When This Medicine Should Not Be Used:
You should not use prenatal vitamins if you have ever had an allergic reaction to a vitamin or mineral supplement.

How to Use This Medicine:
Kit, Capsule, Chewable Tablet, Liquid Filled Capsule, Powder, Spray, Tablet, Bar

• Your doctor will tell you how much medicine to use. Do not use more than directed.
• Carefully follow your doctor's instructions about any special diet.
• Swallow the tablet or capsule whole. Do not break, chew, or crush it.
• The chewable tablet should be chewed before you swallow it.
• Dissolve the powder in 4 to 5 ounces of water and drink the mixture right away.
• Spray the mouth spray on the inside of your cheek. Hold the medicine in your mouth for about 30 seconds, then swallow.

Drugs and Foods to Avoid:
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• You should not use other vitamin and mineral supplements while you are using prenatal vitamins.

Warnings While Using This Medicine:

• Make sure your doctor knows if you have kidney disease or have ever had kidney stones. Tell your doctor if you have any blood problems (such as pernicious anemia or too much iron).
• You should not use certain brands of this medicine if you have kidney disease or are on dialysis, because they may harm your kidneys. Ask your caregiver what brands are best for you.
• This medicine might have enough iron to poison a small child. Be very careful to keep this medicine out of the reach of children. If a child does swallow some of this medicine, call a doctor or poison control center right away.
• This medicine might contain phenylalanine (aspartame). This is only a concern if you have a disorder called phenylketonuria (a problem with amino acids). If you have this condition, talk to your doctor before using this medicine.

Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing

If you notice these less serious side effects, talk with your doctor:

• Dark stools or constipation.
• Mild nausea.

If you notice other side effects that you think are caused by this medicine, tell your doctor.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088