Pregnancy Home > Citranatal Warnings and Precautions

Before starting the prenatal vitamins, be aware that there are several warnings and precautions related to Citranatal. For example, the supplement may not be safe for people with a bleeding disorder or anemia. Certain medications may interact with Citranatal, so make sure to tell your healthcare provider about all other drugs you are taking before starting the vitamin.

What Should I Tell My Healthcare Provider Before Taking Citranatal?

You should talk with your healthcare provider prior to taking Citranatal® or Citranatal 90 DHA prenatal vitamins if you have:
  • A bleeding disorder
  • Anemia
  • Any other allergies, including allergies to food, dyes, or preservatives.
Also, make sure to tell your healthcare provider about any other medicines you are taking, including prescription and non-prescription medicines, vitamins, and herbal supplements.

Specific Precautions and Warnings for Citranatal

Some warnings and precautions to be aware of prior to taking these supplements include the following:
  • High doses of omega-3 fatty acids (such as docosahexaenoic acid, or DHA) can increase the risk of bleeding, although this is not expected to be a problem at the recommended Citranatal dosage. However, if you have a bleeding disorder, please discuss this with your healthcare provider before taking Citranatal DHA, Citranatal 90 DHA, Citranatal Harmony, or Citranatal Assure, which all contain DHA. Citranatal B-Calm does not contain DHA.


  • Some forms of DHA are derived from fish oils, and may contain heavy metals (like mercury) or cause problems for people with fish allergies. However, the DHA in this prenatal vitamin does not come from fish and will not cause such problems.
  • Citranatal products contain folic acid, which can mask certain types of anemia. This means that if you take enough folic acid, certain types of anemia may not show up on blood tests. However, this does not apply to all types of anemia.

If you have anemia, check with your healthcare provider before taking Citranatal. This is not a concern with iron-deficiency anemia (a common type of anemia in pregnant women).

Written by/reviewed by:
Last reviewed by: Kristi Monson, PharmD;
Last updated/reviewed:
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