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CitraNatal B-Calm Package Insert

Status:
Prescription (Rx) Boxed warning Facts
Strength:
120 mg, 125 mg, 20 mg, 400 IU, 25 mg, 1 mg

Prescribing information (package insert) - CitraNatal B-Calm

DESCRIPTION

CitraNatal® B-Calm™ is a prescription prenatal multivitamin/mineral tablet with a high level of B6, along with two vitamin B6 tablets. The prenatal tablet is white, coated, modified oval, and is debossed with "0866" on one side and is blank on the other. The B6 25 mg tablets are white to off-white, uncoated, round, and are debossed with "B" on one side and "6" on the other.

Each prenatal tablet contains:

Vitamin C (Ascorbic acid)120 mg
Calcium (Calcium citrate)125 mg
Iron (Carbonyl iron)20 mg
Vitamin D3 (Cholecalciferol)400 IU
Vitamin B6 (Pyridoxine HCl)25 mg
Folic Acid1 mg

Each vitamin B6 tablet contains:

Vitamin B6 (Pyridoxine HCl)25 mg

INDICATIONS

CitraNatal® B-Calm™ 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. CitraNatal® B-Calm™ may be used in conjunction with a physician prescribed regimen to help minimize pregnancy related nausea and vomiting.

CONTRAINDICATIONS

This product is contraindicated in patients with a known hypersensitivity to any of the ingredients.

WARNING

Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6. KEEP THIS AND ALL DRUGS OUT OF THE REACH OF CHILDREN. In case of accidental overdose, call a doctor or poison control center immediately.

WARNING

Folic acid alone is improper therapy in the treatment of pernicious anemia and other megaloblastic anemias where vitamin B12 is deficient.

PRECAUTION

Folic acid in doses above 0.1 mg daily may obscure pernicious anemia, in that hematologic remission can occur while neurological manifestations remain progressive.

ADVERSE REACTIONS

Allergic sensitization has been reported following both oral and parenteral administration of folic acid.

DOSAGE AND ADMINISTRATION

One tablet every eight hours, beginning with "Tablet 1", or as directed by a physician.

Store at controlled room temperature.

NOTICE: Contact with moisture can discolor or erode tablets.

HOW SUPPLIED

Six child-resistant blister packs of 5 multivitamin/multimineral tablets and 10 vitamin B6 tablets each - NDC 0178-0866-30.

To report a serious adverse event or obtain product information, call (210) 696-8400.

50307 C01 REV 010090

MISSION PHARMACAL COMPANY

San Antonio, TX USA 78230 1355

www.missionpharmacal.com

Copyright © 2009 Mission Pharmacal Company.

All rights reserved.

*March of Dimes does not endorse specific products or brands. March of dimes is a registered trademark of the March of Dimes Foundation.

About this document

Source: FDA drug labeling via NLM DailyMed · View the label on DailyMed

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The information on this site does not replace the advice of a doctor or pharmacist.

Drug information for CitraNatal B-Calm

Rx or OTC
Prescription (Rx)?
  • This drug is available only with a prescription from a licensed healthcare provider.
  • Rx
Boxed warning Yes – this drug has a boxed warning (also called a black box warning), the strongest warning of the FDA.
Drug class Calcium, Vitamin B6 Analog, Vitamin C, Vitamin D
Active ingredients Ascorbic acid 120 mg, Calcium citrate 125 mg, Iron pentacarbonyl 20 mg, Cholecalciferol 400 IU, Pyridoxine hydrochloride 25 mg, Folic acid 1 mg
Dosage form Kit
Marketing status not in the current FDA NDC Directory
Company (applicant) Mission Pharmacal Company
FDA approval UNAPPROVED DRUG OTHERUnapproved drug
Manufacturers 1 labelers list this drug on DailyMed
Packages (NDC)
Package
120 mg, 125 mg, 20 mg, 400 IU, 25 mg, 1 mg – 1 in 1 blister pack / 5 in 1 carton NDC 0178-0866-30

Source: FDA drug labeling via NLM DailyMed, data as of October 31, 2026. FDA data (DailyMed, Orange Book, Drug Shortages, enforcement reports). Not a substitute for the advice of a doctor or pharmacist.