Elevit Pronatal contains 12 vitamins, 3 minerals and 4 trace elements which are adjusted to the needs of women who are pregnant or breastfeeding. These active ingredients cannot be produced by the body itself but have to be supplied through food. They are essential to maintaining all life processes such as breathing, digestion, energy production, reproduction, growth, etc., while at the same time serving as building blocks for tissues and organs. Women who are pregnant or breastfeeding have a higher metabolic rate, as they have to provide not only for their own body but also for that of their child. They therefore need 50-100% more vitamins and minerals than women who are not pregnant. In the case of iron, which is essential for blood production, this need triples to an amount that is often impossible to achieve even with a balanced diet. A good supply of the vitamin folic acid can reduce the risk of severe birth defects (such as spina bifida = "open spine") in the foetus. The very first weeks of pregnancy are crucial to this. Elevit Pronatal should therefore be taken even before pregnancy in order to ensure an adequate supply of vital substances at the start of pregnancy. The active ingredients contained in Elevit Pronatal are dosed in such a way as to ensure a supply to both mother and child even when a balanced diet is not always guaranteed (due to work, lack of vegetables in winter, frequent vomiting, etc.). Elevit Pronatal thus prevents the occurrence of deficiency symptoms that can manifest in the mother as tiredness or feeling "out of sorts." It also prevents anaemia caused by an iron and folic acid deficiency, so that treatment for this is no longer necessary in many cases.

What you need to consider Avoid alcohol and nicotine completely. Eat a moderate but balanced diet by adding fruit and fresh vegetables to your meals. Your doctor will no doubt be happy to advise you on how to put your meals together. When not to use Elevit Pronatal If you already have excess levels of vitamin A and/or D (known as hypervitaminosis) or if you are being treated with other products containing vitamin A (including isotretinoin and etretinate), beta-carotene and/or vitamin D at the same time, if you have kidney failure or have a calcium, copper, or iron metabolism disorder, or if you are allergic to one of the ingredients of Elevit Pronatal. When to use Elevit Pronatal with caution Elevit Pronatal should not be taken over extended periods at doses higher than those recommended. Since calcium, vitamin C or vitamin D could influence stone formation, patients with kidney or bladder stones should exercise caution when using nutritional supplements containing vitamins. Nutritional supplements such as Elevit Pronatal, which contain calcium, magnesium, iron, copper or zinc, may have interactions with medicines that neutralise or inhibit gastric juice, with antibiotics, medicines for Parkinson's disease, medicines to treat osteoporosis or bone and calcium metabolism disorders, medicines for Wilson's disease or heavy metal poisoning, medicines containing thyroid hormones, medicines to increase heart contractility, antiviral medicines or diuretic medicines. If concurrent use of these medicines is necessary, an interval of 2 to 3 hours should be observed between taking them. If you need to have any laboratory tests and are taking biotin, please inform you doctor. Biotin can influence the results. Please inform your doctor or pharmacist if you are suffering from any other illnesses, have any allergies or are taking other medicines or applying other medicines externally (even ones that you have bought yourself). Elevit Pronatal contains lactose Patients with rare hereditary problem of galactose intolerance the Lapp lactose deficiency or glucosegalactose malabsorption should not take this medicine. Taking Elevit Pronatal in pregnancy or while breastfeeding Vitamins, minerals and trace elements may be taken without risk in amounts corresponding to the daily requirements. It has been found, however, that a high daily intake of vitamin A during pregnancy can increase the risk of defects in the unborn child. One Elevit Pronatal film-coated tablet contains vitamin A, among other things. The amount it contains corresponds to the daily requirement. If you are or might become pregnant, you may take Elevit Pronatal but you must be sure not to exceed the prescribed dose. It should be noted that the daily vitamin A requirement (contained in, e.g., liver, liver products, cheese and eggs) can be met or even exceeded with a balanced diet (liver, some products containing liver). The consumption of large amounts of liver in addition to the use of Elevit Pronatal should be avoided. You should exercise special caution if you take additional medicines that contain vitamin A or beta-carotene. The continuous intake of vitamin D at excessive doses can also be harmful to the unborn child. Elevit Pronatal vitamins and minerals pass into breast milk. This needs to be considered if the infant is additionally receiving nutritional supplements. As a precaution, you should, as far as possible, avoid taking any medicine during pregnancy and while breastfeeding, or you should ask your doctor or pharmacist for advice

Unless directed otherwise by your doctor, adult women should take one film-coated tablet at breakfast together with their breakfast drink. If you suffer from morning sickness, you can take the film-coated tablet with your lunch instead. It is also possible to take it during your evening meal, but this is less advisable. If planning a pregnancy, take Elevit Pronatal at least one month before the intended start of the pregnancy. If you do not become pregnant for some time, the dosage can be halved after two to three months: half a film-coated tablet daily or one film-coated tablet every other day. Do not just take Elevit Pronatal while you are pregnant and breastfeeding, but continue taking it for a further two to three months. This is particularly important if you intend to take contraceptives ("the pill") to prevent another pregnancy. Elevit Pronatal is intended for use before, during and after pregnancy, so that special dosage instructions for children, adolescents and the elderly are unnecessary. Always take the dosage stated in this leaflet or prescribed by your doctor. If you think that the effect of the medicine is too weak or too strong, consult your doctor or pharmacist.

The following side effects may occur when taking Elevit Pronatal: Common (affects 1 to 10 out of 100 users) Constipation, nausea, stool discoloration due to iron excretion. Uncommon (affects 1 to 10 out of 1000 users) Headaches, abdominal pain, gastrointestinal complaints, digestive disorders, vomiting, diarrhoea, and temporary tooth discoloration. Rare (affects 1 to 10 out of 10,000 users) Yellowing or darkening of the urine. Very rare (affects fewer than 1 out of 10,000 users) In sensitive women, Elevit Pronatal can cause some hyperstimulation. If this applies to you, you should not take the product in the evening. In very rare cases, allergic or acute allergic reactions, asthma, urticaria as well as localised skin reactions (itching, sudden onset of a rash) may occur. If an allergic reaction occurs (facial swelling, wheezing, reddening of the face, skin rash, blistering or shock), you should stop taking Elevit Pronatal and contact your doctor. Tell your doctor or pharmacist if you notice any side effects. This also applies particularly to side effects not described in this leaflet

he product may only be used up to the date marked “EXP” on the container. Do not store Elevit Pronatal above 25°C and keep in original package. Keep the medicine out of reach of children

Please ask your doctor or pharmacist for more information. These individuals have access to the detailed summary of product characteristics