The CitraNatal® family of products

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The nutrients you and your baby need

When you're pregnant, it can be difficult to get all the nutrients you need to support your baby's growth. That's why you should talk to your doctor about CitraNatal® prenatal vitamins. CitraNatal® vitamins are specially formulated to provide the nutritional support you and your baby need, while also being easy on your system.

CitraNatal® vitamins include Vitamins B1, B2, B3, B6, C, and E to counteract common deficiencies in pregnant women. They also include folic acid, which is clinically proven to reduce the risk of neural tube defects in children.1,2

Calcium citrate is another essential part of all CitraNatal® products. In addition to helping build strong bones, this unique form of calcium, along with ascorbic acid, enhances iron absorption in comparison with other common forms of calcium and is water-soluble, making it easier for the body to absorb. Additionally, it does not cause the gas or bloating common with some other calcium supplements.

To support the dramatic increase in iron requirements during pregnancy, CitraNatal® vitamins include carbonyl iron, which studies show is safer than the ferrous sulfate found in many other products and is generally well-tolerated.3,4 CitraNatal® products also include ascorbic acid (Vitamin C) to help with iron absorption.

CitraNatal® products also provide the benefits of zinc, copper, and iodine, as well as an all-natural, plant-based form of DHA, which is essential for your baby's brain and retinal development.5-8, 10-12

To guard against constipation — a problem for many pregnant women — CitraNatal® vitamins contain a gentle stool softener, docusate sodium. They also include vitamin B6, which reduces the effects of nausea associated with morning sickness.9

CitraNatal® vitamins are an important part of pregnancy nutrition and should be used to supplement a healthy diet. With the right foods and CitraNatal® supplements, you'll get all of the nutrients you need for you and your baby, in a formula that's easy on your system.

Why CitraNatal®?

CitraNatal® is specially formulated to be easy on your system, while providing the added nutrients and DHA you need for a healthy pregnancy.

Unique formulation of CitraNatal® vitamins

  • life's DHA™, an essential fatty acid derived from an all natural plant source, which optimizes brain and eye development
  • Calcium citrate, which is easy to digest and does not cause gas or bloating
  • Carbonyl iron, which extends absorption over a period of time and reduces the chance of accidental poisoning in children who might get into your medicine cabinet
  • The protection and benefits of 1 mg of folic acid, which has been shown to help reduce neural tube defects
  • Docusate sodium, a stool softener, to reduce the effects of constipation
  • Vitamin C to further enhance iron absorption, combined with Vitamin E to provide antioxidant attributes
  • Vitamin B6, which helps reduce nausea
  • Minerals zinc, copper, and iodine

Read more about CitraNatal® Assure and CitraNatal® 90 DHA.

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.

If you are pregnant, may become pregnant, or recently gave birth, CitraNatal® ® prescription multivitamins are designed to improve your nutritional health. Be sure to talk with your physician or healthcare practitioner prior to starting any prescription prenatal vitamin regimen.

Important Safety Information

All CitraNatal® products contain Folic acid, which has been shown to reduce the risk of neural tube defects. Some patients taking Folic acid have reported allergic reactions. Talk to your doctor before taking CitraNatal® if you have a known sensitivity to any of its ingredients.

CitraNatal® products are not for everyone. If you have certain types of anemia (pernicious anemia or other megaloblastic anemias) and you are vitamin B12 deficient, Folic acid alone is not enough to treat your condition. Doses of more than 0.1 mg Folic acid per day can hide the symptoms of these anemias, making them difficult to diagnose. Consult with your doctor to find the treatment that is right for you.

Certain CitraNatal® products contain an all-natural, plant-based form of DHA, an omega-3 fatty acid that is found in the brain and eye. You should exercise caution to ensure that your prescribed dosage does not exceed 1 gram (1000 mg) per day. Taking more than 3 grams of omega-3 fatty acids per day has been shown to have antithrombotic effects, including an increased bleeding time and reduced clotting ratio (INR). Inform your doctor and avoid taking omega-3 fatty acids if you are currently taking anticoagulants (blood thinners) or if you have an inherited or acquired tendency to bleed.

CitraNatal® products include iron. Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under six. Always keep CitraNatal® products and other medications out of reach of children, and in case of accidental overdose, call a doctor or poison control center immediately.

To report negative side effects, contact Mission Pharmacal Company at 1-800-298-1087 or the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

  1. Werler MM, Shapiro S, Mitchell AA. Periconceptional folic acid exposure and risk of occurrent neural tube defects. JAMA. 1993 Mar 10;269(10):1257-61.
  2. Centers for Disease Control and Prevention (CDC). Spina bifida and anencephaly before and after folic acid mandate--United States, 1995-1996 and 1999-2000. MMWR Morb Mortal Wkly Rep. 2004 May 7;53(17):362-5.
  3. Gordeuk VR, Brittenham GM, Hughes M, Keating LJ, Opplt JJ. High-dose carbonyl iron for iron deficiency anemia: a randomized double-blind trial. Am J Clin Nutr. 1987 Dec;46(6):1029-34.
  4. Huebers HA, Brittenham GM, Csiba E, Finch CA. Absorption of carbonyl iron. J Lab Clin Med. 1986 Nov;108(5):473-8.
  5. Martinez M. Tissue levels of polyunsaturated fatty acids during early human development. J Pediatr. 1992 Apr;120(4 Pt 2):S129-38.
  6. Lauritzen L, Hansen HS, Jørgensen MH, Michaelsen KF. The essentiality of long chain n-3 fatty acids in relation to development and function of the brain and retina. Prog Lipid Res. 2001 Jan-Mar;40(1-2):1-94.
  7. Salem N Jr, Litman B, Kim HY, Gawrisch K. Mechanisms of action of docosahexaenoic acid in the nervous system. Lipids. 2001 Sep;36(9):945-59.
  8. Crawford MA. The role of essential fatty acids in neural development: implications for perinatal nutrition. Am J Clin Nutr. 1993 May;57(5 Suppl):703S-709S; discussion 709S-710S.
  9. Sahakian V, Rouse D, Sipes S, Rose N, Niebyl J. Vitamin B6 is effective therapy for nausea and vomiting of pregnancy: a randomized, double-blind placebo-controlled study.Obstet Gynecol. 1991 Jul;78(1):33-6.
  10. Jacobson JL, Jacobson SW, Muckle G, Kaplan-Estrin M, Ayotte P, Dewailly E. Beneficial effects of a polyunsaturated fatty acid on infant development: evidence from the inuit of arctic Quebec. J Pediatr. 2008 Mar;152(3):356-64. Epub 2007 Oct 22.
  11. Innis SM, Friesen RW. Essential n-3 fatty acids in pregnant women and early visual acuity maturation in term infants. Am J Clin Nutr. 2008 Mar;87(3):548-57.
  12. Judge MP, Harel O, Lammi-Keefe CJ. Maternal consumption of a docosahexaenoic acid-containing functional food during pregnancy: benefit for infant performance on problem-solving but not on recognition memory tasks at age 9 mo. Am J Clin Nutr. 2007 Jun;85(6):1572-7.
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