{"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 reach of children. In case of accidental overdose, call a doctor or poison control center immediately."],"contraindications":["CONTRAINDICATIONS Nexa ® Plus Capsules are contraindicated in patients with a known hypersensitivity to any of the ingredients. Do not take this product if you are presently taking mineral oil, unless directed by a doctor."],"description":["DESCRIPTION Nexa ® Plus Capsules are a prescription prenatal / postnatal multivitamin / mineral softgel capsule with plant-based DHA. Nexa ® Plus Capsules are available as opaque brown, oblong capsules imprinted \"0374\" and are available in 30-count bottles (NDC 0245-0374-30). Each softgel capsule contains : Vitamin C (ascorbic acid, USP) 28 mg Vitamin D 3 (cholecalciferol, USP) 800 IU Vitamin E (d-alpha tocopherol, USP) 30 IU Vitamin B 6 (pyridoxine hydrochloride, USP) 25 mg Folic Acid, USP 1.25 mg Biotin 250 mcg Calcium 160 mg 158 mg calcium from calcium carbonate, USP and 2 mg calcium from docusate calcium, USP Iron (ferrous fumarate, USP) 29 mg Algal oil blend (derived from Crypthecodinium cohnii) 660 mg Providing 350 mg DHA (docosahexaenoic acid) Docusate Calcium, USP 55 mg Other Ingredients: Ascorbyl palmitate, corn oil, ethyl vanillin, FD&C Yellow #6, FD&C Red #40, FD&C Blue #1, gelatin, glycerin, lecithin, soybean oil, sunflower oil, titanium dioxide, water, yellow beeswax, white ink (ammonium hydroxide, isopropyl alcohol, n-butyl alcohol, propylene glycol, shellac glaze in SD-45 alcohol, simethicone, titanium dioxide). Contains: Soy"],"description_table":["<table width=\"70%\" styleCode=\"Noautorules\"> <col width=\"85%\" align=\"left\" valign=\"top\"/> <col width=\"15%\" align=\"right\" valign=\"top\"/> <tbody> <tr> <td colspan=\"2\"> <content styleCode=\"bold\">Each softgel capsule contains</content>:</td> </tr> <tr> <td>Vitamin C (ascorbic acid, USP)</td> <td>28 mg</td> </tr> <tr> <td>Vitamin D<sub>3</sub> (cholecalciferol, USP)</td> <td>800 IU</td> </tr> <tr> <td>Vitamin E (d-alpha tocopherol, USP)</td> <td>30 IU</td> </tr> <tr> <td>Vitamin B<sub>6</sub> (pyridoxine hydrochloride, USP)</td> <td>25 mg</td> </tr> <tr> <td>Folic Acid, USP</td> <td>1.25 mg</td> </tr> <tr> <td>Biotin</td> <td>250 mcg</td> </tr> <tr> <td>Calcium</td> <td>160 mg<footnote>158 mg calcium from calcium carbonate, USP and 2 mg calcium from docusate calcium, USP</footnote> </td> </tr> <tr> <td>Iron (ferrous fumarate, USP)</td> <td>29 mg</td> </tr> <tr> <td>Algal oil blend (derived from Crypthecodinium cohnii)</td> <td>660 mg<footnote>Providing 350 mg DHA (docosahexaenoic acid)</footnote> </td> </tr> <tr> <td>Docusate Calcium, USP</td> <td>55 mg</td> </tr> </tbody> </table>"],"dosage_and_administration":["DOSAGE AND ADMINISTRATION Before, during and/or after pregnancy, one softgel capsule daily or as directed by a physician."],"effective_time":"20171026","how_supplied":["HOW SUPPLIED Nexa ® Plus Capsules are available as opaque brown, oblong capsules imprinted \"0374\" and are available in 30-count bottles (NDC 0245-0374-30). KEEP THIS AND ALL DRUGS OUT OF THE REACH OF CHILDREN. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects to Upsher-Smith Laboratories, Inc. at 1-888-650-3789. Store at 20° – 25°C (68° – 77° F). [See USP Controlled Room Temperature.]"],"id":"f061bdfb-6e3d-413d-972e-75058b4efb21","indications_and_usage":["INDICATIONS Nexa ® Plus Capsules are indicated to provide vitamin/mineral and plant-based DHA supplementation throughout pregnancy, during the postnatal period for both lactating and non-lactating mothers, and throughout the childbearing years. Nexa ® Plus may be useful in improving the nutritional status of women prior to conception."],"openfda":{},"package_label_principal_display_panel":["PRINCIPAL DISPLAY PANEL - 30 Capsule Bottle Label NDC 0245-0374-30 Rx ONLY Daily-Capsule Nexa ® Plus Rx Prenatal Vitamin with Plant-Based DHA ONCE-DAILY DHA FROM ALGAL OIL ESSENTIAL VITAMINS AND MINERALS INCLUDING BIOTIN, PLUS DHA AND A GENTLE STOOL SOFTENER 30 SOFTGEL CAPSULES UPSHER-SMITH PRINCIPAL DISPLAY PANEL - 30 Capsule Bottle Label"],"precautions":["PRECAUTION Folic acid alone is improper therapy in the treatment of pernicious anemia and other megaloblastic anemias where vitamin B 12 is deficient. Folic acid in doses above 1 mg daily may obscure pernicious anemia in that hematologic remission can occur while neurological manifestations progress."],"set_id":"9e764e3f-b958-4165-9a27-8729c201db4c","spl_product_data_elements":["Nexa Plus Ascorbic Acid, Cholecalciferol, .Alpha.-Tocopherol, Pyridoxine, Folic Acid, Biotin, Calcium, Iron, Docusate Calcium, and Crypthecodinium cohnii dha oil Ascorbic Acid Ascorbic Acid Cholecalciferol Cholecalciferol .Alpha.-Tocopherol .Alpha.-Tocopherol Pyridoxine Pyridoxine Folic Acid Folic Acid Biotin Biotin Calcium Calcium Iron Iron Docusate Calcium Docusate Crypthecodinium cohnii dha oil Crypthecodinium cohnii dha oil ascorbyl palmitate corn oil ethyl vanillin FD&C Yellow No. 6 FD&C Red No. 40 FD&C Blue No. 1 gelatin, unspecified glycerin egg phospholipids soybean oil sunflower oil titanium dioxide water yellow wax ammonia isopropyl alcohol butyl alcohol propylene glycol soy protein shellac opaque brown 374"],"spl_unclassified_section":["Rx only Rx Prenatal Vitamin with Plant-Based DHA from Algal Oil 1.25 mg Folic Acid and 350 mg DHA (key omega-3 fatty acid) Essential vitamins and minerals Gentle stool softener","CAUTION Exercise caution to ensure that the prescribed dosage of DHA does not exceed 1 gram (1000 mg) per day.","Distributed by: UPSHER-SMITH LABORATORIES, INC. Minneapolis, MN 55447 106408-01 Revised 0312 1-800-654-2299 www.upsher-smith.com © 2012 Upsher-Smith Laboratories, Inc. All rights reserved. US Patents 5,407,957; 5,492,938"],"storage_and_handling":["Store at 20° – 25°C (68° – 77° F). [See USP Controlled Room Temperature.]"],"version":"3","warnings":["WARNING Ingestion of more than 3 grams of omega-3 fatty acids (such as DHA) per day has been shown to have potential antithrombotic effects, including an increased bleeding time and International Normalized Ratio (INR). Administration of omega-3 fatty acids should be avoided in patients taking anticoagulants and in those known to have an inherited or acquired predisposition to bleeding."]}