GENERIC NAME: PRENATAL VITAMINS/MINERALS/OMEGA-3 FATTY ACIDS - ORAL
BRAND NAME(S): CitraNatal 90 DHA, Duet DHA, Marnatal-F Plus
WARNING: Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children younger than 6 years. Keep this product out of reach of children. If overdose does occur, seek immediate medical attention or call a poison control center.
USES: This medication is a multivitamin, mineral, and fatty acid product used to treat or prevent vitamin deficiency before, during, and after pregnancy. Vitamins, minerals, and fatty acids are important building blocks of the body and help keep you in good health.This combination product also contains iron and folic acid. Women of childbearing age should maintain adequate levels of folic acid either through diet or supplements to prevent infant spinal cord defects in the developing baby.
HOW TO USE: Take this medication by mouth, usually once or twice daily or as directed by your doctor. Follow all directions on the product package, or take as directed by your doctor. If you are taking the powder form of this medication, mix in water as directed before swallowing. If you are taking the delayed-release form of this medication, do not crush or chew. Doing so can release all of the drug at once, increasing the risk of side effects. If you are taking the chewable form of this medication, chew thoroughly and then swallow.This medication is best taken on an empty stomach 1 hour before or 2 hours after meals. Take with a full glass of water (8 ounces or 240 milliliters) unless your doctor directs you otherwise. If stomach upset occurs, you may take this medication with food. Avoid taking antacids, dairy products, tea, or coffee within 2 hours before or after this medication because they will decrease its effectiveness. Do not lie down for 10 minutes after taking this medication. Consult your doctor or pharmacist for details for your particular brand.Take this medication regularly in order to get the most benefit from it. To help you remember, take it at the same times each day.
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SIDE EFFECTS: Constipation, diarrhea, or upset stomach may occur. These effects are usually temporary and may disappear as your body adjusts to this medication. If any of these effects persist or worsen, contact your doctor or pharmacist promptly.Iron may cause your stools to turn black, an effect that is not harmful.Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.Tell your doctor immediately if any of these unlikely but serious side effects occur: easy bleeding/bruising.A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any of the following symptoms of a serious allergic reaction: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
PRECAUTIONS: Before taking this product, tell your doctor or pharmacist if you are allergic to any of its ingredients; or to fish or soy/peanut found in some brands; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.This medication should not be used if you have certain medical conditions. Before taking this medication, consult your doctor or pharmacist if you have: iron overload disorder (e.g., hemochromatosis, hemosiderosis).Before taking this medication, tell your doctor or pharmacist your medical history, especially of: use/abuse of alcohol, liver problems, stomach/intestinal problems (e.g., ulcer, colitis), vitamin B12 deficiency (pernicious anemia), bleeding disorders.This medication is safe to take during pregnancy when used as directed.This medication passes into breast milk. Consult your doctor before breast-feeding.
DRUG INTERACTIONS: See also How To Use section.Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with them first.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal drugs you may use, especially: "blood thinners" (e.g., warfarin, enoxaparin), chloramphenicol, certain anti-seizure drugs (e.g., phenytoin), methyldopa, other vitamin/nutritional supplements.This product can decrease the absorption of other drugs such as bisphosphonates (e.g., alendronate), levodopa, penicillamine, quinolone antibiotics (e.g., ciprofloxacin, levofloxacin), thyroid medications (e.g., levothyroxine), and tetracycline antibiotics (e.g., doxycycline, minocycline). Therefore, separate your doses of these medications as far as possible from your doses of this product. Ask your doctor or pharmacist about how long you should wait between doses and for help finding a dosing schedule that will work with all your medications.This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.
OVERDOSE: If overdose is suspected, contact a poison control center or emergency room immediately. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: stomach pain, nausea, vomiting, diarrhea.
NOTES: Do not share this medication with others.Laboratory and/or medical tests (e.g., complete blood count, vitamin B12 levels) may be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.Some brands of prenatal vitamins also contain ingredients such as calcium, zinc and iodine. Consult your doctor or pharmacist if you have questions about the ingredients in your brand.This product is not a substitute for a proper diet. Remember that it is best to get your vitamins and minerals from healthy foods. Maintain a well-balanced diet and follow any dietary guidelines as directed by your doctor.
MISSED DOSE: If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
STORAGE: Store at room temperature between 59-86 degrees F (15-30 degrees C) away from light and moisture. Do not store in the bathroom. Keep all medicines away from children and pets.Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.
Information last revised February 2014. Copyright(c) 2014 First Databank, Inc.
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Inflammatory Bowel Disease (IBD) Diet Plan
Inflammatory bowel disease (IBD) is a name for a group of diseases in which there is inflammation of the digestive tract (gastrointestinal tract). Crohn's disease and ulcerative colitis (UC) are the most common types of inflammatory bowel disease. While there is no specific recommended diet for a person with IBD, doctors and specialists recommend a low-residue (low fiber) diet for people with inflammatory bowel disease. Nutritionists, registered dieticians, and other health-care professionals can recommend specific foods, create meal plans, and recommend vitamins and other nutritional supplements.
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REFERENCE: Vanhauwaret, E. et al. Low-residue and low-fiber diets in gastrointestinal disease management. Adv Nutr. 2015 Nov 13;6(6):820-7.
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