Tuesday 11 September 2012

Multi-Nate DHA Extra



multivitamin, multi-mineral supplement with DHA

Dosage Form: tablet
Multi-Nate DHA Extra 295/430mg

Multi-Nate DHA Extra Description


Multi-Nate DHA Extra 295/430 mg is a high-potency, multivitamin, multi-mineral nutritional supplement with DHA (Omega-3 Fatty Acid).


Each Multi-Nate tablet contains:




Other Ingredients (Multi-Nate tablet): Mono and Diglycerides, Croscarmellose Sodium, Maltodextrin, Microcrystalline Cellulose, Crospovidone, Stearic Acid, Hydroxypropyl Methylcellulose, Titanium Dioxide, Magnesium Stearate, Silicon Dioxide, Acacia, Sodium Alginate, Arabic Gum, Sucrose, Corn Starch, Pea Starch, Gelatin, Dicalcium Phosphate, Triacetin, Hydrogenated Soybean Oil, Carmine Powder CFR73.100/E120, Caramel Color CFR73.85/E150, Polysorbate, Polyethylene Glycol.

Contains Soy.


Each Multi-Nate DHA Extra 295/430 mg enteric-coated softgel capsule contains:

295 mg Docosahexaenoic Acid (DHA) from 430 mg omega-3 fatty acids (tuna oil).




Other Ingredients (Multi-Nate DHA Extra 295/430 mg enteric-coated softgel capsule): Gelatin, Water, Glycerin, Polysorbate 80, Ethylcellulose, Sodium Alginate, Oleic Acid, Fractionated Coconut Oil, Purified Stearic Acid, Ammonium Hydroxide.


Also contains Eicosapentaenoic Acid (EPA) and other Omega-3 Fatty Acids (from tuna oil).

Contains Soy and Fish Oil (from tuna oil).


Contains NO artificial flavors or preservatives, yeast, wheat, gluten, nuts or milk-based by-products.


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 reach of children. In case of accidental overdose, call a doctor or poison control center immediately.


Multi-Nate DHA Extra 295/430 mg supplies important prenatal vitamins, minerals and nutrients to supplement the nutritional needs of women, before, during and after pregnancy. Deficiencies of these nutrients are common during pregnancy and lactation, and should be prescribed by a physician prior to conception.


Multi-Nate tablet is manufactured in a drug-certified cGMP (current good manufacturing practices) facility and meets or exceeds USP standards for potency, purity and dissolution. Each Multi-Nate DHA Extra 295/430 mg softgel capsule complies with the most stringent worldwide standards for fish oil and is manufactured in a NSF Certified cGMP Facility.

Indications and Usage for Multi-Nate DHA Extra


Multi-Nate DHA Extra 295/430 mg is a prescription regimen of prenatal multivitamin, multi-mineral and omega-3 fatty acid supplements indicated for use in improving the nutritional status of women throughout pregnancy and in the post-natal period for both lactating and non-lactating mothers. Multi-Nate DHA Extra 295/430 mg is also useful in improving the nutritional status prior to conception.

Multi-Nate DHA Extra Dosage and Administration


Before, during and after pregnancy, adult women (over 12 years of age), take one (1) tablet and one (1) enteric-coated softgel capsule by mouth daily, between meals or as prescribed by a physician. Tablet and softgel capsule may be taken separately. Do not exceed the recommended dosage. Do not administer to children under 12 years of age or persons age 65 or older. Do not exceed one gram (1,000 mg) of DHA per day.

Contraindications


Multi-Nate DHA Extra 295/430 mg is contraindicated in patients with a known hypersensitivity to any of the ingredients, including fish oil and soy. Iron is contraindicated in patients with hemosiderosis, hemochromatosis, or hemolytic anemias. This product is contraindicated for persons with pernicious anemia, as folic acid may obscure its signs and symptoms.


WARNING: Folic acid alone is improper therapy in the treatment of pernicious anemia in that hematological remission can occur while neurological manifestations remain progressive.

