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This medication has several important safety warnings and precautions that users need to be aware of. It is crucial to review these details and discuss any questions or concerns with your healthcare provider.

• Iron Overdose Risk: Some prenatal vitamins with DHA contain iron, which is also found in many over-the-counter products. Excess iron intake can result in severe side effects such as nausea, vomiting, diarrhea, and intestinal damage. Always inform your healthcare provider or pharmacist about all the medications and supplements you are taking to avoid excessive iron consumption. Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under six years. Therefore, keep this medication out of their reach. In case of an overdose, seek medical assistance immediately or contact a poison control center.

• Anemia Concealment: Folic acid in prenatal vitamins with DHA can mask symptoms of pernicious anemia, a condition caused by low vitamin B12 levels. If you have a history of low vitamin B12, it is important to inform your healthcare provider.

• Increased Bleeding Risk: Omega-3 fatty acids in these vitamins might elevate bleeding risk, especially if you are on blood thinners like aspirin, clopidogrel (Plavix), or warfarin (Coumadin), or have a history of bleeding disorders. Your healthcare provider might suggest regular monitoring. Report any difficult-to-stop bleeding or dark, tarry stools to your provider immediately.

• Fish Allergy Alert: The DHA in these prenatal vitamins comes from fish oils, which may pose a risk for individuals with fish or shellfish allergies. Discuss any allergies with your healthcare provider. If you encounter symptoms such as a rash, difficulty breathing, or swelling of the face, lips, tongue, or throat, seek emergency medical help.

Contraindications: This medication should not be used if you have Wilson's disease or hemochromatosis, as it may cause serious health issues. Consult your healthcare provider if you have these conditions before using this medication.

When taking this medication, you may experience some mild side effects such as constipation, diarrhea, nausea, upset stomach, abdominal pain, bloating, or gas. These are generally temporary and should subside as your body becomes accustomed to the medication. It's also common for stools to turn black due to the iron content; this is not harmful. If any of these mild side effects persist or become bothersome, it's advisable to consult with a healthcare professional.

In rare cases, more serious side effects can occur, such as easy bleeding or bruising. Although very rare, watch for signs of a serious allergic reaction, which may include a rash, itching, swelling (particularly of the face, tongue, or throat), severe dizziness, or trouble breathing. If you experience any of these symptoms, seek medical attention immediately.

Remember, while many individuals do not encounter significant issues with this medication, it's important to be observant of your body's reactions and communicate any concerns with a medical professional for guidance. This summary includes the most common and serious side effects, but if you notice any other unusual symptoms, reach out to your healthcare provider.