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When using this medication, it is crucial to be aware of potential risks and adhere to safety precautions. Please review the following points carefully and consult your healthcare provider with any concerns.

• Iron Overdose: Prenatal vitamins with DHA may contain iron, which is also present in numerous over-the-counter products. Excessive iron intake can lead to serious adverse effects, such as nausea, vomiting, diarrhea, and gastrointestinal tears. Ensure that your healthcare provider or pharmacist is informed of all medications and supplements you are taking to prevent iron overdose. Notably, accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6 years old. Thus, keep these products out of children's reach. In the event of an overdose, seek medical assistance immediately or contact a poison control center.

• Anemia and Vitamin B12: These vitamins also contain folic acid, which might mask symptoms of pernicious anemia—a condition linked to low vitamin B12 levels. If you have a history of vitamin B12 deficiency, inform your healthcare provider.

• Bleeding Risks: The omega-3 fatty acids present in prenatal vitamins with DHA could increase bleeding risk. If you are on blood thinners, such as aspirin, clopidogrel (Plavix), or warfarin (Coumadin), or have a history of bleeding disorders, notify your healthcare provider. They may suggest more frequent monitoring. Contact your provider if you experience uncontrollable bleeding or notice dark, tarry stools.

• Fish Allergy: These vitamins contain DHA from fish oils, which may trigger allergic reactions in individuals with fish or shellfish allergies. Discuss any allergies with your pharmacist or healthcare provider. Seek immediate medical help if you develop a rash, breathing difficulties, or swelling of the face, lips, tongue, or throat.

• Contraindications: Do not use this medication if you have Wilson's disease or hemochromatosis, as it could pose serious health risks. Consult your healthcare provider if you have these conditions before taking this medication.

When taking this medication, you may experience some common side effects such as constipation, diarrhea, nausea, stomach pain, bloating, and gas. These effects are generally mild and should ease as your body becomes accustomed to the medication. It's also common for your stools to turn dark, which is a harmless effect of iron. If these side effects persist or become bothersome, it's important to consult your healthcare provider for advice.

While serious side effects are rare, it is crucial to be aware of them. Seek immediate medical attention if you experience symptoms such as easy bleeding or bruising, or show signs of a severe allergic reaction. This can include a rash, itching, swelling—especially of the face, tongue, or throat—severe dizziness, or difficulty breathing. Your safety is paramount, so do not hesitate to reach out to a healthcare professional if you notice any troubling symptoms. Remember, this is not an exhaustive list of side effects, and any other unusual reactions should also be reported to your healthcare provider.