Wednesday, 21 September 2016

Corsatet




Corsatet may be available in the countries listed below.


Ingredient matches for Corsatet



Tetracycline

Tetracycline hydrochloride (a derivative of Tetracycline) is reported as an ingredient of Corsatet in the following countries:


  • Indonesia

International Drug Name Search

Boots Alternatives Laxative Tablets





Boots Alternatives Laxative Tablets



(Aloin, Cascara Bark Extract, Senna Leaf)




Read all of this leaflet carefully because it contains important information for you.



This medicine is available without prescription to treat minor conditions. However, you still need to take it carefully to get the best results from it.



  • Keep this leaflet, you may need to read it again

  • You must contact a pharmacist or doctor if your symptoms worsen or do not improve after 7 days

  • Ask your pharmacist if you need more information or advice





What this medicine is for



This medicine contains a combination of herbal ingredients which have been used for their laxative effects.



It can be used to relieve occasional constipation.





Before you take this medicine



This medicine can be taken by adults and children of 12 years and over.



However, some people should not take this medicine or should seek the advice of their pharmacist or doctor first.




Do not take:



  • If you are allergic to any of the ingredients in this medicine (see “What is in this medicine”)

  • If you have severe stomach pain which may be caused by appendicitis, an obstruction in your intestine or other causes

  • If you have inflammatory bowel disease, Crohn’s disease or are dehydrated

  • If you have an intolerance to some sugars, unless your doctor tells you to (this medicine contains sucrose)

  • If you are pregnant or breastfeeding




Talk to your pharmacist or doctor:



  • If you have stomach pain, nausea and vomiting as well as constipation

  • If you need to use a laxative every day

  • If you have kidney problems




Other important information



Try to use changes in diet and bulk forming medicines to control your constipation before using this medicine. And then only use this medicine for a few days.



If you use incontinence pads change the pads more often when taking this medicine.



Information about some of the ingredients in this medicine: Sodium propyl parahydroxybenzoate (E217) and sodium methyl parahydroxybenzoate (E219) may cause allergic reactions (possibly delayed).





If you take other medicines



Before you take these tablets make sure you tell your pharmacist or doctor about ANY other medicines that you are using at the same time, particularly the following:



  • Medicines for heart problems or heart rhythm problems

  • Water tablets

  • Corticosteroids (used for many conditions such as pain, swelling, allergy, asthma, rheumatism and skin problems)

  • Liquorice root

  • Medicines which may cause changes to your heart beat.

    If you are unsure about interactions with any other medicines talk to your pharmacist or doctor. This includes medicines prescribed by your doctor and medicine you have bought for yourself including herbal and homeopathic remedies.





How to take this medicine



Check the foil is not broken before use. If it is, do not take that tablet.



Adults and children of 12 years and over: Take one or two tablets at night.



Swallow the tablets with water.



Do not give to children under 12 years.



Do not take more than the amount recommended.



If you need to use laxatives every day, or you have stomach pain that does not go away, talk to your doctor.



If symptoms worsen at any time, or do not go away within 7 days, talk to your doctor.



If you take too many tablets: Talk to a doctor straight away. Take your medicine and this leaflet with you.





Possible side effects



Most people will not have problems, but some may get some.



If you get any of these serious side effects, stop taking the tablets. See a doctor at once:



  • Difficulty in breathing, swelling of the face, neck, tongue or throat (severe allergic reactions)

  • Severe raised, red, itchy skin that may affect part or all of the body

These other effects are less serious. If they bother you talk to a pharmacist:



  • Stomach pain, cramps, loose motions (if you get these effects you should reduce the amount of tablets you are taking)

  • Red coloration of the urine, or coloration of the lining of the gut

If you take this medicine for a long time you may get:



  • Changes in the water and salt balance in the blood, which can lead to kidney problems such as blood or protein in the urine

If any side effect becomes severe, or you notice any side effect not listed here, please tell your pharmacist or doctor.





How to store this medicine



Do not store above 25°C.



Keep this medicine in a safe place out of the sight and reach of children, preferably in a locked cupboard.



Do not use after expiry date shown on the packaging.





What is in this medicine



Each coated tablet contains Aloin 10 mg, Cascara Bark Dry Extract 130 mg, Senna Leaf 32 mg, which are the active ingredients.



