{"adverse_reactions":["Allergic sensitization has been reported following both oral and parenteral administration of folic acid."],"boxed_warning":["Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6. KEEP THIS PRODUCT OUT OF THE REACH OF CHILDREN. In case of accidental overdose, call a doctor or poison control center immediately."],"contraindications":["This product is contraindicated in patients with a known hypersensitivity to any of the ingredients."],"description":["CitraNatal Medley® is a prescription prenatal/postnatal multi-vitamin/mineral soft gel with Ferr-Ease®, a dual-iron delivery comprising both a quick release and slow release iron, and DHA, an essential fatty acid. The prenatal vitamin is an oval, purple, opaque soft gel containing a greenish-gray liquid to semi-solid fill. The prenatal soft gel is printed “596” in white ink."],"dosage_and_administration":["One prenatal soft gel daily or as directed by a physician."],"effective_time":"20250813","how_supplied":["Bottles of 30 soft gels each - NDC 00178-0896-30."],"id":"3c47467c-834d-cbcc-e063-6294a90a52e0","indications_and_usage":["CitraNatal Medley is a multi-vitamin/mineral prescription drug indicated for use in improving the nutritional status of women prior to conception, throughout pregnancy, and in the postnatal period for both lactating and nonlactating mothers."],"openfda":{},"package_label_principal_display_panel":["Label"],"precautions":["Folic acid in doses above 0.1 mg daily may obscure pernicious anemia in that hematologic remission can occur while neurological manifestations progress."],"set_id":"67c74737-6c8b-9aeb-e053-2a91aa0adf09","spl_product_data_elements":["CitraNatal Medley Calcium citrate, Iron pentacarbonyl, Ferrous Fumarate, Cholecalciferol, .Alpha.-Tocopherol, Dl-, Pyridoxine hydrochloride, Folic Acid, and Doconexent GLYCERIN GELATIN LECITHIN, SUNFLOWER TITANIUM DIOXIDE BUTYLATED HYDROXYTOLUENE FD&C BLUE NO. 1 ETHYL VANILLIN D&C RED NO. 33 FERROUS FUMARATE FERROUS CATION CALCIUM CITRATE CALCIUM CATION CALCIUM CITRATE ANHYDROUS IRON IRON CHOLECALCIFEROL CHOLECALCIFEROL .ALPHA.-TOCOPHEROL .ALPHA.-TOCOPHEROL PYRIDOXINE PYRIDOXINE FOLIC ACID FOLIC ACID DOCONEXENT DOCONEXENT opaque Soft Gel 596"],"version":"8","warnings":["Ingestion of more than 3 grams of omega-3 fatty acids per day has been shown to have potential antithrombotic effects, including an increased bleeding time and INR. Administration of omega-3 fatty acids should be avoided in patients on anticoagulants and in those known to have an inherited or acquired bleeding diathesis.","Folic acid alone is improper therapy in the treatment of pernicious anemia and other megaloblastic anemias where vitamin B12 is deficient."]}