MoniMix Plus

• Prevention and treatment of iron deficiency anemia in children aged 5 to 12 years.
• Prevention and correction of multiple micronutrient deficiencies, including vitamins A, C, D, E, B-complex vitamins, folic acid, zinc, copper, selenium, and iodine in children.
• Support for cognitive development, immune function, and growth in children with nutritional deficiencies or increased micronutrient needs.
• Off-label use: management of mild to moderate malnutrition and micronutrient depletion in pediatric patients under medical supervision.

রেজিস্টার্ড চিকিৎসকের নির্দেশনা অনুযায়ী ওষুধ সেবন করুন।

1.      Vitamin A (Vitamin A Acetate): 0.40 mg

2.      Vitamin C (Ascorbic Acid): 30.00 mg

3.      Vitamin D (Cholecalciferol): 0.005 mg

4.      Vitamin E (Alpha-Tocopherol): 5.00 mg

5.      Vitamin B1 (Thiamine Mononitrate): 0.50 mg

6.      Vitamin B2 (Riboflavin): 0.50 mg

7.      Niacin (Nicotinamide): 6.00 mg

8.      Vitamin B6 (Pyridoxine Hydrochloride): 0.15 mg

9.      Vitamin B12 (Cyanocobalamin): 0.0009 mg

10.    Folic Acid: 0.15 mg

11.    Iron (Ferrous Fumarate): 10.00 mg

12.    Zinc (Zinc Gluconate): 4.10 mg

13.    Copper (Cupric Gluconate): 0.56 mg

14.    Selenium (Sodium Selenite): 0.017 mg

15.    Iodine (Potassium Iodide): 0.09 mg

• Children aged 5 to 12 years: Take one 1-gram sachet daily mixed with food, milk, or water for 3 consecutive months.
• After 3 months of supplementation, discontinue for 3 months before repeating the cycle.
• This cycle can be repeated annually up to 12 years of age as recommended.
• No dose adjustment necessary for mild renal or hepatic impairment, but use under medical advice is recommended.
• Not intended for children under 5 years without medical supervision.

রেজিস্টার্ড চিকিৎসকের নির্দেশনা অনুযায়ী ওষুধ সেবন করুন।

MoniMix Plus delivers essential vitamins and minerals that replenish deficient micronutrients and support physiological functions. Iron (ferrous fumarate) increases hemoglobin synthesis and improves oxygen transport, correcting anemia. Vitamins A, C, D, and E act as antioxidants and support immune function. B-complex vitamins and folic acid aid in energy metabolism and red blood cell production. Trace minerals such as zinc, copper, selenium, and iodine serve as cofactors for enzymes involved in growth, thyroid function, and immune responses, collectively improving hematologic health, cognitive development, and overall nutritional status.

• Absorption: Iron is absorbed mainly in the duodenum and upper jejunum; vitamin C in the formulation enhances iron absorption. Fat-soluble vitamins (A, D, E) are absorbed via the lymphatic system.
• Distribution: Micronutrients circulate in plasma and distribute to tissues; iron binds to transferrin; fat-soluble vitamins are stored in liver and adipose tissue.
• Metabolism: Vitamins undergo hepatic metabolism; trace minerals participate in enzymatic functions.
• Excretion: Excess water-soluble vitamins are eliminated via urine; fat-soluble vitamins stored; minerals eliminated mostly through urine and feces.

• Pregnancy: Not specifically indicated for use during pregnancy; no sufficient safety data. Micronutrients are generally essential, but use should follow pregnancy-specific formulations.
• Lactation: Safety in breastfeeding women has not been established; caution advised. Components are typically safe in dietary amounts but product use should be supervised.
• Data on pregnancy and lactation are limited; caution recommended.

• Primary class: Multivitamin and Mineral Supplement
• Subclass: Pediatric Micronutrient Supplement

• Hypersensitivity to any ingredient in the formulation.
• Known iron overload disorders (e.g., hemochromatosis).
• Severe anemia requiring urgent medical intervention.
• Children younger than 5 years without medical supervision.

• Use with caution in children with malabsorption syndromes or chronic illnesses.
• Monitor for symptoms of iron overload in prolonged use.
• Keep out of reach of children to prevent accidental overdose, which can be fatal.
• Stop use if signs of allergy occur (rash, itching, swelling).
• Adhere to recommended dosing cycles; avoid prolonged continuous use without physician guidance.

• Common: Gastrointestinal upset (nausea, abdominal discomfort), constipation or diarrhea.
• Rare but serious: Allergic reactions including anaphylaxis, iron toxicity symptoms (vomiting, lethargy, metabolic disturbances).
• Side effects are generally mild and dose-dependent.

• May interfere with absorption of certain antibiotics (e.g., tetracyclines, fluoroquinolones); separate administration by at least 2 hours.
• Vitamin C enhances iron absorption (beneficial interaction).
• No significant food or alcohol interactions noted; taking with food may reduce GI side effects.
• Avoid concomitant use with other iron supplements without medical advice.

• WHO recommends micronutrient powders containing iron for anemia prevention in children in endemic areas.
• Pediatric nutrition guidelines support intermittent supplementation cycles similar to MoniMix Plus.
• No major recent regulatory changes reported for MoniMix Plus.

• Store at 15°C to 30°C (59°F to 86°F) in a dry place.
• Protect from moisture, heat, and direct sunlight.
• Keep sachets sealed until use.
• No refrigeration required.
• Keep out of reach of children.