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Pregnancy > Prenatal multivitamins

Prenatal multivitamins
======================
Pronunciation: PRE nay tal VYE ta mins  Healthwise

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What is the most important information I should know about prenatal
vitamins?

donot
Never take more than the recommended dose of a multivitamin. Avoid
taking more than one multivitamin product at the same time unless your
doctor tells you to. Taking similar vitamin products together can
result in a vitamin overdose or serious side effects.

Many multivitamin products also contain minerals such as calcium,
iron, magnesium, potassium, and zinc. Minerals (especially taken in
large doses) can cause side effects such as tooth staining, increased
urination, stomach bleeding, uneven heart rate, confusion, and muscle
weakness or limp feeling. Read the label of any multivitamin product
you take to make sure you are aware of what it contains.
emt

Seek emergency medical attention if you think you have used too much
of this medicine. An overdose of vitamins A, D, E, or K can cause
serious or life-threatening side effects and can also harm your unborn
baby. Certain minerals contained in a prenatal multivitamin may also
cause serious overdose symptoms or harm to the baby if you take too
much.
Overdose symptoms may include stomach pain, vomiting, diarrhea,
constipation, loss of appetite, hair loss, peeling skin, tingly
feeling in or around your mouth, changes in menstrual periods, weight
loss, severe headache, muscle or joint pain, severe back pain, blood
in your urine, pale skin, and easy bruising or bleeding.

donot
Do not take this medication with milk, other dairy products, calcium
supplements, or antacids that contain calcium. Calcium may make it
harder for your body to absorb certain ingredients of the
multivitamin.

What is multivitamin?
Prenatal vitamins are a combination of many different vitamins that
are normally found in foods and other natural sources.

Prenatal vitamins are used to provide the additional vitamins needed
during pregnancy. Minerals may also be contained in prenatal
multivitamins.
Prenatal vitamins may also be used for other purposes not listed in
this medication guide.

What should I discuss with my healthcare provider before taking
prenatal vitamins?
emt

Many vitamins can cause serious or life-threatening side effects if
taken in large doses. Do not take more of this medication than
directed on the label or prescribed by your doctor.
Before taking prenatal vitamins, tell your doctor about all of your
medical conditions.

nobrfeed
Prenatal vitamins can pass into breast milk and may harm a nursing
baby. Do not use this medication without telling your doctor if you
are breast-feeding a baby.

How should I take prenatal vitamins?
Use this medication as directed on the label, or as your doctor has
prescribed. Do not use the medication in larger amounts or for longer
than recommended.

donot
Never take more than the recommended dose of prenatal vitamins. Avoid
taking more than one multivitamin product at the same time unless your
doctor tells you to. Taking similar vitamin products together can
result in a vitamin overdose or serious side effects.

Many multivitamin products also contain minerals such as calcium,
iron, magnesium, potassium, and zinc. Minerals (especially taken in
large doses) can cause side effects such as tooth staining, increased
urination, stomach bleeding, uneven heart rate, confusion, and muscle
weakness or limp feeling. Read the label of any multivitamin product
you take to make sure you are aware of what it contains.
water

Take your prenatal vitamin with a full glass of water.
The chewable tablet must be chewed or allowed to dissolve in your
mouth before swallowing. You may also allow the tablet to dissolve in
drinking water, fruit juice, or infant formula (but not milk or other
dairy products). Drink this mixture right away.

It is important to take prenatal vitamins regularly to get the most
benefit.
rt

Store this medication at room temperature away from moisture and heat.
Store prenatal vitamins in their original container. Storing vitamins
in a glass container can ruin the medication.

What happens if I miss a dose?
Take the missed dose as soon as you remember. If it is almost time for
your next dose, skip the missed dose and take the medicine at the next
regularly scheduled time. Do not take extra medicine to make up the
missed dose.

