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ascorbic acid

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Brand names: Vitamin C

Vitamin C Supplement OTC

This medicine is a Vitamin C supplement. It also has Vitamins A and D. It can help prevent tooth decay.

What it does

This medicine gives you extra Vitamins A, C, and D.

Common side effects

No common side effects listed.

Key warnings

There are no serious warnings listed.

How It Works

Vitamin C is needed for growth and repair of tissues in all parts of your body. Vitamins A and D are also important for overall health. Fluoride helps to strengthen tooth enamel and prevent tooth decay.

How to Take It

Give 1.0 mL each day, or as your doctor tells you. You can drop it right into the mouth with the dropper. You can also mix it with cereal, fruit juice, or other food. This medicine comes in a 50 mL bottle with a dropper.

Pregnancy & Breastfeeding

This information is for children. Ask a doctor for advice if you are pregnant or breastfeeding.

Missed Dose

Give the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and continue with the regular schedule.

Storage

Store at room temperature.

Side Effects (from patient reports)

Based on 17,625 FDA adverse event reports.

Tiredness
2,275
Pain
2,059
Feeling sick to your stomach
1,942
Loose stools
1,785
Headache
1,762
Medicine not working
1,728
Difficulty breathing
1,637
Throwing up
1,523
Using the medicine for something it is not approved for
1,468
Weakness
1,446

FDA Adverse Event Report Analysis

Detailed analysis of 22,556 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 1999–2025.

Total Reports

22,556

Death-Related Reports

2,511

Hospitalization Reports

9,031

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 13,467 (63%)
Male 7,865 (37%)

Age Distribution

0–17 353
18–44 2,517
45–64 4,829
65–74 3,512
75+ 3,483

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 FATIGUE 2,275
2 PAIN 2,059
3 NAUSEA 1,943
4 DIARRHOEA 1,785
5 HEADACHE 1,763
6 DRUG INEFFECTIVE 1,729
7 DYSPNOEA 1,639
8 VOMITING 1,523
9 OFF LABEL USE 1,468
10 ASTHENIA 1,447
11 RASH 1,362
12 DIZZINESS 1,314
13 ARTHRALGIA 1,257
14 PRURITUS 1,133
15 PYREXIA 1,123

Reactions in Death Reports

DEATH 556
OFF LABEL USE 435
VOMITING 420
DYSPNOEA 400
FATIGUE 392
GENERAL PHYSICAL HEALTH DETERIORATION 385
NAUSEA 375
HYPERTENSION 362
CONDITION AGGRAVATED 361
DIARRHOEA 353

Reactions in Hospitalization Reports

NAUSEA 1,002
DYSPNOEA 994
PAIN 991
FATIGUE 978
DIARRHOEA 891
VOMITING 826
ASTHENIA 805
PNEUMONIA 798
PYREXIA 725
OFF LABEL USE 704

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

There are no serious warnings listed.

Known Drug Interactions

Ascorbic acid and acetaminophen may increase plasma EE concentrations, possibly by inhibition of conjugation.

Mechanism: Vitamin C can stop your body from breaking down the estrogen in your birth control, which may lead to higher hormone levels in your blood.

What to do: Consult your healthcare provider about whether you need to limit your vitamin C intake while taking this birth control.

Ascorbic acid and acetaminophen may increase systemic exposure of EE possibly by inhibition of conjugation.

Mechanism: Ascorbic acid blocks the way your body normally breaks down estradiol, which can cause the drug levels to rise.

What to do: Watch for increased side effects and let your doctor know if you are taking Vitamin C supplements.

Ascorbic acid and acetaminophen may increase plasma ethinyl estradiol concentrations, possibly by inhibition of conjugation.

Mechanism: Vitamin C can stop your body from breaking down the estrogen in your birth control. This leads to higher levels of the hormone in your blood.

What to do: Your doctor may need to watch for side effects from higher estrogen levels.

Ascorbic acid and acetaminophen may increase plasma ethinyl estradiol levels, possibly by inhibition of conjugation.

Mechanism: Ascorbic acid blocks the process your body uses to clear birth control hormones. This can cause the levels of estrogen in your blood to rise higher than usual.

What to do: Your doctor may need to monitor you for increased side effects from the birth control. Do not start or stop taking large amounts of Vitamin C without talking to your provider.

Ascorbic acid and acetaminophen may increase plasma ethinyl estradiol levels, possibly by inhibition of conjugation.

Mechanism: Ascorbic acid blocks the process that normally clears estrogen from your body, leading to higher hormone levels.

What to do: Your doctor may need to watch for side effects from increased estrogen levels.

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Common Questions

What if my child spits out the dose?
Try mixing the dose with a small amount of food or juice to make it easier to swallow.
Can I give this to my baby?
This medicine is for infants and young children 6 months to 3 years of age. Talk to your doctor before giving it to your baby.
How long should my child take this?
Follow your doctor's instructions on how long your child should take this medicine.
Can I give my child more than 1 mL if they are sick?
No, do not give more than the recommended dose without talking to your doctor.
What do I do if my child gets a rash after taking this?
Stop giving the medicine and call your doctor right away.
Does this medicine need to be refrigerated?
No, this medicine does not need to be refrigerated. Store at room temperature.
Can I add this to hot food?
It is best to add this to cool or room temperature food or drinks.
What if I give too much?
Call your doctor or seek medical attention immediately.
Can I use a spoon instead of the dropper?
No, use the dropper that comes with the medicine to measure the correct dose.
Is this medicine safe for all children?
This medicine is safe for most children, but talk to your doctor if your child has any health problems.
Does ascorbic acid interact with other medications?
Yes, ascorbic acid has 8 known drug interactions. Notable interactions include drospirenone/ethinyl estradiol, estradiol, ethinyl estradiol/etonogestrel. Always inform your doctor about all medications you are taking.
What drug class is ascorbic acid?
ascorbic acid belongs to the Vitamin C Supplement drug class. It is available over the counter (OTC). This medicine gives you extra Vitamins A, C, and D.
Is ascorbic acid safe during pregnancy?
This information is for children. Ask a doctor for advice if you are pregnant or breastfeeding. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

Related Medications in Vitamin C Supplement

Other drugs grouped near ascorbic acid — same-class peers and common alternatives.

Compare ascorbic acid vs biotin side-by-side →

Medication Guides

Related Health & Safety Data

What the FDA Data Shows for ascorbic acid

The FDA label for ascorbic acid (sold under brand names such as Vitamin C) classifies it as an over-the-counter product in the Vitamin C Supplement class. This medicine gives you extra Vitamins A, C, and D. Labeling covers dosing, contraindications, and monitoring requirements derived from clinical trials.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 17,625 voluntary reports. The database also lists 8 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated minor severity. Acquisition-cost data is surveyed weekly by CMS and updated as manufacturers report changes.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: October 21, 2025

All federal data sources used on this page