{"adverse_reactions":["ADVERSE REACTIONS Adverse reactions have been reported with specific vitamins and minerals, but generally at doses substantially higher than those in Vitafol ® -OB. Allergic reactions have been reported with some forms of gum acacia to include respiratory problems and skin lesions."],"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 a Poison Control Center immediately."],"contraindications":["CONTRAINDICATIONS Vitafol ® -OB is contraindicated in patients with hypersensitivity to any of its components or color additives. Folic acid is contraindicated in patients with untreated and uncomplicated pernicious anemia, and in those with anaphylactic sensitivity to folic acid. Iron therapy is contraindicated in patients with hemochromatosis and patients with iron storage disease or the potential for iron storage disease due to chronic hemolytic anemia (e.g., inherited anomalies of hemoglobin structure or synthesis and/or red cell enzyme deficiencies, etc.), pyridoxine responsive anemia, or cirrhosis of the liver. Cyanocobalamin is contraindicated in patients with sensitivity to cobalt or to cyanocobalamin (vitamin B-12)."],"description":["COMPOSITION Each Caplet contains: VITAMINS AND MINERALS: Vitamin A (as beta carotene) 810 mcg RAE Vitamin C (as ascorbic acid) 70 mg Vitamin D (as cholecalciferol) 10 mcg Vitamin E (as dl-alpha tocopheryl acetate) 13.5 mg Thiamin (Vitamin B1 as thiamine mononitrate) 1.6 mg Riboflavin (Vitamin B2) 1.8 mg Niacin (as niacinamide) 18 mg NE Vitamin B6 (as pyridoxine hydrochloride) 2.5 mg Folate (as folic acid) 1700 mg DFE Vitamin B12 (as cyanocobalamin) 12 mcg Calcium (as calcium carbonate) 100 mg Iron (as ferrous fumarate) 65 mg Magnesium (as magnesium oxide) 25 mg Zinc (as zinc oxide) 25 mg Copper (as copper oxide) 2 mg Other Ingredients: microcrystalline cellulose, croscarmellose sodium, silicon dioxide, maltodextrin, copovidone, stearic acid, hydroxypropyl methylcellulose, dicalcium phosphate, acacia gum, titanium dioxide, polydextrose, starch, magnesium stearate, triacetin, modified food starch, mannitol, vitamin E alcohol, polyethylene glycol, talc, FD&C Blue #1, FD&C Blue #2."],"description_table":["<table width=\"50%\" styleCode=\"Noautorules\"><colgroup><col align=\"left\" valign=\"top\" width=\"63%\"/><col align=\"right\" valign=\"top\" width=\"25%\"/><col align=\"right\" valign=\"top\" width=\"2%\"/><col align=\"left\" valign=\"top\" width=\"10%\"/></colgroup><thead><tr><th colspan=\"4\">VITAMINS AND MINERALS:</th></tr></thead><tbody><tr><td>Vitamin A (as beta carotene)</td><td>810</td><td colspan=\"2\" rowspan=\"1\"><paragraph>mcg RAE</paragraph></td></tr><tr><td>Vitamin C (as ascorbic acid)</td><td>70</td><td colspan=\"2\" rowspan=\"1\">mg</td></tr><tr><td>Vitamin D (as cholecalciferol)</td><td>10</td><td colspan=\"2\" rowspan=\"1\">mcg</td></tr><tr><td><paragraph>Vitamin E</paragraph><paragraph>(as dl-alpha tocopheryl acetate)</paragraph></td><td>13.5</td><td colspan=\"2\" rowspan=\"1\">mg</td></tr><tr><td><paragraph>Thiamin</paragraph><paragraph>(Vitamin B1 as thiamine mononitrate)</paragraph></td><td>1.6</td><td colspan=\"2\" rowspan=\"1\">mg</td></tr><tr><td>Riboflavin (Vitamin B2)</td><td>1.8</td><td colspan=\"2\" rowspan=\"1\">mg</td></tr><tr><td>Niacin (as niacinamide)</td><td>18</td><td colspan=\"2\" rowspan=\"1\">mg NE</td></tr><tr><td>Vitamin B6 (as pyridoxine hydrochloride)</td><td>2.5</td><td colspan=\"2\" rowspan=\"1\">mg</td></tr><tr><td>Folate (as folic acid)</td><td>1700</td><td colspan=\"2\" rowspan=\"1\">mg DFE</td></tr><tr><td>Vitamin B12 (as cyanocobalamin)</td><td>12</td><td colspan=\"2\" rowspan=\"1\">mcg</td></tr><tr><td>Calcium (as calcium carbonate)</td><td>100</td><td colspan=\"2\" rowspan=\"1\">mg</td></tr><tr><td>Iron (as ferrous fumarate)</td><td>65</td><td colspan=\"2\" rowspan=\"1\">mg</td></tr><tr><td>Magnesium (as magnesium oxide)</td><td>25</td><td colspan=\"2\" rowspan=\"1\">mg</td></tr><tr><td>Zinc (as zinc oxide)</td><td>25</td><td colspan=\"2\" rowspan=\"1\">mg</td></tr><tr><td>Copper (as copper oxide)</td><td>2</td><td colspan=\"2\" rowspan=\"1\">mg</td></tr></tbody></table>"],"dosage_and_administration":["DOSAGE AND ADMINISTRATION Before, during and after pregnancy, one caplet daily, or as directed by a physician."],"drug_interactions":["DRUG INTERACTIONS High doses of folic acid may result in decreased serum levels of the anticonvulsant drugs. Vitamin D supplementation should not be given with large amounts of calcium in those with hypercalcemia or conditions that may lead to hypercalcemia such as hyperparathyroidism and those who form calcium-containing kidney stones. Zinc can inhibit the absorption of certain antibiotics; take at least 