As well as the active ingredients, the tablets also contain calcium phosphate, pregelatinised maize starch, stearic acid, silicon dioxide, magnesium stearate, sodium starch glycolate. The tablet coating contains opaseal (containing polyvinyl acetate phthalate, ethyl acetate, stearic acid), sucrose, calcium carbonate, acacia, titanium dioxide (E171), yellow beeswax, carnauba wax, mastercote brown (containing red and black iron oxide (E172), hydrochloric acid, sodium propyl parahydroxybenzoate (E217), sodium methyl parahydroxybenzoate (E219)), talc.



The pack contains 60 brown, circular sugar coated tablets.





Who makes this medicine



Manufactured for




The Boots Company PLC

Nottingham

NG2 3AA



by the Marketing Authorisation holder




G.R. Lane Health Products Ltd

Sisson Road Gloucester

GL2 0GR




Leaflet prepared November 2009



If you would like any further information about this medicine, please contact




The Boots Company PLC

Nottingham

NG2 3AA






Tuesday, 20 September 2016

Tamsulosina Ranbaxy




Tamsulosina Ranbaxy may be available in the countries listed below.


Ingredient matches for Tamsulosina Ranbaxy



Tamsulosin

Tamsulosin hydrochloride (a derivative of Tamsulosin) is reported as an ingredient of Tamsulosina Ranbaxy in the following countries:


  • Spain

International Drug Name Search

Terbinafine Sandoz




Terbinafine Sandoz may be available in the countries listed below.


Ingredient matches for Terbinafine Sandoz



Terbinafine

Terbinafine hydrochloride (a derivative of Terbinafine) is reported as an ingredient of Terbinafine Sandoz in the following countries:


  • Belgium

  • France

  • Japan

  • Latvia

  • Lithuania

  • Netherlands

International Drug Name Search

Hold Lozenges


Pronunciation: DEX-troe-meth-OR-fan
Generic Name: Dextromethorphan
Brand Name: Examples include Hold and Sucrets 4-Hour Cough Drops


Hold Lozenges are used for:

Temporarily relieving cough due to the common cold, upper respiratory tract infections, sinus inflammation, sore throat, or bronchitis.


Hold Lozenges are a cough suppressant. It works by loosening mucus and lung secretions in the chest and making coughs more productive.


Do NOT use Hold Lozenges if:


  • you are allergic to any ingredient in Hold Lozenges

  • you are taking or have taken furazolidone or a monoamine oxidase (MAO) inhibitor (eg, phenelzine) within the last 14 days

Contact your doctor or health care provider right away if any of these apply to you.



Before using Hold Lozenges:


Some medical conditions may interact with Hold Lozenges. Tell your health care provider if you have any medical conditions, especially if any of the following apply to you:


  • if you are pregnant, plan to become pregnant, or are breast-feeding

  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

  • if you have allergies to medicines, foods, or other substances

  • if you have chronic cough, chronic bronchitis or any breathing problems, such as asthma, emphysema, chronic obstructive pulmonary disease (COPD), or if cough occurs with a large amount of mucus

Some MEDICINES MAY INTERACT with Hold Lozenges. Tell your health care provider if you are taking any other medicines, especially any of the following:


  • Furazolidone or MAO inhibitors (eg, phenelzine ) because the risk of toxic side effects may be increased by Hold Lozenges

This may not be a complete list of all interactions that may occur. Ask your health care provider if Hold Lozenges may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.


How to use Hold Lozenges:


Use Hold Lozenges as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • Hold Lozenges may be taken with or without food. Take with food if stomach upset occurs.

  • Dissolve the medicine slowly in the mouth. Do not swallow whole.

  • If you miss a dose of Hold Lozenges and you are taking it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Hold Lozenges.



Important safety information:


  • Hold Lozenges may cause drowsiness, dizziness, blurred vision, or lightheadedness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Hold Lozenges. Using Hold Lozenges alone, with certain other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks.

  • If your cough lasts for more than 1 week or comes back, or if you also have a fever, rash, or persistent headache, contact your health care provider. A persistent cough could be a sign of a serious condition.

