The components are intended to be ingested together. Follow the specific package directions. NOTE: This monograph discusses prenatal multivitamin and mineral products when taken as marketed.
Clinicians may wish to refer to individual component monographs for more information regarding individual supplements contained in the products of interest. Prenatal multivitamins and minerals products are contraindicated in patients hypersensitive to any particular product components.
Carefully review product components prior to selecting a particular product for a given patient. Certain prenatal multivitamins and minerals products contain fish oils or omegafatty acids. Ingestion of more than 3 grams of omega-3 fatty acids such as DHA per day has been shown to have potential antithrombotic effects, including an increased bleeding time and International Normalized Ratio INR. Administsration of omega-3 fatty acids should generally be avoided in patients taking anticoagulant therapy and in those known to have an inherited or acquired predisposition to bleeding.
Prenatal multivitamins and minerals are generally recognized as safe GRAS for meeting nutritional requirements of females during pre-conception, pregnancy and breast-feeding. No particular precautions are advised. Folic acid alone is improper therapy in the treatment of pernicious anemia and other vitamin B12 deficiency megaloblastic anemia where vitamin B12 is deficient. Folic acid in doses above 1 mg daily may obscure pernicious anemia in that hematologic remission can occur while neurological manifestations progress.
Hemochromatosis causes the body to lose its ability to regulate the amount of iron that is absorbed, leading to excess iron absorption and tissue storage. Massive deposition of iron hemosiderosis in parenchymal tissues in these conditions may damage the liver, heart, pancreas and other tissues.
Porphyria cutanea tarda PCT is sometimes associated with parenchymal iron deposits; patients with PCT should avoid iron supplements unless prescribed by a physician. Our websites and mobile applications may from time to time provide links to, or embed, third-party websites, or provide social media plug-ins.
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Ask your Health Care Professional about which CitraNatal prescription prenatal product is right for you. To redeem your savings card: Present your prescription, along with the savings card, at your participating pharmacy.
Subject to eligibility. Terms and conditions apply. Anemia and iron-deficiency anemia: compilation of data on pregnancy outcome. Am J Clin Nutr. Absorption of carbonyl iron. J Lab Clin Med. High-dose carbonyl iron for iron deficiency anemia: a randomized double-blind trial. Get the calcium you need during pregnancy. Accessed December Data on file.
Mission Pharmacal Company. Corliss, J. Choosing a calcium supplement. March Harvard Health Publishing. The roles of long-chain polyunsaturated fatty acids in pregnancy, lactation and infancy: review of current knowledge and consensus recommendations.
J Perinat Med. Constipation in pregnancy: prevalence, symptoms, and risk factors. Obstet Gynecol. Docusate OTC. Accessed March Vitamin B 6 is effective therapy for nausea and vomiting of pregnancy: a randomized, double-blind placebo-controlled study. Do not take extra medicine to make up for a missed dose. Call your doctor for medical advice about side effects. Prenatal vitamins are used to supplement the diet during pregnancy and during breast feeding.
If you notice these less serious side effects, talk with your doctor: Dark stools or constipation. Mild nausea. Make sure your doctor knows if you have kidney disease or have ever had kidney stones. Tell your doctor if you have blood problems such as pernicious anemia or too much iron. You should not use certain brands of this medicine if you have kidney disease or are on dialysis, because they may harm your kidneys.
Ask your caregiver what brands are best for you. This medicine might have enough iron to poison a small child. Be very careful to keep this medicine out of the reach of children. If a child does swallow some of this medicine, call a doctor or poison control center right away. You should not use prenatal vitamins if you have ever had an allergic reaction to a vitamin or mineral supplement.
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