Take the missed dose as soon as you remember. If it is almost time for your next dose,
skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
Seek emergency medical attention if you think you have used too much of this
medicine.
An overdose of vitamins A, D, E, or K can cause serious or
life-threatening side effects and can also harm your unborn baby. Certain minerals
contained in a prenatal multivitamin may also cause serious overdose symptoms or harm to
the baby if you take too much.
Overdose symptoms may include stomach pain, vomiting, diarrhea, constipation, loss of
appetite, hair loss, peeling skin, tingly feeling in or around your mouth, changes in menstrual
periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine,
pale skin, and easy bruising or bleeding.
What should I avoid while taking prenatal vitamins?
Avoid taking more than one multivitamin product at the same time unless your
doctor tells you to. Taking similar vitamin products together can result in a vitamin overdose or
serious side effects.
Avoid the regular use of salt substitutes in your diet if your multivitamin contains
potassium. If you are on a low-salt diet, ask your doctor before taking a vitamin or mineral
supplement.
Do not take this medication with milk, other dairy products, calcium supplements, or
antacids that contain calcium. Calcium may make it harder for your body to absorb certain
ingredients of the prenatal vitamin.
What are the possible side effects of prenatal vitamins?
Get emergency medical help if you have any of these signs of an allergic
reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
When taken as directed, prenatal vitamins are not expected to cause serious side effects.
Less serious side effects may include:
This is not a complete list of side effects and others may occur. Tell
your doctor about any unusual or bothersome side effect.
What other drugs will affect prenatal vitamins?
Vitamin and mineral supplements can interact with certain medications, or affect how
medications work in your body. Before taking a prenatal vitamin, tell your doctor if you also
use:
-
diuretics (water pills);
-
heart or blood pressure medications;
-
tretinoin (Vesanoid);
-
isotretinoin (Accutane, Amnesteen, Clavaris, Sotret);
-
trimethoprim and sulfamethoxazole (Cotrim, Bactrim,
Septra, TMP/SMX); or
-
an NSAID (non-steroidal anti-inflammatory drug) such as
ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), diclofenac (Cataflam, Voltaren),
etodolac (Lodine), indomethacin (Indocin), ketoprofen (Orudis), and others.
This list is not complete and there may be other medications that can
interact with or be affected by prenatal vitamins. Tell your doctor about all the prescription and
over-the-counter medications you use. This includes vitamins, minerals, herbal products, and
drugs prescribed by other doctors. Do not start using a new medication without telling your
doctor.
Where can I get more information?
Your pharmacist can provide more information about prenatal vitamins.
Remember, keep this and all other medicines out of the reach of children,
never share your medicines with others, and use this medication only for the indication prescribed.
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