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This medication comes with several important safety warnings and contraindications that should be carefully considered. It is crucial to discuss any concerns with your healthcare provider to ensure safe use.

• Iron Overdose Risk: Some prenatal vitamins with DHA include iron, which is also present in various over-the-counter products. Excessive iron intake can cause severe side effects such as nausea, vomiting, diarrhea, and gastrointestinal tears. Inform your healthcare provider or pharmacist about all the medications and supplements you are taking to avoid iron overdose.

• Masked Anemia Risk: Prenatal vitamins with DHA contain folic acid, which may conceal symptoms of pernicious anemia, a condition resulting from low vitamin B12 levels. If you have a history of low vitamin B12, it is essential to notify your healthcare provider.

• Bleeding Risk: Omega-3 fatty acids in these prenatal vitamins may increase bleeding risks. If you are on blood thinners like aspirin, clopidogrel (Plavix), or warfarin (Coumadin), or have a history of bleeding disorders, inform your healthcare provider. They may recommend closer monitoring. Seek medical attention if you experience uncontrolled bleeding or notice dark, tarry stools.

• Fish Allergy Caution: The DHA in prenatal vitamins is derived from fish oils, which may pose an allergy risk for individuals with fish or shellfish allergies. Discuss your allergies with your healthcare provider or pharmacist. Immediate medical help is necessary if you experience a rash, difficulty breathing, or swelling of the face, lips, tongue, or throat.

Contraindications: Do not use this medication if you have the following conditions:

• Wilson's disease
• Hemochromatosis

Consult your healthcare provider for further guidance if any of these conditions apply to you.

When taking this medication, some individuals may experience common side effects. These are generally mild but can include nausea, stomach pain, constipation, bloating, gas, diarrhea, and dark stools. These symptoms often resolve on their own, but if they persist or become bothersome, it is advisable to consult a healthcare provider for further guidance.

Currently, there are no additional or serious side effects reported for this medication. While the absence of serious side effects is reassuring, it's important to remain attentive to how your body responds to the medication and report any unexpected changes to a healthcare professional.