  • Hold Lozenges contains dextromethorphan. Before you being taking any new prescription or nonprescription medicine, read the ingredients to see if it also contains dextromethorphan. If it does or if you are not sure, contact your health care provider or pharmacist.

  • Phenylketonuria patients - Hold Lozenges contains phenylalanine.

  • Hold Lozenges are not recommended for use in CHILDREN younger than 2 years of age. Safety and effectiveness in this age group have not been confirmed.

  • PREGNANCY and BREAST-FEEDING: If you are pregnant or plan on becoming pregnant, discuss with your doctor the benefits and risks of using Hold Lozenges during pregnancy. It is unknown if Hold Lozenges are excreted in breast milk. Do not breast-feed while taking Hold Lozenges.


Possible side effects of Hold Lozenges:


All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:



Dizziness; drowsiness; stomach upset.



Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue).



This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.


See also: Hold side effects (in more detail)


If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include confusion; excitement; hallucinations; slowed breathing.


Proper storage of Hold Lozenges:

Store Hold Lozenges between 59 and 86 degrees F (15 and 30 degrees C), away from heat, moisture, and light. Do not store in the bathroom. Keep Hold Lozenges out of the reach of children and away from pets.


General information:


  • If you have any questions about Hold Lozenges, please talk with your doctor, pharmacist, or other health care provider.

  • Hold Lozenges are to be used only by the patient for whom it is prescribed. Do not share it with other people.

  • If your symptoms do not improve or if they become worse, check with your doctor.

  • Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Hold Lozenges. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Hold resources


  • Hold Side Effects (in more detail)
  • Hold Use in Pregnancy & Breastfeeding
  • Hold Drug Interactions
  • Hold Support Group
  • 0 Reviews for Hold - Add your own review/rating


Compare Hold with other medications


  • Cough

Monday, 19 September 2016

Nebcin


Generic Name: tobramycin (Injection route)

toe-bra-MYE-sin

Injection route(Solution)

Therapy has been associated with potential neurotoxicity, ototoxicity, and nephrotoxicity. Patients with impaired renal function, advanced age, dehydration, and those who receive high dosage or prolonged therapy are at an increased risk of toxicity. Monitor renal and auditory function during therapy and discontinue therapy or adjust dose if there is evidence of ototoxicity or nephrotoxicity. Aminoglycoside-induced ototoxicity is usually irreversible. Serum concentrations of aminoglycosides should be monitored periodically to assure adequate levels and to avoid potentially toxic levels. Concurrent use of other potentially neurotoxic or nephrotoxic agents, or potent diuretics should be avoided. Tobramycin should be used with caution in premature and neonatal infants because of their renal immaturity and the resulting prolongation of serum half-life of the drug. Aminoglycosides can cause fetal harm when administered to a pregnant woman .



Commonly used brand name(s)

In the U.S.


  • Nebcin

Available Dosage Forms:


  • Solution

  • Powder for Solution

Therapeutic Class: Antibiotic


Chemical Class: Aminoglycoside


Uses For Nebcin


Tobramycin injection is used to treat serious bacterial infections in many different parts of the body.


Tobramycin belongs to the class of medicines known as aminoglycoside antibiotics. It works by killing bacteria or preventing their growth. However, this medicine will not work for colds, flu, or other virus infections.


Tobramycin injection is usually used for serious bacterial infections for which other medicines may not work. However, it may also cause some serious side effects, including damage to your hearing, sense of balance, and kidneys. These side effects may be more likely to occur in elderly patients and newborn infants. You and your doctor should talk about the benefits of this medicine as well as the risks.


This medicine is to be administered only by or under the immediate supervision of your doctor.


Before Using Nebcin


In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:


Allergies


Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.


Pediatric


Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of tobramycin injection in children. However, this medicine should be used with caution in premature and newborn infants.


Geriatric


Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of tobramycin injection in the elderly. However, elderly patients are more likely to develop unwanted effects and to have kidney problems, which may require caution and an adjustment in the dose for patients receiving tobramycin injection.


Pregnancy








Pregnancy CategoryExplanation
All TrimestersDStudies in pregnant women have demonstrated a risk to the fetus. However, the benefits of therapy in a life threatening situation or a serious disease, may outweigh the potential risk.

Breast Feeding


There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.


Interactions with Medicines


Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.


Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.


  • Alcuronium

  • Atracurium

  • Cidofovir

  • Cisatracurium

  • Colistimethate Sodium

  • Decamethonium

  • Doxacurium

  • Ethacrynic Acid

  • Fazadinium

  • Furosemide

  • Gallamine

  • Hexafluorenium

  • Lysine

  • Metocurine

  • Mivacurium

  • Pancuronium

  • Pipecuronium

  • Rapacuronium

  • Rocuronium

  • Succinylcholine

  • Tacrolimus

  • Tubocurarine

  • Vancomycin

  • Vecuronium

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.


  • Cisplatin

  • Cyclosporine

Interactions with Food/Tobacco/Alcohol


Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.


Other Medical Problems


The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:


  • Asthma or

  • Sulfite allergy, history of—This medicine contains sodium bisulfite which may cause an allergic reaction in patients with these conditions.

  • Burns, extensive or

  • Cystic fibrosis—Use with caution. Your doctor may need to change your dose if you have these conditions.

  • Kidney disease—Higher blood levels of tobramycin may result, which increases the risk of serious side effects.

  • Kidney disease, severe or

  • Muscle problems or

  • Myasthenia gravis (severe muscle weakness) or

  • Nerve problems or

  • Parkinson's disease—Use with caution. May make these conditions worse.

Proper Use of Nebcin


A nurse or other trained health professional will give you this medicine. This medicine is given as a shot into a muscle or into a vein. This medicine should not be given into the eyes.


To help clear up your infection completely, keep using this medicine for the full time of treatment, even if you begin to feel better after a few days. Also, this medicine works best when there is a constant amount in the blood. To help keep the amount constant, you must receive this medicine on a regular schedule.


To keep your kidneys working well and help prevent kidney problems, drink extra fluids so you will pass more urine while you are receiving this medicine.


Precautions While Using Nebcin


Your doctor will check your progress closely while you or your child are receiving this medicine. This will allow your doctor to see if the medicine is working properly and to decide if you or your child should continue to receive it. Blood, urine, hearing, and nerve tests may be needed to check for unwanted effects. Electrolytes (e.g., calcium, magnesium, and potassium) in the blood should also be monitored by your doctor.


If your or your child's symptoms do not improve within a few days, or if they become worse, check with your doctor.


Using this medicine while you are pregnant can harm your unborn baby. Use an effective form of birth control to keep from getting pregnant. If you think you have become pregnant while using the medicine, tell your doctor right away.


This medicine may cause serious allergic reactions, including anaphylaxis, which can be life-threatening and require immediate medical attention. Call your doctor right away if you or your child have blistering, peeling, or loosening of the skin; itching; hives; hoarseness; shortness of breath; sores, ulcers, or white spots in the mouth or on the lips; trouble breathing; trouble swallowing; or any swelling of your hands, face, or mouth after you receive this medicine.


Stop using this medicine and check with your doctor right away if you or your child have sudden decrease in hearing or loss of hearing, which may be accompanied by dizziness and ringing in the ears. Tell your doctor if you or your child have dizziness or lightheadedness; feeling of constant movement of self or surroundings; or sensation of spinning. These may be symptoms of damage to your hearing or sense of balance.


Check with your doctor right away if you or your child have blood in the urine, change in frequency of urination or amount of urine, difficulty with breathing, drowsiness, increased thirst, loss of appetite, nausea or vomiting, swelling of feet or lower legs, or weakness. These may be symptoms of a serious kidney problem.


This medicine may cause nerve problems. Check with your doctor right away if you or your child have numbness, skin tingling, muscle twitching, or seizures.


Make sure your doctor knows that you or your child are using this medicine before having a surgery or other procedures that require you to receive a numbing medicine (e.g., anesthetics, neuromuscular blocking agents). Using tobramycin injection together with numbing medicines may increase your risk of having difficulty in breathing, drowsiness, inability to breathe without assistance, or unusual tiredness or weakness.


Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.


Nebcin Side Effects


Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.


