VP-ZEL Tabsnone
Other CombinationsBrand: Virtus Pharmaceuticals
Functions
Net Contents
60 Tablet(s)
Serving Size
1–2 Tablet(s)
Servings Per Container
60
Supplement Form
Tablet or Pill
Bar Code (UPC/SKU)
3 76439 22160 7
Product Version
Rev. 9/12
Label Analysis
Objective insights generated automatically from the official DSLD label — a quick, factual read of how this product is formulated and disclosed.
6 distinct active ingredients are disclosed in Supplement Facts.
Every active ingredient discloses a specific amount per serving.
Label states: Organic.
This analysis is generated algorithmically from label data for educational reference only. It is not a product endorsement, ranking, or medical advice.
Supplement Facts
Serving Size: 1–2 Tablet(s) · 1–2 per day
| Ingredient | Amount Per Serving | |
|---|---|---|
| Nicotinamide(Vitamin B3) | 600 mg | — |
| Azelaic Acid | 5 mg | — |
| Zinc(Zinc Oxide) | 10 mg | — |
| Pyridoxine | 5 mg | — |
| Copper(Cupric Oxide) | 1.5 mg | — |
| Folic Acid | 500 mcg | — |
Not Present
Other Ingredients
Target Groups
Label Claims
Directions & Suggested Use
Suggested/Recommended/Usage/Directions
DOSAGE AND ADMINISTRATION: Usual adult dose is one or two tablets taken once or twice a day with or without food or as prescribed by a licensed medical practitioner.
Suggested/Recommended/Usage/Directions
INDICATIONS AND USAGE: VP-ZEL Tabs is indicated for the distinct nutritional requirements of patients in need of dietary supplementation as determined by a licensed medical practitioner. VP-ZEL Tabs should be administered under the supervision of a licensed medical practitioner.
Warnings & Precautions
Precautions re: All Other
VP-ZEL Tabs should be administered under the supervision of a licensed medical practitioner.
Precautions re: Pregnant or Nursing or Prescription Medications
If you are pregnant or nursing a baby, please ask a health professional.
Precautions re: Children
KEEP THIS OUT OF REACH OF CHILDREN.
Precautions re: All Other
Call your licensed medical practitioner about side effects.
Precautions re: Allergies
CONTRAINDICATIONS: This product is contraindicated in patients with a known hypersensitivity to any of the ingredients.
Precautions re: All Other
WARNINGS: Caution is recommended in patients with a history of bipolar illness.
Precautions re: Pregnant or Nursing or Prescription Medications
DRUG INTERACTIONS: Drugs which may interact with folate include: - Antiepileptic drugs (AED): The AED class including, but not limited to, phenytoin, carbamazepine, primidone, valproic acid, fosphenytoin, valproate, phenobarbital and lamotrigine have been shown to impair folate absorption and increase the metabolism of circulating folate. - Additionally, concurrent use of folic acid has been associated with enhanced phenytoin metabolism, lowering the level of the AED in the blood and allowing breakthrough seizures to occur. Caution should be used when prescribing this product among patients who are receiving treatment with phenytoin and other anticonvulsants. - Capecitabine: Folinic acid (5-formyltetrahydrofolate) may increase the toxicity of Capecitabine. - Cholestyramine: Reduces folic acid absorption and reduces serum folate levels. - Colestipol: Reduces folic acid absorption and reduces serum folate levels. - Cycloserine: Reduces folic acid absorption and reduces serum folate levels. - Dihydrofolate Reductase Inhibitors (DHFRI): DHFRIs block the conversion of folic acid to its active forms, and lower plasma and red blood cell folate levels. DHFRIs include aminopterin, methotrexate, pyrimethamine, triamterene, and trimethoprim. - Fluoxetine: Fluoxetine exerts a noncompetitive inhibition of the 5-methyltetrahydrofolate active transport in the intestine. - Isotretinoin: Reduced folate levels have occurred in some patients taking isotretinoin. - L-dopa, triamterene, colchicine, and trimethoprim may decrease plasma folate levels. - Nonsteroidal Anti-inflammatory Drugs (NSAIDs): NSAIDs have been shown to inhibit some folate dependent enzymes in laboratory experiments. - NSAIDs include ibuprofen, naproxen, indomethacin and sulindac. - Oral Contraceptives: Serum folate levels may be depressed by oral contraceptive therapy. - Methylprednisolone: Reduced serum folate levels have been noted after treatment with methylprednisolone. - Pancreatic Enzymes: Reduced folate levels have occurred in some patients taking pancreatic extracts, such as pancreatin and pancrelipase. - Pentamidine: Reduced folate levels have been seen with prolonged intravenous pentamidine. - Pyrimethamine: High levels of folic acid may result in decreased serum levels of pyrimethamine. - Smoking and Alcohol: Reduced serum folate levels have been noted. - Sulfasalazine: Inhibits the absorption and metabolism of folic acid. - Metformin treatment in patients with type 2 diabetes decreases serum folate. - Warfarin can produce significant impairment in folate status after a 6-month therapy. Drugs which may interact with nicotinamide: - The clearance of primidone and carbamazepine may be reduced with the concomitant use of nicotinamide. Drugs which may interact with zinc oxide: - The absorption of quinolones or tetracycline may be decreased with the concomitant use of zinc. Drugs which may interact with cupric oxide: - Concomitant use of penicillamine and copper can cause decreased absorption of both substances. PREGNANCY and NURSING MOTHERS: VP-ZEL Tabs is not intended for use as a prenatal/ postnatal multivitamin for lactating and nonlactating mothers. Talk with your medical practitioner before using if pregnant or lactating.
