Citracal Prenatal Rx

Z+ Prenatal is a multivitamin, used to treat dietary vitamin deficiency, vitamin supplement for breastfeeding mothers and during pregnancy.

Instructions:

Read your medication guide and follow your doctor’s prescription at all times.

• Take Z+ prenatal by mouth (orally), once a day per doctor’s prescription.
• The dosage depends on your medical condition or treatment response. Do not adjust your dose without your doctor’s recommendation.
• Continue taking Z+ prenatal on regular schedule (at the same time of the day). Do not stop taking this medication abruptly without consulting your doctor.

Inform your doctor immediately if your condition aggravates or does not improve.

Take your missed dose as soon as possible. However, make sure that the interval between doses is not as close as less than four hours. Otherwise, stick with the regular schedule and leave out the missed dose. Do not double dose to cover up a missed dose. Record your missed doses and inform your doctor immediately if you missed several doses.

Interactions:

Z+ prenatal may interact with:

• Medications containing iron and folic acid
• Antacids
• Anti-seizure drugs (phenytoin)
• Levodopa
• Bisphosphonates (i.e. alendronate)
• Thyroid supplements (levothyroxine) and
• Some antibiotics like tetracycline and quinolones (i.e. ciprofloxacin)

Some drugs may either lessen the beneficial effects or worsen the side effects of Z+ prenatal. Likewise, Z+ prenatal may also make some drugs less efficient or intensify their side effects.

Make sure to inform your doctor about all other drugs you are currently taking or using (prescribed and non-prescribed medications including vitamins, minerals and herbal products) to check for possible drug interaction with Z+ prenatal.

Never alter the dose of other medications while on Z+ prenatal neither stop nor start any medicine without the doctor’s recommendation.

Side Effects:

There are no side effects known aside from a possible allergic reaction in people who have previous or unknown hypersensitivity to the drug.

Watch out for signs of allergic reactions such as:

• Rash
• Itching
• Swelling

Warnings:

Before taking Z+ prenatal, tell your doctor if you have/are:

• Any allergies to any substance, food or medication, particularly to Z+ prenatal or any of its components
• Medical history or a present condition such as:
  • Liver, stomach and gut/intestinal disease
  • Alcohol use or dependence
  • Untreated vitamin B12 deficiency (Z+ prenatal oral will provide a false positive result: increased vitamin B12 in laboratory test- without treating the condition.)

• Pregnant, planning to be pregnant or currently breastfeeding a child (You are not allowed to take other supplements with Z+ prenatal during pregnancy. This medication can pass through the breast milk that may harm the nursing child. The risk and benefits of using this medication during pregnancy should be discussed thoroughly with your doctor.)