2 hours apart to minimize interactions. Consult appropriate references for additional specific vitamin-drug interactions."],"effective_time":"20221231","how_supplied":["HOW SUPPLIED Vitafol ® -OB is available as a light blue caplet, debossed EV0079. Available in Box of Unit-Dose pack of 100 (NDC 0642-0079-12) and as professional samples (0642-0079-03). Store at room temperature, approximately 15°-30°C (59°-86°F), avoid excessive heat and moisture."],"id":"f12aec60-46b4-6b23-e053-2995a90acb08","indications_and_usage":["INDICATIONS AND USAGE Vitafol ® -OB is indicated to provide vitamin, mineral, supplementation prior to conception, throughout pregnancy, and during the postnatal period for the lactating and non-lactating mother.*"],"information_for_patients":["Information for Patients Patients should be counseled to disclose all medical conditions, including use of all medications, vitamins and supplements, pregnancy, and breast-feeding."],"openfda":{},"package_label_principal_display_panel":["PRINCIPAL DISPLAY PANEL - 100 Caplet Carton 0642-0079-12 Vitafol ® -OB Prenatal Supplement 10 X 10 UNIT DOSE PACK 100 CAPLETS R x Vitafol-OB Carton"],"pediatric_use":["Pediatric Use Not for pediatric use."],"precautions":["DRUG INTERACTIONS High doses of folic acid may result in decreased serum levels of the anticonvulsant drugs. Vitamin D supplementation should not be given with large amounts of calcium in those with hypercalcemia or conditions that may lead to hypercalcemia such as hyperparathyroidism and those who form calcium-containing kidney stones. Zinc can inhibit the absorption of certain antibiotics; take at least 2 hours apart to minimize interactions. Consult appropriate references for additional specific vitamin-drug interactions. Information for Patients Patients should be counseled to disclose all medical conditions, including use of all medications, vitamins and supplements, pregnancy, and breast-feeding. Pediatric Use Not for pediatric use."],"set_id":"22828f24-600d-4aa6-9b3a-cf8c991f9a97","spl_product_data_elements":["Vitafol OB Caplet Vitamin A, Ascorbic Acid, Vitamin D, .Alpha.-Tocopherol, Thiamine Mononitrate, Riboflavin, Niacin, Pyridoxine Hydrochloride, Folic Acid, Cyanocobalamin, Calcium, Iron, Magnesium, Zinc, and Copper MICROCRYSTALLINE CELLULOSE STEARIC ACID CROSCARMELLOSE SODIUM GELATIN, UNSPECIFIED ANHYDROUS DIBASIC CALCIUM PHOSPHATE SILICON DIOXIDE MODIFIED CORN STARCH (1-OCTENYL SUCCINIC ANHYDRIDE) SUCROSE STARCH, CORN SODIUM ASCORBATE TOCOPHEROL MAGNESIUM STEARATE TITANIUM DIOXIDE ACACIA POLYETHYLENE GLYCOL, UNSPECIFIED MEDIUM-CHAIN TRIGLYCERIDES SORBIC ACID TRICALCIUM PHOSPHATE .ALPHA.-TOCOPHEROL, DL- HYPROMELLOSE, UNSPECIFIED POLYDEXTROSE TRIACETIN HYDROXYPROPYL CELLULOSE (1600000 WAMW) FD&C BLUE NO. 1 ALUMINUM OXIDE FD&C BLUE NO. 2 D&C YELLOW NO. 10 VITAMIN A VITAMIN A ASCORBIC ACID ASCORBIC ACID VITAMIN D CHOLECALCIFEROL .ALPHA.-TOCOPHEROL .ALPHA.-TOCOPHEROL THIAMINE MONONITRATE THIAMINE ION THIAMINE RIBOFLAVIN RIBOFLAVIN NIACIN NIACIN PYRIDOXINE HYDROCHLORIDE PYRIDOXINE FOLIC ACID FOLIC ACID CYANOCOBALAMIN CYANOCOBALAMIN CALCIUM CALCIUM IRON IRON MAGNESIUM MAGNESIUM ZINC ZINC COPPER COPPER EV0079"],"spl_unclassified_section":["Rx only","*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Rx Disributed by: Exeltis USA, Inc. Florham Park, NJ 07932 1-877-324-9349 www.exeltisusa.com ©2022 All rights reserved. Exeltis USA, Inc. U.S. PATENT NO. 6,814,983; 7,390,509 Vitafol ® is a trademark of Exeltis Healthcare S.L. Rev. December 2022 0791201-02"],"spl_unclassified_section_table":["<table border=\"2\" width=\"100%\"><tbody><tr><td>*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.</td></tr></tbody></table>"],"storage_and_handling":["Store at room temperature, approximately 15°-30°C (59°-86°F), avoid excessive heat and moisture."],"version":"6","warnings":["WARNINGS/PRECAUTIONS Vitamin D supplementation should be used with caution in those with hypercalcemia or conditions that may lead to hypercalcemia such as hyperparathyroidism and those who form calcium-containing kidney stones. High doses of vitamin D can lead to elevated levels of calcium that reside in the blood and soft tissues. Bone pain, high blood pressure, formation of kidney stones, renal failure, and increased risk of heart disease can occur. Prolonged use of iron salts may produce iron storage disease. Folic acid, especially in doses above 0.1 mg daily, may obscure pernicious anemia, in that hematologic remission may occur while neurological manifestations remain progressive. The use of folic acid doses above 1 mg daily may precipitate or exacerbate the neurological damage of vitamin B12 deficiency. Avoid Overdosage. Keep out of the reach of children."]}