Drug Interaction Report

Using multivitamins, prenatal together with sodium ferric gluconate complex may lead to complications from too much iron. In addition, sodium ferric gluconate complex may interfere with the absorption of iron taken by mouth.

You may need to wait at least 5 days after stopping sodium ferric gluconate complex before taking oral iron supplements.

Talk to your doctor if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

The recommended maximum number of medicines in the 'iron preparations' category to be taken concurrently is usually one. Your list includes two medicines belonging to the 'iron preparations' category:

• Extra-Virt Plus DHA (multivitamin, prenatal)
• sodium ferric gluconate complex

Note: In certain circumstances, the benefits of taking this combination of drugs may outweigh any risks. Always consult your healthcare provider before making changes to your medications or dosage.

Food may reduce the absorption and blood levels of multivitamins, prenatal. In addition, some oral medications can also interfere with multivitamins, prenatal absorption into the bloodstream, which may make the medication less effective in treating your condition. Likewise, multivitamins, prenatal may interfere with the absorption of other orally administered medications.

You should take multivitamins, prenatal on an empty stomach at least one hour before or two hours after a meal.

Your doctor may be able to prescribe alternatives that do not interact, or you may need a dose adjustment or more frequent monitoring to safely use both medications.

Talk to your doctor or pharmacist if you have questions about how to take this or other medications you are prescribed. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.