Warning


Ingestion of omega-3 fatty acids (including alpha-linolenic acid [ALA], eicosapentaenoic acid [EPA] and docosahexaenoic acid [DHA] from fish oils) of more than 3 grams per day may present antithrombotic effects, including increased bleeding time. Omega-3 fatty acids including DHA and EPA should be avoided in patients with inherited or acquired bleeding diatheses. Patients taking anticoagulant drug products should consult with their physician prior to ingesting omega-3 fatty acids.

Precautions


Folic acid in dosages above 400 mcg daily may obscure megaloblastic (pernicious) anemia in that hematological remission can occur while neurological manifestations (Addisonian anemia) remain progressive.

Adverse Reactions


Iron: Gastrointestinal disturbances (anorexia, nausea, diarrhea, constipation) can occur but are usually mild and can subside with continuation of therapy. Although the absorption of iron is best when taken between meals, Multi-Nate DHA Extra 295/430 mg, when taken after meals, may control occasional G.I. disturbances. Multi-Nate DHA Extra 295/430 mg is best absorbed when taken at bedtime.


Folic Acid: Allergic sensitizations have been reported following both oral and parenteral administration of folic acid.


Call your doctor for medical advice about side effects. You may report suspected side effects to the FDA at: 1-800-FDA-1088.

USE IN SPECIFIC POPULATIONS


Multi-Nate DHA Extra 295/430 mg is not advocated for pediatric or geriatric use.

OVERDOSE


Iron: Signs and Symptoms: Iron is toxic. Acute overdosage of iron may cause nausea and vomiting. In severe cases, iron overdose can cause cardiovascular collapse and death. Other symptoms include pallor and cyanosis, melena, shock, drowsiness and coma. The estimated overdose of orally ingested iron is 300mg/kg body weight. When overdoses are ingested by children, severe reactions, including fatalities have resulted. Multi-Nate DHA Extra 295/430 mg should be stored beyond the reach of children to prevent against accidental iron poisoning. Keep this and all other drugs out of reach of children. Treatment: For specific therapy, exchange transfusion and chelating agents should be used. For general management, perform gastric lavage with sodium bicarbonate solution or milk. Administer intravenous fluids and electrolytes and use oxygen.

How is Multi-Nate DHA Extra Supplied


Multi-Nate DHA Extra 295/430 mg NDC: 68032-448-30 is a 30-day regimen supplied as one bottle of Multi-Nate NDC: 68032-340-30, containing 30 dark red tablets imprinted “RE 340” and one bottle of Multi-Nate DHA Extra 295/430 mg NDC: 68032-452-30, containing 30 yellow enteric-coated softgel capsules. Dispense in tight, light-resistant containers as defined in the USP/NF with child resistant closures. Store at controlled room temperature 15°-30°C (59°-86°F). Keep in a cool, dry place.


CAUTION: Rx Only


RESERVED FOR PROFESSIONAL RECOMMENDATION: Made in the USA exclusively for River’s Edge Pharmaceuticals, LLC, Suwanee, GA, 30024. All rights reserved. Copyright © by River’s Edge Pharmaceuticals.

PACKAGING
























MULTINATE DHA  EXTRA
beta carotene, ascorbic acid, cholecalciferol, alpha-tocopherol, thiamine mononitrate, riboflavin, niacinamide, pyridoxine hydrochloride, folic acid, cyanocobalamin, calcium carbonate, iron, magnesium oxide, zinc oxide, cupric oxide, omega-3-acid ethyl esters, doconexent  kit






Product Information
Product TypeHUMAN PRESCRIPTION DRUGNDC Product Code (Source)68032-448










Packaging
#NDCPackage DescriptionMultilevel Packaging
168032-448-301 KIT In 1 CARTONNone











QUANTITY OF PARTS
Part #Package QuantityTotal Product Quantity
Part 11 BOTTLE  30 
Part 21 BOTTLE  30 



Part 1 of 2
MULTINATE 
beta carotene, ascorbic acid, cholecalciferol, alpha-tocopherol, thiamine mononitrate, riboflavin, niacinamide, pyridoxine hydrochloride, folic acid, cyanocobalamin, calcium carbonate, iron, magnesium oxide, zinc oxide, cupric oxide  tablet










