{"adverse_reactions":["ADVERSE REACTIONS Allergic sensitization has been reported following both oral and parenteral administration of folic acid."],"boxed_warning":["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":["CONTRAINDICATIONS This product is contraindicated in patients with a known hypersensitivity to any of the ingredients."],"description":["DESCRIPTION CitraNatal Essence™ is a prescription prenatal/postnatal multi-vitamin/ mineral tablet with Ferr-Ease®, a dual-iron delivery comprising both a quick release and slow release iron, and a soft gel of DHA, an essential fatty acid. The prenatal vitamin is a white, coated, oval multi-vitamin/mineral tablet. The tablet is debossed “0864” on one side and is blank on the other. The essential fatty acid DHA soft gel is oblong, transparent, and caramel colored."],"dosage_and_administration":["DOSAGE AND ADMINISTRATION One tablet and one capsule daily or as directed by a physician."],"effective_time":"20200707","how_supplied":["Six child-resistant blister packs of 5 tablets and 5 capsules each - NDC 0178-0864-30"],"id":"a9dc5d08-065f-7e82-e053-2995a90a59f2","indications_and_usage":["INDICATIONS CitraNatal Essence TM is a multivitamin/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":["Retail Carton PDP"],"precautions":["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":"a9dc5d08-065e-7e82-e053-2995a90a59f2","spl_product_data_elements":["CitraNatal Essence ascorbic acid, calcium citrate, iron, vitamin d, dl- alpha- tocopherol acetate, thiamine, riboflavin, niacinamide, pyridoxine hydrochloride, folic acid, iodine, zinc, copper, docusate sodium, doconexent and icosapent Prenatal Vitamin ascorbic acid, calcium citrate, iron, vitamin d, dl- alpha- tocopherol acetate, thiamine, riboflavin, niacinamide, pyridoxine hydrochloride, folic acid, iodine, zinc, copper and docusate sodium POVIDONE K30 CROSCARMELLOSE SODIUM TITANIUM DIOXIDE MAGNESIUM SILICATE MAGNESIUM STEARATE SHELLAC VANILLIN ASCORBIC ACID ASCORBIC ACID IRON IRON CHOLECALCIFEROL CHOLECALCIFEROL ALPHA-TOCOPHEROL ALPHA-TOCOPHEROL RIBOFLAVIN RIBOFLAVIN NIACINAMIDE NIACINAMIDE PYRIDOXINE HYDROCHLORIDE PYRIDOXINE FOLIC ACID FOLIC ACID IODINE IODINE ZINC ZINC COPPER COPPER THIAMINE THIAMINE ION CALCIUM CITRATE CALCIUM CATION CALCIUM CITRATE ANHYDROUS 0864 DHA doconexent and icosapent GELATIN SUNFLOWER OIL GLYCERIN LECITHIN, SUNFLOWER ROSEMARY TOCOPHEROL ASCORBYL PALMITATE DOCONEXENT DOCONEXENT ICOSAPENT ICOSAPENT caramel color"],"spl_unclassified_section":["To report a serious adverse event or obtain product information, call (210) 696-8400. 51065R0420 Mission ® PHARMACAL DHA capsules manufactured for: MISSION PHARMACAL COMPANY San Antonio, TX USA 78230 1355 Prenatal tablets manufactured by: MISSION PHARMACAL COMPANY San Antonio, TX USA 78230 1355 Copyright © 2020 Mission Pharmacal Company. All rights reserved. www.missionpharmacal.com Ferr-Ease ® Dual-iron delivery Trademark of Mission Pharmacal Company U.S. Patent No. 6,521,247 life's DHA ® life’sDHA is a trademark of DSM. U.S. Patent No. 7,579,174 U.S. Patent No. 7,732,170 U.S. Patent No. 5,518,918 *March of Dimes does not endorse specific products or brands. March of Dimes is a registered trademark of the March of Dimes Foundation."],"storage_and_handling":["STORAGE Store at 20–25°C (68–77°F) NOTICE Contact with moisture can discolor or erode the tablet."],"version":"1","warnings":["WARNING 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.","WARNING Folic acid alone is improper therapy in the treatment of pernicious anemia and other megaloblastic anemias where vitamin B 12 is deficient."]}