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Drug Information For:
CITRANATAL ASSURE PAK
Ingredient Name:PRENATAL MULTIVITAMIN (pree-NATE-al mul-TE VYE-ta-min) WITHOUT VITAMIN A (VYE-ta-min A) WITH MINERALS (MIN-er-als), IRON (EYE-urn), FOLIC ACID (FOE-lik AS-id), AND DOCUSATE SODIUM (DOK-ue-sate SOE-dee-um) WITH DHA
Common Uses:This medicine is a vitamin, mineral, iron, folic acid, docosahexaenoic acid (DHA), and stool softener combination used to treat or prevent a lack of vitamins or minerals before, during, and after pregnancy and while breast-feeding. It may also be used for other conditions as determined by your doctor.
Before Using This Medicine:ACCIDENTAL OVERDOSE of products that contain iron is a leading cause of fatal poisoning in children younger than 6 years old. Keep this and all medicines out of the reach of children. In case of accidental ingestion, call the poison control center or doctor at once. Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking oral anticoagulants (eg, warfarin), ACE inhibitors (eg, captopril), eplerenone, potassium-sparing diuretics (eg, triamterene), aluminum salts, hydantoins (eg, phenytoin), or fluorouracil. DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions, including stomach or intestinal problems (eg, colitis, Crohn disease, diverticulitis); pernicious anemia or other blood problems (eg, anemia, porphyria); bleeding problems (eg, hemophilia); peptic ulcer; allergies; pregnancy; or breastfeeding. Tell your doctor if you have had multiple blood transfusions. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have hemochromatosis (a disorder of iron metabolism). Contact your doctor or pharmacist if you have any questions or concerns about using this medicine.
How to Use This Medicine:Follow the directions for taking this medicine provided by your doctor. This medicine may be taken on an empty stomach or with food. If stomach upset occurs, take with food to reduce stomach irritation. TAKE THIS MEDICINE WITH A FULL GLASS OF WATER (8 oz/240 mL). DO NOT TAKE ANTACIDS within 1 hour before or 2 hours after you take this medicine. AVOID TAKING THIS MEDICINE WITH DAIRY PRODUCTS because they may interfere with the absorption of the iron in this medicine. Many medicines (eg, used for infection, blood pressure, osteoporosis, thyroid problems) should not be taken at the same time as this medicine because their effectiveness may be decreased. Ask your doctor or pharmacist if your dose of this medicine should be separated from your dose of any of your other medicines. STORE THIS MEDICINE at room temperature, between 59 and 86 degrees F (15 and 30 degrees C), away from heat, moisture, and light. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Cautions:DO NOT USE THIS MEDICINE if you have had an allergic reaction to it or if you are allergic to any ingredient in this product, including soy, fish, or fish oil. Some brands of this medicine may contain soy or fish oil. If you have had an allergic reaction to these ingredients, ask your pharmacist if your brand contains soy or fish oil. DO NOT EXCEED THE RECOMMENDED DOSE without checking with your doctor. THIS MEDICINE MAY DISCOLOR THE STOOLS. This is normal and not a cause for concern. BEFORE YOU BEGIN TAKING ANY NEW MEDICINES, either prescription or over-the-counter, check with your doctor or pharmacist. DO NOT TAKE large doses of vitamins while taking this medicine unless directed by your doctor. FOR WOMEN: THIS MEDICINE IS INTENDED FOR USE DURING PREGNANCY AND BREASTFEEDING. IF YOU ARE OR WILL BE BREAST-FEEDING while you use this medicine, check with your doctor.
Possible Side Effects:SIDE EFFECTS that may occur while taking this medicine include constipation, dark or discolored stools, diarrhea, nausea, stomach upset, or vomiting. If they continue or are bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience black, tarry stools; blood or streaks of blood in the stools; or stomach pain or cramping. AN ALLERGIC REACTION to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, hives, itching, difficulty breathing, tightness in the chest, or swelling of the mouth, face, lips, or tongue. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your healthcare provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Overdose:ACCIDENTAL OVERDOSE of iron-containing products is a leading cause of fatal poisoning in children under 6 years of age. In case of accidental overdose, call a doctor or poison control center immediately. Symptoms of overdose may include black, tarry stools; chest pain; lack of feeling alert; loss of balance; seizures; severe nausea, vomiting, diarrhea, or stomach pain; shortness of breath; sluggishness; trouble breathing; unusual tiredness or weakness; unusually pale skin; or weak pulse.
Additional Information:DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children and pets. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.
Copyright 2014 Wolters Kluwer Health, Inc.