Check with your doctor or nurse immediately if any of the following side effects occur:


Incidence not known
  • Black, tarry stools

  • bleeding gums

  • blood in the urine or stools

  • chills

  • cloudy urine

  • clumsiness

  • continuing ringing or buzzing or other unexplained noise in the ears

  • cough

  • cracks in the skin

  • decrease in the amount of urine

  • dizziness or lightheadedness

  • feeling of constant movement of self or surroundings

  • feeling of fullness in the ears

  • fever

  • loss of balance

  • loss of heat from the body

  • loss or change in hearing

  • nausea

  • pale skin

  • pinpoint red spots on the skin

  • red, swollen skin

  • scaly skin

  • sensation of spinning

  • shortness of breath

  • sore throat

  • trouble in hearing

  • troubled breathing with exertion

  • ulcers, sores, or white spots in the mouth

  • unsteadiness

  • unusual bleeding or bruising

  • unusual tiredness or weakness

  • vomiting

Get emergency help immediately if any of the following symptoms of overdose occur:


Symptoms of overdose
  • Inability to breath without assistance

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:


Incidence not known
  • Confusion about identity, place, and time

  • diarrhea

  • headache

  • hives or welts

  • itching

  • pain at the injection site

  • redness of the skin

  • skin rash

  • unusual drowsiness, dullness, tiredness, weakness, or feeling of sluggishness

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.


Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: Nebcin side effects (in more detail)



The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.


The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.


More Nebcin resources


  • Nebcin Side Effects (in more detail)
  • Nebcin Use in Pregnancy & Breastfeeding
  • Nebcin Drug Interactions
  • Nebcin Support Group
  • 0 Reviews for Nebcin - Add your own review/rating


  • Nebcin MedFacts Consumer Leaflet (Wolters Kluwer)

  • Nebcin injection Concise Consumer Information (Cerner Multum)

  • Tobramycin Prescribing Information (FDA)

  • Tobramycin eent Monograph (AHFS DI)

  • Tobramycin Professional Patient Advice (Wolters Kluwer)

  • Tobi Prescribing Information (FDA)

  • Tobi inhalation Concise Consumer Information (Cerner Multum)

  • Tobi Solution MedFacts Consumer Leaflet (Wolters Kluwer)

  • Tobi Monograph (AHFS DI)



Compare Nebcin with other medications


  • Bacteremia
  • Bacterial Infection
  • Bone infection
  • Burns, External
  • Cystic Fibrosis
  • Endocarditis
  • Febrile Neutropenia
  • Intraabdominal Infection
  • Kidney Infections
  • Meningitis
  • Peritonitis
  • Pneumonia
  • Rabbit Fever
  • Sepsis
  • Shunt Infection
  • Skin Infection

Femecal OB


Generic Name: prenatal multivitamins (PRE nay tal VYE ta mins)

Brand Names: Advance Care Plus, Bright Beginnings, Cavan Folate, Cavan One, Cavan-Heme OB, Cenogen Ultra, CitraNatal Rx, Co Natal FA, Complete Natal DHA, Complete-RF, CompleteNate, Concept OB, Docosavit, Dualvit OB, Duet, Edge OB, Elite OB 400, Femecal OB, Folbecal, Folcaps Care One, Folivan-OB, Foltabs, Gesticare, Icar Prenatal, Icare Prenatal Rx, Inatal Advance, Infanate DHA, Kolnatal DHA, Lactocal-F, Marnatal-F, Maternity, Maxinate, Mission Prenatal, Multi-Nate 30, Multinatal Plus, Nata 29 Prenatal, Natachew, Natafort, Natelle, Neevo, Nestabs, Nexa Select with DHA, Novanatal, NovaStart, O-Cal Prenatal, OB Complete, OB Natal One, Ob-20, Obtrex DHA, OptiNate, Paire OB Plus DHA, PNV Select, PNV-Total, PR Natal 400, Pre-H-Cal, Precare, PreferaOB, Premesis Rx, PrenaCare, PrenaFirst, PrenaPlus, Prenatabs OBN, Prenatabs Rx, Prenatal 1 Plus 1, Prenatal Elite, Prenatal Multivitamins, Prenatal Plus, Prenatal S, Prenatal-U, Prenate Advanced Formula, Prenate DHA, Prenate Elite, Prenavite FC, PreNexa, PreQue 10, Previte Rx, PrimaCare, Pruet DHA, RE OB Plus DHA, Renate, RightStep, Rovin-NV, Se-Care, Se-Natal One, Se-Plete DHA, Se-Tan DHA, Select-OB, Seton ET, Strongstart, Stuart Prenatal with Beta Carotene, Tandem OB, Taron-BC, Tri Rx, TriAdvance, TriCare, Trimesis Rx, Trinate, Triveen-PRx RNF, UltimateCare Advance, Ultra-Natal, Vemavite PRX 2, VeNatal FA, Verotin-BY, Verotin-GR, Vinacal OR, Vinatal Forte, Vinate Advanced (New Formula), Vinate AZ, Vinate Care, Vinate Good Start, Vinate II (New Formula), Vinate III, Vinate One, Vitafol-OB, VitaNatal OB plus DHA, Vitaphil, Vitaphil Aide, Vitaphil Plus DHA, Vitaspire, Viva DHA, Vol-Nate, Vol-Plus, Vol-Tab Rx, Vynatal F.A., Zatean-CH, Zatean-PN


