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This safety and warning information outlines critical considerations for the use of this medication, particularly for those containing iron, DHA, and omega-3 fatty acids. Please review these points thoroughly and discuss any concerns with your healthcare provider.

• Iron Overdose: Iron is present in many prenatal vitamins with DHA and various over-the-counter products. An excess of iron can cause severe adverse effects such as nausea, vomiting, diarrhea, and intestinal damage. It is crucial to inform your healthcare provider or pharmacist about all medications and supplements you are taking to avoid excessive iron intake.

• Anemia Concealment: Prenatal vitamins with DHA include folic acid, which can sometimes mask the symptoms of pernicious anemia—a condition caused by low levels of vitamin B12. If you have a history of low vitamin B12, it is important to inform your healthcare provider.

• Bleeding Risks: Omega-3 fatty acids found in these vitamins may increase the risk of bleeding. If you are on blood thinners like aspirin, clopidogrel (Plavix), or warfarin (Coumadin), or if you have a history of bleeding disorders, notify your healthcare provider. They may suggest more frequent monitoring. Seek medical attention if you experience persistent bleeding or have dark, tarry stools.

• Fish Allergies: The DHA in prenatal vitamins is derived from fish oils, which can pose allergy risks for individuals with fish or shellfish allergies. Discuss any allergies with your healthcare provider or pharmacist, and seek immediate medical help if you develop symptoms such as a rash, difficulty breathing, or swelling of the face, lips, tongue, or throat.

• Accidental Overdose in Children: Iron-containing products can be fatal if accidentally ingested by children under 6 years. Ensure that these products are stored securely out of children's reach. In case of an overdose, seek medical assistance immediately or contact a poison control center.

Contraindications:

• Do not use this medication if you have Wilson's disease or hemochromatosis, as it may pose significant health risks. Consult your healthcare provider if you have these conditions before starting this medication.

When taking this medication, you may experience some mild side effects, such as constipation, diarrhea, nausea, stomach pain, bloating, and gas. These symptoms are usually temporary and should improve as your body adjusts. Additionally, you might notice your stools turning black, which is a harmless effect of the medication.

While most people do not experience serious side effects, it is important to be aware of potential severe reactions. Seek immediate medical attention if you experience symptoms of a serious allergic reaction, such as a rash, itching or swelling, especially on the face, tongue, or throat, severe dizziness, or difficulty breathing. Although a serious allergic reaction is rare, it is crucial to address it promptly.

If any side effects persist, worsen, or if you notice any other unusual symptoms, contact your healthcare provider for further guidance. While this summary covers key side effects, it is not exhaustive, and your healthcare provider can offer more personalized advice based on your specific health needs.