Label: DIALYVITE- ascorbic acid, thiamine, riboflavin, niacinamide, pyridoxine, folic acid, cobalamin, biotin, pantothenic acid tablet, coated

  • NDC Code(s): 10542-010-02, 10542-010-10
  • Packager: Hillestad Pharmaceuticals USA
  • Category: HUMAN PRESCRIPTION DRUG LABEL

DISCLAIMER: This drug has not been found by FDA to be safe and effective, and this labeling has not been approved by FDA. For further information about unapproved drugs, click here.

Drug Label Information

Updated October 14, 2022

If you are a healthcare professional or from the pharmaceutical industry please visit this version.

  • DESCRIPTION

    Dialyvite is a prescription folic acid supplement with additional nutrients for kidney dialysis patients.  Dialyvite is a small, round, light pink, clear-coated tablet, with debossed "H" on one side.

    Each tablet contains:

    Folic Acid.....1 mg

    Vitamin C (Ascorbic Acid).....100 mg

    Thiamine (Thiamine Mononitrate).....1.5 mg

    Riboflavin.....1.7 mg

    Niacinamide.....20 mg

    Vitamin B6 (Pyridoxine HCl).....10 mg

    Vitamin B12 (Methylcobalamin).....6 mcg

    Biotin.....300 mcg

    Pantothenic Acid (Calcium Pantothenate).....10 mg

    Inactive ingredients:

    Microcrystalline Cellulose, Croscarmellose Sodium, Mono- and Diglycerides, Starch, Hypromellose, Polyethylene Glycol, Calcium Stearate, Carmine (color).


  • INDICATIONS AND USAGE

    Dialyvite is a prescription folic acid supplement with additional nutrients indicated for use in improving the nutritional status of renal dialysis patients.

  • CONTRAINDICATIONS

    This product is contraindicated in patients with known hypersensitivity to any of the ingredients.

  • PRECAUTIONS

    Folic acid supplementation may obscure pernicious anemia, in that hematologic remission can occur while neurological manifestations progress.

    Keep out of reach of children.


  • ADVERSE REACTIONS

    Allergic sensitizations have been reported following oral administration of folic acid.

    Consult your physician immediately if adverse side effects occur.

  • DOSAGE AND ADMINISTRATION

    Take one tablet per day or as directed by your physician, orally.


  • PRINCIPAL DISPLAY PANEL


    NDC 10542-010-10

    Dialyvite

    Multivitamin Supplement for Dialysis Patients

    100 Tablets

    Dialyvite PDP

  • INGREDIENTS AND APPEARANCE
    DIALYVITE 
    ascorbic acid, thiamine, riboflavin, niacinamide, pyridoxine, folic acid, cobalamin, biotin, pantothenic acid tablet, coated
    Product Information
    Product TypeHUMAN PRESCRIPTION DRUGItem Code (Source)NDC:10542-010
    Route of AdministrationORAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    Ascorbic Acid (UNII: PQ6CK8PD0R) (Ascorbic Acid - UNII:PQ6CK8PD0R) Ascorbic Acid100 mg
    Thiamine Mononitrate (UNII: 8K0I04919X) (Thiamine Ion - UNII:4ABT0J945J) Thiamine1.5 mg
    Riboflavin (UNII: TLM2976OFR) (Riboflavin - UNII:TLM2976OFR) Riboflavin1.7 mg
    Niacinamide (UNII: 25X51I8RD4) (Niacinamide - UNII:25X51I8RD4) Niacinamide20 mg
    Pyridoxine Hydrochloride (UNII: 68Y4CF58BV) (Pyridoxine - UNII:KV2JZ1BI6Z) Pyridoxine10 mg
    Folic Acid (UNII: 935E97BOY8) (Folic Acid - UNII:935E97BOY8) Folic Acid1 mg
    Cobalamin (UNII: 8406EY2OQA) (Cobalamin - UNII:8406EY2OQA) Cobalamin6 ug
    Biotin (UNII: 6SO6U10H04) (Biotin - UNII:6SO6U10H04) Biotin300 ug
    Calcium Pantothenate (UNII: 568ET80C3D) (Pantothenic Acid - UNII:19F5HK2737) Pantothenic Acid10 mg
    Inactive Ingredients
    Ingredient NameStrength
    Microcrystalline Cellulose (UNII: OP1R32D61U)  
    Croscarmellose Sodium (UNII: M28OL1HH48)  
    Glyceryl Monostearate (UNII: 230OU9XXE4)  
    Starch, Corn (UNII: O8232NY3SJ)  
    Hypromellose, unspecified (UNII: 3NXW29V3WO)  
    Polyethylene Glycol, unspecified (UNII: 3WJQ0SDW1A)  
    Calcium Stearate (UNII: 776XM7047L)  
    Cochineal (UNII: TZ8Z31B35M)  
    Product Characteristics
    ColorpinkScoreno score
    ShapeROUNDSize11mm
    FlavorImprint Code H
    Contains    
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:10542-010-10100 in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product08/01/1988
    2NDC:10542-010-027 in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product08/01/1988
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    Unapproved drug other08/01/1988
    Labeler - Hillestad Pharmaceuticals USA (029291085)
    Establishment
    NameAddressID/FEIBusiness Operations
    Hillestad Pharmaceuticals USA029291085manufacture(10542-010) , pack(10542-010) , label(10542-010)