What are Femecal OB (prenatal multivitamins)?

There are many brands and forms of prenatal vitamin available and not all brands are listed on this leaflet.


Prenatal vitamins are a combination of many different vitamins that are normally found in foods and other natural sources.


Prenatal vitamins are used to provide the additional vitamins needed during pregnancy. Minerals may also be contained in prenatal multivitamins.


Prenatal vitamins may also be used for purposes not listed in this medication guide.


What is the most important information I should know about prenatal vitamins?


There are many brands and forms of prenatal vitamin available and not all brands are listed on this leaflet.


Never take more than the recommended dose of a multivitamin. Avoid taking any other multivitamin product within 2 hours before or after you take your prenatal vitamins. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects.

Many multivitamin products also contain minerals such as calcium, iron, magnesium, potassium, and zinc. Minerals (especially taken in large doses) can cause side effects such as tooth staining, increased urination, stomach bleeding, uneven heart rate, confusion, and muscle weakness or limp feeling. Read the label of any multivitamin product you take to make sure you are aware of what it contains.


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.


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 multivitamin.

What should I discuss with my healthcare provider before taking prenatal vitamins?


Many vitamins can cause serious or life-threatening side effects if taken in large doses. Do not take more of this medication than directed on the label or prescribed by your doctor.

Before taking prenatal vitamins, tell your doctor about all of your medical conditions.


You may need to continue taking prenatal vitamins if you breast-feed your baby. Ask your doctor about taking this medication while breast-feeding.

How should I take prenatal vitamins?


Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.


Never take more than the recommended dose of prenatal vitamins.

Many multivitamin products also contain minerals such as calcium, iron, magnesium, potassium, and zinc. Minerals (especially taken in large doses) can cause side effects such as tooth staining, increased urination, stomach bleeding, uneven heart rate, confusion, and muscle weakness or limp feeling. Read the label of any multivitamin product you take to make sure you are aware of what it contains.


Take your prenatal vitamin with a full glass of water.

Swallow the regular tablet or capsule whole. Do not break, chew, crush, or open it.


The chewable tablet must be chewed or allowed to dissolve in your mouth before swallowing. You may also allow the chewable tablet to dissolve in drinking water, fruit juice, or infant formula (but not milk or other dairy products). Drink this mixture right away.


Use prenatal vitamins regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.


Store at room temperature away from moisture and heat. Keep prenatal vitamins in their original container. Storing vitamins in a glass container can ruin the medication.

What happens if I miss a dose?


Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.


What happens if I overdose?


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 any other multivitamin product within 2 hours before or after you take your prenatal vitamins. Taking similar vitamin products together at the same time 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.

Prenatal vitamins side effects


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:



  • upset stomach;




  • headache; or




  • unusual or unpleasant taste in your mouth.



This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


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, Gantanol, Gantrisin, Septra, TMP/SMX); or




  • an NSAID (non-steroidal anti-inflammatory drug) such as ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn, Naprelan, Treximet), celecoxib (Celebrex), diclofenac (Cataflam, Voltaren), indomethacin (Indocin), meloxicam (Mobic), and others.



This list is not complete and other drugs may interact with prenatal vitamins. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.



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Where can I get more information?


  • Your pharmacist can provide more information about prenatal vitamins.