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Prenatal multivitamins and minerals with docusate, iron, and folic acid

Generic Name: prenatal multivitamins and minerals with docusate, iron, and folic acid (pree-NATE-al VYE-ta-mins)
Brand Name: Examples include Atabex EC and Ultra NatalCare

Prenatal multivitamins and minerals with docusate, iron, and folic acid is used for:

Treating or preventing a lack of vitamins or minerals before, during, and after pregnancy and while breast-feeding. It may be also be used for other conditions as determined by your doctor.

Prenatal multivitamins and minerals with docusate, iron, and folic acid is a vitamin, mineral, folic acid, and stool softener combination. It works by providing extra vitamins, minerals, and folic acid to the body. The stool softener helps to decrease constipation that may occur with iron products.

Do NOT use prenatal multivitamins and minerals with docusate, iron, and folic acid if:

  • you are allergic to any ingredient in prenatal multivitamins and minerals with docusate, iron, and folic acid
  • you have high levels of iron in your blood, hemochromatosis (a disorder of iron metabolism), or Wilson disease (a disorder of copper metabolism)
  • you have nausea, vomiting, or stomach pain from an unknown cause; appendicitis; or a history of bowel blockage

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

Before using prenatal multivitamins and minerals with docusate, iron, and folic acid:

Some medical conditions may interact with prenatal multivitamins and minerals with docusate, iron, and folic acid. 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, megaloblastic or pernicious anemia, porphyria cutanea tarda, thalassemia), kidney stones, or peptic ulcer
  • if you have had multiple blood transfusions
  • if you have stomach pain, nausea, or vomiting

Some MEDICINES MAY INTERACT with prenatal multivitamins and minerals with docusate, iron, and folic acid. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Acitretin and fluorouracil because their actions and side effects may be increased by prenatal multivitamins and minerals with docusate, iron, and folic acid.
  • Hydantoins (eg, phenytoin), mycophenolate, or penicillamine because their effectiveness may be decreased by prenatal multivitamins and minerals with docusate, iron, and folic acid.
  • Oral anticoagulants (eg, warfarin) because their side effects, including risk of bleeding, may be increased by prenatal multivitamins and minerals with docusate, iron, and folic acid.

This may not be a complete list of all interactions that may occur. Ask your health care provider if prenatal multivitamins and minerals with docusate, iron, and folic acid 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 prenatal multivitamins and minerals with docusate, iron, and folic acid:

Use prenatal multivitamins and minerals with docusate, iron, and folic acid as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Take prenatal multivitamins and minerals with docusate, iron, and folic acid by mouth with food.
  • Take prenatal multivitamins and minerals with docusate, iron, and folic acid with a full glass of water.
  • Swallow whole. Do not break, crush, or chew before swallowing.
  • Avoid taking prenatal multivitamins and minerals with docusate, iron, and folic acid with dairy products as they may interfere with the absorption of the iron in prenatal multivitamins and minerals with docusate, iron, and folic acid.
  • If you also take bisphosphonates (eg, etidronate), quinolones (eg, ciprofloxacin), tetracyclines (eg, doxycycline), or thyroid hormones (eg, levothyroxine), do not take them within 2 hours before or 2 hours after taking prenatal multivitamins and minerals with docusate, iron, and folic acid. Check with your doctor if you have questions.
  • If you also take antacids, cephalosporins (eg, cephalexin), methyldopa, or levodopa, do not take them within 3 hours before or 3 hours after taking prenatal multivitamins and minerals with docusate, iron, and folic acid. Check with your doctor if you have questions.
  • If you also take eltrombopag, do not take it within 4 hours before or 4 hours after taking prenatal multivitamins and minerals with docusate, iron, and folic acid. Check with your doctor if you have questions.
  • If you miss a dose of prenatal multivitamins and minerals with docusate, iron, and folic acid, 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 prenatal multivitamins and minerals with docusate, iron, and folic acid.

Important safety information:

  • While you are taking prenatal multivitamins and minerals with docusate, iron, and folic acid you may notice darkening of stools. This is normal.
  • Prenatal multivitamins and minerals with docusate, iron, and folic acid has iron in it. Iron overdose is a leading cause of fatal poisoning in children younger than 6 years of age. In case of an overdose, call a doctor or poison control center right away.
  • Prenatal multivitamins and minerals with docusate, iron, and folic acid contains a stool softener. Do not take any other laxative or stool softener products without first checking with your doctor or pharmacist.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using prenatal multivitamins and minerals with docusate, iron, and folic acid while you are pregnant. Prenatal multivitamins and minerals with docusate, iron, and folic acid is found in breast milk. If you are or will be breast-feeding while you use prenatal multivitamins and minerals with docusate, iron, and folic acid, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of prenatal multivitamins and minerals with docusate, iron, and folic acid:

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; diarrhea; nausea; 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; 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 diarrhea; headache; lack of feeling alert; loss of balance; nausea; vomiting.

Proper storage of prenatal multivitamins and minerals with docusate, iron, and folic acid:

Store prenatal multivitamins and minerals with docusate, iron, and folic acid 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 prenatal multivitamins and minerals with docusate, iron, and folic acid out of the reach of children and away from pets.

General information:

  • If you have any questions about prenatal multivitamins and minerals with docusate, iron, and folic acid, please talk with your doctor, pharmacist, or other health care provider.
  • Prenatal multivitamins and minerals with docusate, iron, and folic acid 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 prenatal multivitamins and minerals with docusate, iron, and folic acid 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 prenatal multivitamins and minerals with docusate, iron, and folic acid. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to prenatal multivitamins and minerals with docusate, iron, and folic acid. 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 prenatal multivitamins and minerals with docusate, iron, and folic acid.

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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