Se-Natal 19 chewable tablets

Generic Name: prenatal multivitamins and minerals with iron and folic acid (pree-NATE-al muhl-tee-VYE-ta-mins/MIN-er-als/EYE-urn/FOE-lik AS-id)
Brand Name: Se-Natal 19

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 your local poison control center or your doctor at once.


Se-Natal 19 chewable tablets is used for:

Treating or preventing 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.

Se-Natal 19 chewable tablets is a vitamin, mineral, iron, and folic acid combination. It works by providing vitamins and minerals to the body to help meet nutritional requirements.

Do NOT use Se-Natal 19 chewable tablets if:

  • you are allergic to any ingredient in Se-Natal 19 chewable tablets
  • you have high blood iron levels, or hemochromatosis (a disorder of iron metabolism)
  • you are taking acitretin or fluorouracil

Contact your doctor or health care provider right away if any of these apply to you.

Slideshow: OTC Medication Use In Pregnancy: Wise or Worrisome?

Before using Se-Natal 19 chewable tablets:

Some medical conditions may interact with Se-Natal 19 chewable tablets. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have a bowel disorder (eg, colitis, Crohn disease, diverticulitis), certain blood disorders (eg, hemolytic or pernicious anemia, porphyria cutanea tarda, thalassemia), kidney stones, or peptic ulcer
  • if you have had multiple blood transfusions

Some MEDICINES MAY INTERACT with Se-Natal 19 chewable tablets. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Cation exchange resins (eg, sodium polystyrene sulfonate) because side effects, including increased risk of muscle twitches and tremors, nausea, vomiting, numbness in the face or extremities, and confusion possibly leading to coma, may be increased by Se-Natal 19 chewable tablets.
  • Oral anticoagulants (eg, warfarin) because side effects, including risk of bleeding, may be increased by Se-Natal 19 chewable tablets.
  • Acitretin, cyclosporine, fluorouracil, and quinidine because their actions and side effects may be increased by Se-Natal 19 chewable tablets.
  • Hydantoins (eg, phenytoin), mycophenolate, or penicillamine because their effectiveness may be decreased by Se-Natal 19 chewable tablets.

This may not be a complete list of all interactions that may occur. Ask your health care provider if Se-Natal 19 chewable tablets may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Se-Natal 19 chewable tablets:

Use Se-Natal 19 chewable tablets as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Check with your pharmacist to see if your brand should be taken with food or on an empty stomach. If stomach upset occurs, take with food to reduce stomach irritation.
  • Chew Se-Natal 19 chewable tablets well before swallowing.
  • Take Se-Natal 19 chewable tablets with a full glass of water.
  • Do not take an antacid within 1 hour before or 2 hours after you take Se-Natal 19 chewable tablets.
  • Avoid taking Se-Natal 19 chewable tablets with dairy products as they may interfere with the absorption of the iron in Se-Natal 19 chewable tablets.
  • Many medicines (eg, used for infection, blood pressure, immune system suppression, low blood platelets, osteoporosis, thyroid problems) should not be taken at the same time as Se-Natal 19 chewable tablets; their effectiveness may be decreased. Ask your doctor or pharmacist if your dose of Se-Natal 19 chewable tablets should be separated from your dose of any of your other medicines.
  • Taking Se-Natal 19 chewable tablets at the same time each day will help you remember to take it.
  • Take Se-Natal 19 chewable tablets on a regular schedule to get the most benefit from it.
  • If you miss a dose of Se-Natal 19 chewable tablets, 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.

Ask your health care provider any questions you may have about how to use Se-Natal 19 chewable tablets.

Important safety information:

  • Do not take more than the recommended dose of Se-Natal 19 chewable tablets without checking with your doctor.
  • Do not take large doses of vitamins while you are taking Se-Natal 19 chewable tablets unless your doctor tells you to.
  • Se-Natal 19 chewable tablets may discolor the stools. This is normal and not a cause for concern.
  • Se-Natal 19 chewable tablets contains iron. Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children younger than 6 years of age. In case of accidental overdose, call your doctor or local poison control center immediately.
  • PREGNANCY and BREAST-FEEDING: Se-Natal 19 chewable tablets is intended for use during pregnancy and breast-feeding. If you are or will be breast-feeding while you use Se-Natal 19 chewable tablets, check with your doctor.

Possible side effects of Se-Natal 19 chewable tablets:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Constipation; darkened or green stools; diarrhea; nausea; stomach upset; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); black, tarry stools; blood or streaks of blood in the stools; stomach pain or cramping.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include black, tarry stools; chest pain; lack of feeling alert; loss of balance; seizure; severe nausea, vomiting, diarrhea, or stomach pain; shortness of breath; sluggishness; trouble breathing; unusual tiredness or weakness; unusually pale skin; weak pulse.

Proper storage of Se-Natal 19 chewable tablets:

Store Se-Natal 19 chewable tablets at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not freeze. Do not store in the bathroom. Keep Se-Natal 19 chewable tablets out of the reach of children and away from pets.

General information:

  • If you have any questions about Se-Natal 19 chewable tablets, please talk with your doctor, pharmacist, or other health care provider.
  • Se-Natal 19 chewable tablets is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take Se-Natal 19 chewable tablets or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about Se-Natal 19 chewable tablets. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Se-Natal 19 chewable tablets. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using Se-Natal 19 chewable tablets.

Issue Date: September 3, 2014
Database Edition 14.3.1.003
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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