What happens if I overdose?
emt

Seek emergency medical attention if you think you have used too much
of this medicine. An overdose of vitamins A, D, E, or K can cause
serious or life-threatening side effects and can also harm your unborn
baby. Certain minerals contained in a prenatal multivitamin may also
cause serious overdose symptoms or harm to the baby if you take too
much.
Overdose symptoms may include stomach pain, vomiting, diarrhea,
constipation, loss of appetite, hair loss, peeling skin, tingly
feeling in or around your mouth, changes in menstrual periods, weight
loss, severe headache, muscle or joint pain, severe back pain, blood
in your urine, pale skin, and easy bruising or bleeding.

What should I avoid while taking prenatal vitamins?
donot

Avoid taking more than one multivitamin product at the same time
unless your doctor tells you to. Taking similar vitamin products
together can result in a vitamin overdose or serious side effects.
Avoid the regular use of salt substitutes in your diet if your
multivitamin contains potassium. If you are on a low-salt diet, ask
your doctor before taking a vitamin or mineral supplement.

donot
Do not take this medication with milk, other dairy products, calcium
supplements, or antacids that contain calcium. Calcium may make it
harder for your body to absorb certain ingredients of the prenatal
vitamin.

What are the possible side effects of prenatal vitamins?
emt

Get emergency medical help if you have any of these signs of an
allergic reaction: hives; difficulty breathing; swelling of your face,
lips, tongue, or throat.
When taken as directed, prenatal vitamins are not expected to cause
serious side effects. Less serious side effects may include:

upset stomach;
headache; or

unusual or unpleasant taste in your mouth.
This is not a complete list of side effects and others may occur. Tell
your doctor about any unusual or bothersome side effect.

What other drugs will affect prenatal vitamins?
Vitamin and mineral supplements can interact with certain medications,
or affect how medications work in your body. Before taking a prenatal
vitamin, tell your doctor if you also use:

diuretics (water pills);
heart or blood pressure medications;

tretinoin (Vesanoid);
isotretinoin (Accutane, Amnesteen, Clavaris, Sotret);

trimethoprim and sulfamethoxazole (Cotrim, Bactrim, Septra,
 TMP/SMX); or
an NSAID (non-steroidal anti-inflammatory drug) such as ibuprofen
 (Motrin, Advil), naproxen (Aleve, Naprosyn), diclofenac (Cataflam,
 Voltaren), etodolac (Lodine), indomethacin (Indocin), ketoprofen
 (Orudis), and others.

This list is not complete and there may be other medications that can
interact with or be affected by prenatal vitamins. Tell your doctor
about all the prescription and over-the-counter medications you use.
This includes vitamins, minerals, herbal products, and drugs
prescribed by other doctors. Do not start using a new medication
without telling your doctor.
Where can I get more information?

Your pharmacist can provide more information about prenatal vitamins.
---------------------------------------------------------------------

Remember, keep this and all other medicines out of the reach of
children, never share your medicines with others, and use this
medication only for the indication prescribed.
Every effort has been made to ensure that the information provided
by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and
complete, but no guarantee is made to that effect. Drug
information contained herein may be time sensitive. Multum
information has been compiled for use by healthcare practitioners
and consumers in the United States and therefore Multum does not
warrant that uses outside of the United States are appropriate,
unless specifically indicated otherwise. Multum's drug information
does not endorse drugs, diagnose patients or recommend therapy.
Multum's drug information is an informational resource designed to
assist licensed healthcare practitioners in caring for their
patients and/or to serve consumers viewing this service as a
supplement to, and not a substitute for, the expertise, skill,
knowledge and judgment of healthcare practitioners. The absence of
a warning for a given drug or drug combination in no way should be
construed to indicate that the drug or drug combination is safe,
effective or appropriate for any given patient. Multum does not
assume any responsibility for any aspect of healthcare
administered with the aid of information Multum provides. The
information contained herein is not intended to cover all possible
uses, directions, precautions, warnings, drug interactions,
allergic reactions, or adverse effects. If you have questions
about the drugs you are taking, check with your doctor, nurse or
pharmacist.

Copyright 1996-2003 Cerner Multum, Inc. Version: 2.02. Revision
date: 11/14/2007.
Last Updated: 11/14/2007 Email this Article Print this Article IM this
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