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Generic Name: vitamin b6/vitamin b12/vitamin d/folic acid with minerals (VYE-ta-min/FOE-lik AS-id/MIN-er-als)
Brand Name: Examples include Folgard OS and TL G-Fol OS

TL G-Fol OS is used for:

Treating or preventing calcium deficiency, bone weakness, and osteoporosis in certain patients. It may also be used for other conditions as determined by your doctor.

TL G-Fol OS is a vitamin and mineral supplement. It works by providing extra calcium, certain vitamins, folic acid, and minerals to your body.

Do NOT use TL G-Fol OS if:

  • you are allergic to any ingredient in TL G-Fol OS
  • you have high blood calcium levels or severe kidney problems

Contact your doctor or health care provider right away if any of these apply to you.

Before using TL G-Fol OS:

Some medical conditions may interact with TL G-Fol OS. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances (including soy)
  • if you have anemia (eg, pernicious anemia), heart problems, high urine calcium levels, kidney problems, kidney stones, malabsorption problems, or sarcoidosis
  • if you are dehydrated

Some MEDICINES MAY INTERACT with TL G-Fol OS. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Fluorouracil, levodopa, or oral anticoagulants (eg, dicumarol) because the risk of their side effects may be increased by TL G-Fol OS
  • Hydantoins (eg, phenytoin), mycophenolate, penicillamine, or phenobarbital because their effectiveness may be decreased by TL G-Fol OS

This may not be a complete list of all interactions that may occur. Ask your health care provider if TL G-Fol OS may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use TL G-Fol OS:

Use TL G-Fol OS as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Take TL G-Fol OS by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
  • Take TL G-Fol OS with a full glass of water (8 oz/240 mL).
  • Many medicines (eg, used for cancer, infection, high potassium levels, immune system suppression, iron supplements, low blood platelets, osteoporosis, thyroid problems) should not be taken at the same time as TL G-Fol OS; their effectiveness may be decreased. Ask your doctor or pharmacist if your dose of TL G-Fol OS should be separated from your dose of any of your other medicines.
  • If you miss a dose of TL G-Fol OS, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use TL G-Fol OS.

Important safety information:

  • Do not take large doses of vitamins while you use TL G-Fol OS unless your doctor tells you to.
  • Do NOT take more than the recommended dose without checking with your doctor.
  • Before you start any new medicine, check the label to see if it has any of the same ingredients that are found in TL G-Fol OS. If it does or if you are not sure, check with your doctor or pharmacist.
  • Some brands of TL G-Fol OS may contain soy. If you have had an allergic reaction to soy, ask your pharmacist if your brand contains soy.
  • TL G-Fol OS should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using TL G-Fol OS while you are pregnant. It is not known if this medicine is found in breast milk. If you are or will be breast-feeding while you use TL G-Fol OS, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of TL G-Fol OS:

All medicines may cause side effects, but many people have no, or minor, side effects. No COMMON side effects have been reported with TL G-Fol OS. Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue).

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of TL G-Fol OS:

Store TL G-Fol OS at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep TL G-Fol OS out of the reach of children and away from pets.

General information:

  • If you have any questions about TL G-Fol OS, please talk with your doctor, pharmacist, or other health care provider.
  • TL G-Fol OS is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take TL G-Fol OS or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about TL G-Fol OS. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to TL G-Fol OS. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using TL G-Fol OS.

Issue Date: June 3, 2015

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.