Product Information
NDC Product Code (Source)68032-340  
Route of AdministrationORALDEA Schedule    


















































Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
BETA CAROTENE (BETA CAROTENE)BETA CAROTENE3000 [iU]
ASCORBIC ACID (ASCORBIC ACID)ASCORBIC ACID120 mg
CHOLECALCIFEROL (CHOLECALCIFEROL)CHOLECALCIFEROL400 [iU]
ALPHA-TOCOPHEROL (ALPHA-TOCOPHEROL)ALPHA-TOCOPHEROL3 mg
THIAMINE MONONITRATE (THIAMINE)THIAMINE MONONITRATE1.8 mg
RIBOFLAVIN (RIBOFLAVIN)RIBOFLAVIN4 mg
NIACINAMIDE (NIACINAMIDE)NIACINAMIDE20 mg
PYRIDOXINE HYDROCHLORIDE (PYRIDOXINE)PYRIDOXINE HYDROCHLORIDE25 mg
FOLIC ACID (FOLIC ACID)FOLIC ACID1 mg
CYANOCOBALAMIN (CYANOCOBALAMIN)CYANOCOBALAMIN12 ug
CALCIUM CARBONATE (CALCIUM)CALCIUM CARBONATE200 mg
IRON (IRON)IRON29 mg
MAGNESIUM OXIDE (MAGNESIUM)MAGNESIUM OXIDE25 mg
ZINC OXIDE (ZINC)ZINC OXIDE25 mg
CUPRIC OXIDE (CUPRIC CATION)CUPRIC OXIDE2 mg












































Inactive Ingredients
Ingredient NameStrength
CAPRYLIC/CAPRIC MONO/DIGLYCERIDES 
CROSCARMELLOSE SODIUM 
CELLULOSE, MICROCRYSTALLINE 
CROSPOVIDONE 
MALTODEXTRIN 
STEARIC ACID 
MAGNESIUM STEARATE 
SILICON DIOXIDE 
ACACIA 
SODIUM ALGINATE 
POLYETHYLENE GLYCOL 
SUCROSE 
STARCH, CORN 
HYDROGENATED SOYBEAN OIL 
HYPROMELLOSES 
ANHYDROUS DIBASIC CALCIUM PHOSPHATE 
TITANIUM DIOXIDE 
TRIACETIN 
POLYSORBATE 20 
GELATIN 


















Product Characteristics
Colorred (dark red)Scoreno score
ShapeCAPSULESize20mm
FlavorImprint CodeRE;340
Contains      










Packaging
#NDCPackage DescriptionMultilevel Packaging
168032-340-3030 TABLET In 1 BOTTLENone










Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved drug other09/01/200903/31/2012




Part 2 of 2
MULTINATE DHA  EXTRA
omega-3-acid ethyl esters, doconexent  capsule, coated










Product Information
NDC Product Code (Source)68032-452  
Route of AdministrationORALDEA Schedule    











Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
OMEGA-3-ACID ETHYL ESTERS (OMEGA-3-ACID ETHYL ESTERS)OMEGA-3-ACID ETHYL ESTERS430 mg
DOCONEXENT (DOCONEXENT)DOCONEXENT295 mg
























Inactive Ingredients
Ingredient NameStrength
GELATIN 
WATER 
GLYCERIN 
POLYSORBATE 80 
SODIUM ALGINATE 
POLYETHYLENE GLYCOL 
MEDIUM-CHAIN TRIGLYCERIDES 
OLEIC ACID 
STEARIC ACID 
AMMONIA 


















Product Characteristics
ColoryellowScoreno score
ShapeCAPSULESize20mm
FlavorImprint CodeRE;452
Contains      










Packaging
#NDCPackage DescriptionMultilevel Packaging
168032-452-3030 CAPSULE In 1 BOTTLENone










Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved drug other09/01/200903/31/2012











Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved drug other09/01/200903/31/2012


Labeler - River's Edge Pharmaceuticals, LLC (133879135)
Revised: 04/2011River's Edge Pharmaceuticals, LLC

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