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When using this medication, it is crucial to be aware of several safety warnings and precautions to ensure your well-being. Review the following points carefully and consult your healthcare provider if you have any questions or concerns.

• Iron Overdose Risk: Some multivitamins and prenatal vitamins with DHA include iron, which can be found in many over-the-counter products. An excessive intake of iron can cause serious side effects like nausea, vomiting, diarrhea, and gut damage. It is important to keep these products out of reach of children, as accidental overdose is a major cause of fatal poisoning in children under 6 years old. In the event of an overdose, seek immediate medical assistance or contact a poison control center. Inform your healthcare provider or pharmacist about all medications and supplements you are taking to avoid excessive iron consumption.

• Potential Masking of Anemia: Prenatal vitamins with DHA contain folic acid, which can sometimes conceal symptoms of pernicious anemia, a condition 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 prenatal vitamins with DHA may raise the risk of bleeding. If you take blood thinners such as aspirin, clopidogrel (Plavix), or warfarin (Coumadin), or have a history of bleeding issues, inform your healthcare provider. They may suggest more frequent monitoring. Report any persistent bleeding or dark, tarry stools to your provider.

• Fish Allergy Considerations: Prenatal vitamins with DHA are derived from fish oils from various fish and shellfish. If you have a fish or shellfish allergy, discuss this with your healthcare provider or pharmacist, as there may be an increased risk of an allergic reaction. Seek immediate medical help if you experience a rash, difficulty breathing, or swelling of the face, lips, tongue, or throat.

Additionally, certain conditions indicate when this medication should be avoided due to serious health risks:

• Wilson's Disease: Do not use this medication if you currently have Wilson's disease.
• Hemochromatosis: Avoid this medication if you have hemochromatosis.

Always consult with a healthcare professional before starting any new medication or supplement, especially if you have pre-existing conditions or are taking other medications.

When taking this medication, you may experience some common side effects that are generally mild and often resolve as your body adjusts. These include constipation, diarrhea, nausea, upset stomach, bloating, gas, and dark stool. If any of these symptoms persist or worsen, it is advisable to consult your healthcare provider for guidance.

While serious side effects are not commonly associated with this medication, it is essential to remain vigilant. Promptly inform your healthcare provider if you experience any serious symptoms, such as easy bleeding or bruising. Although rare, a severe allergic reaction may occur, necessitating immediate medical attention. Watch for signs such as a rash, itching, swelling (especially of the face, tongue, or throat), severe dizziness, or difficulty breathing.

It is important to note that this list does not cover all possible side effects. If you notice any other unusual symptoms, seek advice from your healthcare provider. This proactive approach will help ensure your safety and well-being while using this medication.