high-fat foods such as nuts and oils. This product provides vitamin E to people who cannot absorb fats due to disease (e.g., cholestatic liver disease, short bowel syndrome). A low level of vitamin E in the body is rare. Most people who eat a normal diet do not need extra vitamin E.
Too little vitamin E can cause nerve problems (numbness, tingling, loss of balance). Vitamin E is important in protecting your body's cells from damage. It is known as an antioxidant.
Take this product by mouth, usually once daily or as directed by your doctor. Follow all directions on the product package. If you are uncertain about any of the information, consult your doctor or pharmacist.
Shake the container well before pouring each dose. Measure the dose carefully using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose. Dosage is based on your medical condition and response to treatment. Do not increase your dose or take it more often than recommended. Taking too much vitamin E may increase your risk of side effects.
High doses of vitamin E (more than 400 units a day) may increase the chance of rare but very serious side effects. There is no proof that high doses of vitamin E help to prevent or treat heart disease. There is very little evidence that it helps prevent or treat Alzheimer's disease. In some people, high doses may even be harmful. Before taking extra vitamin E, discuss the risks and benefits with your doctor or pharmacist.
If your doctor prescribes this product for low levels (deficiency) of vitamin E, use it regularly to get the most benefit from it. To help you remember, take it at the same time each day. You should see improvement of symptoms such as numbness/tingling of the hands/feet and weakness. If your condition persists or worsens, or if you think you may have a serious medical problem, seek immediate medical attention.
See also How to Use section.
Vitamin E does not usually cause side effects when used in recommended doses. However, if vitamin E is taken in high doses (more than 400 units a day) or for a long time, side effects such as nausea, diarrhea, stomach cramps, tiredness, blurred vision, and headache may rarely occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
Tell your doctor immediately if this rare but very serious side effect occurs: easy or unusual bleeding/bruising.
A very serious allergic reaction to this product is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: 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.
In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Before taking this product, tell your doctor or pharmacist if you are allergic to vitamin E; or to polyethylene glycol or other ingredients listed on the package label; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
If you have any of the following health problems, consult your doctor or pharmacist before using this product: blood clotting/bleeding problems (e.g., stomach ulcers, hemophilia, low platelets), certain type of stroke (hemorrhagic), liver disease.
Before having surgery, tell your doctor or dentist that you are taking this product. Your doctor may direct you to stop taking this product 1 month before surgery to prevent bleeding problems.
During pregnancy, this product should be used only when clearly needed. Discuss the risks and benefits with your doctor.
See also How to Use section.
If your doctor has directed you to take this product, your doctor or pharmacist may already be aware of possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.
Before using this product, tell your doctor or pharmacist if you use any of the following products: anti-platelet drugs (e.g., aspirin, clopidogrel, ticlopidine), "blood thinners" (e.g., warfarin), herbal products that can increase your risk of bleeding (e.g., garlic, gingko), cyclosporine, fat-soluble supplements (e.g., vitamins A/D/E/K, coenzyme Q), iron supplements, selenium.
If your doctor has directed you to take low doses of aspirin (usually at dosages of 81 to 325 milligrams a day) or other treatment to prevent heart attack or stroke, you should continue to take them. Consult your doctor or pharmacist for more details.
Check the labels on all your prescription and nonprescription/herbal products because they may contain vitamin E. Ask your doctor or pharmacist about using those products safely.
This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.
If overdose is suspected, contact a poison control center or emergency room immediately. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.
If your doctor has prescribed this product, do not share it with others.
Keep all regular medical and laboratory appointments.
Eat a well-balanced diet. Foods high in vitamin E include vegetable oils, wheat germ oil, whole grain cereals, meat, poultry, and green leafy vegetables.
If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
Store in a tightly closed container at room temperature away from heat, light, and moisture. Refer to the product package for details. Do not store in the bathroom. If you have any questions about storage, ask your pharmacist. Keep all medicines away from children and pets.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.
Information last revised July 2013. Copyright(c) 2013 First Databank, Inc.
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