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CitraNatal B-Calm

Generic Name: prenatal multivitamin without vitamin a with calcium, iron, and folic acid (pree-NATE-al muhl-tee-VYE-ta-min/VYE-ta-min A/KAL-see-um/EYE-urn/FOE-lik AS-id)
Brand Name: Examples include CitraNatal B-Calm

Accidental overdose of products that contain iron is a leading cause of fatal poisoning in children younger than 6 years old. Keep this product out of the reach of children. In case of accidental ingestion, call a doctor or poison control center immediately.


CitraNatal B-Calm 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 to help relieve nausea and vomiting during pregnancy. It may also be used for other conditions as determined by your doctor.

CitraNatal B-Calm is a vitamin, calcium, iron, and folic acid combination. It works by providing vitamins and minerals to the body to help meet nutritional requirements.

Do NOT use CitraNatal B-Calm if:

  • you are allergic to any ingredient in CitraNatal B-Calm
  • you have certain iron metabolism problems (eg, hemosiderosis, hemochromatosis) or high levels of iron in your blood

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

Before using CitraNatal B-Calm:

Some medical conditions may interact with CitraNatal B-Calm. 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 stomach or bowel problems (eg, colitis, Crohn disease, diverticulitis, ulcers) or kidney stones
  • if you have hemolytic anemia, pernicious anemia, or other types of anemia, or if you have a condition that may cause anemia (eg, sickle cell disease, glucose-6-phosphate dehydrogenase [G6PD] deficiency)
  • if you have blood problems (eg, porphyria, thalassemia) or you have had multiple blood transfusions

Some MEDICINES MAY INTERACT with CitraNatal B-Calm. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Aluminum salts or calcium acetate because the risk of their side effects may be increased by CitraNatal B-Calm
  • Estramustine, hydantoins (eg, phenytoin), methyldopa, or penicillamine because their effectiveness may be decreased by CitraNatal B-Calm

This may not be a complete list of all interactions that may occur. Ask your health care provider if CitraNatal B-Calm 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 CitraNatal B-Calm:

Use CitraNatal B-Calm as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • This pack contains a prenatal multivitamin tablet and vitamin B6 tablets.
  • CitraNatal B-Calm is absorbed better on an empty stomach but may be taken with food if it upsets your stomach. Some foods (eg, eggs, whole grain breads, cereal, dairy products, coffee, tea) may decrease the amount of iron in the prenatal multivitamin absorbed by your body. Talk with your doctor about the best way to take CitraNatal B-Calm with food if it upsets your stomach.
  • Take CitraNatal B-Calm by mouth with a full glass of water (8 oz [240 mL]). Do not lie down for 30 minutes after taking CitraNatal B-Calm.
  • If you take an antacid, eltrombopag, an antibiotic, levothyroxine, or medicine for osteoporosis (eg, alendronate), ask your doctor how you should take it with CitraNatal B-Calm.
  • If you miss a dose of CitraNatal B-Calm, 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 CitraNatal B-Calm.

Important safety information:

  • Do NOT take more than the recommended dose without checking with your doctor.
  • Do not take large doses of vitamins (megadoses or megavitamin therapy) while you use CitraNatal B-Calm unless your doctor tells you to.
  • CitraNatal B-Calm has vitamins, calcium, folic acid, and iron in it. Before you start any new medicine, check the label to see if it has any of these ingredients in it too. If it does or if you are not sure, check with your doctor or pharmacist.
  • CitraNatal B-Calm may cause darkened or green stools. This is normal and not a cause for concern.
  • CitraNatal B-Calm should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: CitraNatal B-Calm is intended for use during pregnancy and breast-feeding. If you are or will be breast-feeding while you use CitraNatal B-Calm, check with your doctor.

Possible side effects of CitraNatal B-Calm:

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; dark or green stools; diarrhea; loss of appetite; nausea; stomach cramps, pain, or 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; fever; severe or persistent nausea, stomach pain, or vomiting; vomit that looks like blood or coffee grounds.

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; blood or streaks of blood in the stool; bluish skin or nails; changes in the amount of urine produced; chest pain; coma; dizziness; dry mouth or eyes; fainting; fast or difficult breathing; fast or irregular heartbeat; flushing; increased thirst or hunger; seizures; severe nausea, vomiting, drowsiness, or stomach pain; severe or unusual tiredness or drowsiness; shortness of breath; sluggishness; unusually pale skin; vomit that looks like blood or coffee grounds.

Proper storage of CitraNatal B-Calm:

Store CitraNatal B-Calm at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep CitraNatal B-Calm out of the reach of children and away from pets.

General information:

  • If you have any questions about CitraNatal B-Calm, please talk with your doctor, pharmacist, or other health care provider.
  • CitraNatal B-Calm 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 CitraNatal B-Calm 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 CitraNatal B-Calm. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to CitraNatal B-Calm. 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 CitraNatal B-Calm.

Review Date: November 3, 2016

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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