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Baby Supplements & dosage
Baby is 4 months old, birth weight is 3.3 kg and exclusively breastfed.
Baby has been prescribed Vitamin D3 (Uprise D3 0.5ml once daily), Calcimax P (2.5ml twice daily), and Bevon (0.5ml once daily)
We are seeking a second opinion to better understand the specific reasons for these prescriptions and to confirm if they are the most appropriate for our baby's current needs.
Could any of these supplements be overlapping or providing too much of a certain nutrient if given together?
How long should our baby be on these supplements, and how will we assess if they are still needed later?
Are there any potential side effects we should watch out for with this combination of supplements?
Kindly advise.
Answers (7)
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Hello, I understand your concern.
Well your baby is absolutely growing well.
Continue exclusive breast-feeding
Vitamin-D supplement is necessary for the growth of infants. As per verified protocols, vitamin-D should be given till 1 year of age
calcium supplement augments effective absorption of vitamin-D.
Multivitamins have also been recommended, so continue them as Exclusively breast-fed infants lack certain vitamins.
These meds have apparently no adverse effects involved if given in appropriate doses.
Next Steps
continue all medications as advised.
Health Tips
contact soon for further follow-up
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Hello
These medicines are required for the baby and are given in adequate doses. You should continue with these medicines.
Next Steps
continue
vitamin D3 till 1 year of age
syrup calcimax p and bevon till 3 months of age.
Health Tips
Whether to continue or stop these medicines should be decided at each follow up visit.
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Hello
These supplements are commonly prescribed for babies with slightly low birth weight or when exclusive breastfeeding is practiced. They are safe in the current doses, but review is necessary every 2–3 months to ensure continued need.
Vitamin D3 (Uprise D3): Exclusively breastfed babies are at risk of Vitamin D deficiency, as breast milk alone may not provide enough. Supplementation of 400 IU/day is widely recommended.
Calcium + Phosphorus (Calcimax P): Provides support for bone growth and mineralization, especially if there were concerns regarding low birth weight or nutritional gaps. It also complements the effect of Vitamin D.
Bevon (Multivitamin syrup): A multivitamin syrup that usually includes B-complex, Vitamin A, C, D, and E. This supports general growth and may be given if there’s concern about micronutrient insufficiencies.
there is some nutrient overlap between:
Bevon and Uprise D3 (both may provide Vitamin D),
Calcimax P and Bevon (both may include Vitamin D and minerals).
However, the doses prescribed here appear to be within the tolerable upper limits for infants if continued short-term and monitored.
Next Steps
Vitamin D3: Continue until at least 12 months of age, or as long as the baby is not getting adequate Vitamin D from diet/sunlight.
Calcimax P: Usually reviewed after 2–3 months based on weight gain and growth parameters.
Bevon: Short-term (around 1–2 months) use may be sufficient if there’s no deficiency.
A follow-up with your Pediatrician around 6 months of age (when solids are introduced) can help reassess the need.
Health Tips
Possible side effects:
Excess Vitamin D: May cause irritability, constipation, vomiting, or calcium imbalance.
Excess multivitamins: Can sometimes lead to tummy upset or rash.
Always report if baby becomes unusually fussy, constipated, or has feeding issues.
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I understand your concern. In case your baby is preterm baby then continue these supplements otherwise if baby is full term baby only give vit D and start iron at ard 7 months.
Next Steps
Book appointment with me for further guidance.
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Dr. Anjali Maini
Pediatrician
33 yrs exp
Gurgaon
Exclusively breastfed babies do not get sufficient quantities of vitamin d since breast milk is deficient in same. Uprise d3 is given in sufficient quantity - 400 IU per day. You can continue same till at least 1 year of age. Formula fed infants similarly will not require it but then formula doesn’t have the magical qualities of breast milk!
Others are really not required, in fact I will advise against them. Calcium in supplements is often shown to have side effects- it tends to deposit in kidneys when it’s in excess.
Similarly, vitamin A will be sufficient in breast milk. Given unnecessarily gets stored in liver and has its bad side effects ( we see headaches in older children - so we will see parallel effects in babies)
So in summary others are not required - we give them in special cases like underweight babies
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Dr. Bhatt Vivek Prafulchandra
Pediatrician
5 yrs exp
Rajkot
Consult with Pediatrician physically for further evaluation and treatment
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Dr. Sachin Pariskar
Pediatrician
9 yrs exp
Pune
Continue the given medicine
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.