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This medication comes with several important safety warnings and precautions. It is vital to understand these risks and discuss any concerns with your healthcare provider.

• Risk of Iron Overdose: Products containing iron, such as some prenatal vitamins with DHA, can lead to severe side effects if taken excessively, including nausea, vomiting, diarrhea, and gastrointestinal tears. Accidental iron overdose is a leading cause of fatal poisoning in children under 6 years old. Keep iron-containing products out of children's reach. If an overdose occurs, seek immediate medical attention or contact a poison control center. Inform your healthcare provider or pharmacist about all medications and supplements you are taking to avoid excessive iron intake.

• Potential to Mask Anemia: Prenatal vitamins with DHA also contain folic acid, which might conceal symptoms of pernicious anemia caused by low vitamin B12 levels. If you have a history of low vitamin B12, notify your healthcare provider.

• Increased Bleeding Risk: Omega-3 fatty acids in these vitamins may heighten bleeding risk, particularly if you are on blood thinners like aspirin, clopidogrel (Plavix), or warfarin (Coumadin), or have a history of bleeding issues. Your healthcare provider may recommend more frequent monitoring. Report any bleeding that is difficult to stop or any dark or tarry stools to your provider promptly.

• Fish Allergy Concerns: DHA in these vitamins is derived from fish oils and might pose a risk if you have a fish or shellfish allergy. Consult your pharmacist or healthcare provider about your allergies. Seek immediate medical help if you experience rash, breathing difficulties, or swelling of the face, lips, tongue, or throat after taking these vitamins.

Contraindications: Do not use this medication if you have Wilson's disease or hemochromatosis, as it may result in serious health complications. Always consult your healthcare provider before taking this medication if these conditions apply to you.

When taking this medication, some individuals may experience mild side effects such as nausea, stomach pain, constipation, bloating, gas, or diarrhea. These are generally temporary and may subside as your body adjusts to the medication. Additionally, it is common for iron to cause stools to appear darker, but this is not harmful. If these effects continue or worsen, it is advisable to consult your healthcare provider.

While many people do not experience severe side effects, it is important to be aware of serious reactions. Notify your doctor immediately if you encounter symptoms such as easy bleeding or bruising. Although rare, a severe allergic reaction could occur. Seek emergency medical attention if you experience a rash, itching, swelling particularly of the face, tongue, or throat, severe dizziness, or difficulty breathing.

This summary does not cover all possible side effects. If you experience any unusual symptoms not mentioned here, reach out to your doctor or pharmacist for further advice.