EUROMEDICA  Hanover 23-24  Mai 2011	Advanced methods of diagnosis, treatment and prophylactics
	European Academy of Natural Sciences, Hanover European Scientific Society, Hanover

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Relevance. In recent years, discussed the feasibility of different vitamin-mineral complexes in the prevention and treatment programs for children and adolescents. Among the arguments cited are called: the presence of chronic diseases, poor nutrition, environmental conditions, increased mental workload, psycho-emotional stress, a high percentage of frequent and long-term ill children. Media sources inform their parents and even doctors sided and very superficial attitude to vitamins, which leads to irrational use.

The purpose of this study was to examine the attitudes of parents to the problem of vitamin-mineral complexes and determination of the frequency of adverse reactions when used in children and adolescents. 100 parents and clinical examination of 100 children were questioned. Among them were 50 girls and 50 boys, age of children can be divided into 4 groups: up to one year - 24 children, from 1 year to 3 years - 40 people, from 4 to 12 years – 16 patients, from 13 to 18 – 20 adolescents. At the same time take into account the child’s age, presence of chronic somatic diseases, the reasons for a child to take vitamins, the frequency of acute respiratory infections during the year, the simultaneous use of other drugs, the development of adverse reactions in the form of appearance of pain, allergic reactions, dyspepsia, and dysuric end bladder syndromes.

Results. According to the analysis of responses to the questionnaire, parents’ choice was limited to the following vitamins and minerals: “Jungle”, “Vitrum”, “Duovit”, “Revit”, “Calcium-D3 Nycomed”, “Calcinova”, “Complivit”, “Centrum”,”Alphavit”, “Biovital gel”, “Picovit”, “Sana-sol”, “Multitabs”. The most popular were “Multitabs” (25%), “Picovit”(19%), “Calcium-D3 Nycomed” (22%). Among the true motives of these drugs the parents were called: the prevention of influenza, common colds, strengthen immunity, prevent hypovitaminosis, calcium deficiency, is rare (3%) - the doctor’s recommendations. Among the adverse reactions are the following: 23% - a variety of allergic reactions (rash, flushing, moisture, itching), 37% - manifestations of the urinary tract: bladder syndrome as hematuria, oxalate-calcium crystalluria, phosphaturia, uraturia, dizuric syndrome ( thamuria, a rare, painful, intermittent urination, daytime urinary incontinence, enuresis), 9% - pain syndrome (abdominal pain, lumbar region), 31% - dyspeptic syndrome (nausea, vomiting, flatulence, intestinal colic, delayed stool and / or more frequent chairs).

The reasons for the appearance of side effects may include: failure to comply with the age of dosages and duration of admission, the combined use of vitamin and mineral complexes with other drugs, the simultaneous application of these drugs on the individual ingredients or products, causing a cumulative effect, arbitrary selection of vitamin products in the presence of a child’s chronic physical diseases, and especially of the urinary system, timeliness choice drug (exacerbation, remission).

Thus there is no doubt the fact that vitamin - mineral complexes - a medication that must appoint and prescribe only doctors, strictly on the testimony, taking into account the child’s age, comorbidities, and give detailed instructions on the rules of use (dose, duration).