Precautions re: All Other
PRECAUTIONS: General: Folate, when administered as a single agent in doses about 0.1 mg daily, may obscure the detection of vitamin B12 deficiency (specifically, the administration of folic acid may reverse the hematological manifestations of B12 deficiency, including pernicious anemia, while not addressing the neurological manifestations). Folate therapy alone is inadequate for treatment of a vitamin B12 deficiency.
Precautions re: Pregnant or Nursing or Prescription Medications
PREGNANCY and NURSING MOTHERS: VP-ZEL Tabs is not intended for use as a prenatal/postnatal multivitamin for lactating and nonlactating mothers. Talk with your medical practitioner before using if pregnant or lactating.
Precautions re: Allergies
ADVERSE REACTIONS: Allergic sensitization has been reported following both oral and parental administration of folic acid, and may possibly occur with other forms of folate.
Storage
Storage
STORAGE: Store at Controlled Room Temperature 15(0)-30(0)C (59(0)-86(0)F). [See USP]. Protect from light and moisture.
Formulation
Formula re: Type
DESCRIPTION: VP-ZEL Tabs is an orally administered prescription dietary supplement specifically formulated for the dietary management of patients with unique nutritional needs requiring increased folate levels and nutritional supplementation.
FDA Statements
FDA Statement of Identity
Prescription Dietary Supplement
FDA Statement of Identity
Rx
Other Label Statements
General Statements: All Other Content
Azelaic acid is an organic compound with the formula (CH2)7(CO2H)2 [or also as C9H16O4], and has CAS number 123-99-9. It is in the dicarboxylic acid (saturated) group, and is occurs naturally in wheat, rye, and barley.
General Statements: All Other Content
Each coated, purple colored, oval-shaped tablet contains the following dietary ingredients:
General Statements: All Other Content
Made in USA
General Statements: All Other Content
Dispense in a tight, light-resistant container.
General Statements: All Other Content
This is not an Orange Book product.
General Statements: All Other Content
NDC+: 76439-221-60 +See insert for more information about National Drug Codes (NDC).
General: Product/Version Code
Rev. 09/12
General Statements: All Other Content
PATIENT INFORMATION: VP-ZEL Tabs is a prescription dietary supplement to be used only under licensed medical supervision.
General Statements: All Other Content
FOLATE REGULATION: The term "folate" are B vitamins that include folic acid and any forms of active pteroylglutamates regardless of the reduction state of the molecule. Folates, or vitamin B9, are primarily hydrolyzed in the intestinal jejunum and the liver to the active circulating form of folate, l-methylfolate, with an intermediate stable form, 5,10-methylenetetrahydrofolate. Individuals with genetic polymorphorisms for the genes coding methylenetetrahydrofolate reductase (MTHFR) may not be capable of utilizing or metabolizing folic acid adequately for the vitamin B12 dependent methylation cycle. Folic acid, including reduced forms* such as folinic acid, may obscure pernicious anemia above 0.1 mg doses, and must be administered under the supervision of a licensed medical practitioner. The 1971, 1972, 1973, 1980, 1984, 2000, and 2010 Federal Register Notices addressed this concern while establishing that increased folate was proper therapy in megaloblastic anemias - specifically where homocysteine levels were elevated or risk of neural tube defects (NTDs) was at issue. The Federal Register Notice of August 2, 1973 (38 FR 20750) specifically states that: Dietary supplement preparations are available without a prescription (21 CFR 121.1134). Levels higher than dietary supplement amounts are available only with a prescription. Folic acid - including reduced forms, may be added to medical foods as defined in section 5(b) (3) of the Orphan Drug Act (21 USC 360ee(b)(3)), or to food (21 CFR 172.345).
General Statements: All Other Content
*These products are dietary supplements that - due to increased folate levels (AUG 3 1973 FR 20750), require an Rx on the label because of increased risk associated with masking of B12 deficiency. As such this product requires licensed medical supervision, an Rx status, and a national drug code (NDC) as required by pedigree reporting requirements.
General Statements: All Other Content
HOW SUPPLIED: VP-ZEL Tabs tablets are coated, purple colored, oval-shaped tablets debossed on one side with “V221”, and are supplied in bottles of 60 tablets.
General Statements: All Other Content
All prescriptions using this product shall be pursuant to state statutes as applicable. This is not an Orange Book product.
Seals/Symbols
V Virtus PHARMACEUTICALS
Manufacturer & Distributor
Distributor
Virtus Pharmaceuticals, LLC
Tampa, FL, 33619
Other
813-283-1344
Where to Buy Locally
Enter your city or ZIP code to find supplement & health stores in your area that may carry this product.
Data sourced from the U.S. National Institutes of Health, Office of Dietary Supplements Dietary Supplement Label Database (DSLD) · Label entered 2013-08-23. DSLD Label ID: 22193. This information is provided for educational reference only and is not medical advice. Always follow the product label and consult a doctor or pharmacist before use.
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