Sodium Fluoride/Vitamin D
Floriva (vitamin D / fluoride) is a combination medication. It contains vitamin D3 (cholecalciferol) and fluoride, which work together to prevent cavities (or dental caries) in children.
What is Floriva (vitamin D / fluoride)?
What is Floriva (vitamin D / fluoride) used for?
- Prevention of cavities in children
How Floriva (vitamin D / fluoride) works
Floriva (vitamin D / fluoride) contains a vitamin and a mineral that work together to help prevent cavities.
- Vitamin D3 (cholecalciferol) helps your body absorb calcium in order to build strong bones and teeth.
- Fluoride protects your teeth from acid and damage caused by bacteria in your mouth.
Drug facts
Side effects of Floriva (vitamin D / fluoride)
The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.
Common Side Effects
See Risks and Warnings.
Pros and cons of Floriva (vitamin D / fluoride)
Pros
- Available as fruit-flavored, liquid drops for better taste
- Comes with a dropper to make measuring and giving the medication easier
- Convenient to take two medications in a single form
- Available in a lower-cost, generic form
Cons
- More difficult to customize the dose since Floriva (vitamin D / fluoride) is a fixed combination of two medications
- Only available as a liquid
- Requires a prescription from a healthcare provider
Pharmacist tips for Floriva (vitamin D / fluoride)
- Use the dropper that comes with the medication to measure the dose. Ask your child's provider or pharmacist if you need extra droppers. Don't use household spoons, because they aren't accurate and might cause you to give your child the wrong dose.
- Fill the dropper to the appropriate line based on your child's dose. Then, squeeze the dropper bulb once to give your child the medication. There might be a small amount of medication left in the dropper tip after giving your child the dose. Don't worry; your child has gotten the full dose.
- Make sure to check the ingredients of your child's toothpaste, food, and drinks to see if they contain fluoride. If they do, don't give your child Floriva (vitamin D / fluoride) and contact their healthcare provider for guidance. Having too much fluoride in the body can lead to side effects (e.g., changes in how the teeth look).
- Tell your child's provider or pharmacist about all the medications and supplements your child's taking before starting Floriva (vitamin D / fluoride) to make sure there are no interactions. Give your child Floriva (vitamin D / fluoride) at least 2 hours before or after taking food or medications containing calcium, aluminum, or magnesium. Examples include dairy products, certain antacids, and certain laxatives. They can affect how well Floriva (vitamin D / fluoride) works.
Common questions about Floriva (vitamin D / fluoride)
Yes, with a few exceptions. Don't give your child any products (food, drink, or medications) that have calcium, aluminum, or magnesium (e.g., dairy products, antacids, magnesium supplements, calcium supplements) within 2 hours of taking Floriva (vitamin D / fluoride). These foods, beverages, and products can interact with Floriva (vitamin D / fluoride) and cause the supplement to be less effective.
Common sources of fluoride include toothpaste, as well as certain food and drinks that contain fluorinated water (e.g., some bottled waters, tea). Talk to your child's provider if your child uses toothpaste or is exposed to other sources of fluoride. They can decide if Floriva (vitamin D / fluoride) supplementation is right for your child.
No. Giving your child too much fluoride can cause a condition called fluorosis that can change the appearance of their teeth. The severity of fluorosis will depend on your child's age, how much, and how long they took fluoride supplementation (by using Floriva (vitamin D / fluoride) and through other sources).
No, since Floriva (vitamin D / fluoride) also contains fluoride, it should only be used in children who need both vitamin D and fluoride supplementation to specifically help prevent cavities. Give Floriva (vitamin D / fluoride) exactly as directed by your child's provider. Never use the medication for any other reason. Doing so can raise the risk of fluorosis (too much fluoride) in your child. If your child is at risk of or has low vitamin D and needs treatment, contact your provider or pharmacist for other available options since Floriva (vitamin D / fluoride) isn't used for this purpose.
It depends on your child's age and their recommended daily allowance of vitamin D. Floriva (vitamin D / fluoride) contains 400 IU of vitamin D. Ask your child's provider if this amount is enough for your child. If it isn't enough, they might recommend an additional source of vitamin D supplementation for your child to raise their vitamin D levels. Don't give your child another vitamin D supplement without talking to your child's provider first to make sure they actually need it.
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Risks and warnings for Floriva (vitamin D / fluoride)
Floriva (vitamin D / fluoride) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.
Too much fluoride
Taking too much fluoride can cause a condition called fluorosis that can cause changes to your child's teeth. Additionally, ingesting large amounts of fluoride at one time can cause burning in the mouth, sore tongue, nausea, vomiting, diarrhea, stomach pain, salivation, and vomiting blood. If your child experiences any of these symptoms while taking Floriva (vitamin D / fluoride), call their healthcare provider or contact a Poison Control Center at 1-800-222-1222 right away.
Floriva (vitamin D / fluoride) dosage
Typical dosage for Floriva (vitamin D / fluoride)
Each milliliter (mL) contains 400 international units (IU) of vitamin D and 0.25 mg of fluoride.
Floriva (vitamin D / fluoride) is typically taken by mouth. Use the medication as instructed by your child's provider. They will help adjust the dose based on how well your child is responding to the medication.
