Ascorbic Acid, Cholecalciferol, .alpha.-Tocopherol Acetate, D-, Thiamine Hydrochloride, Riboflavin, Niacin, Pyridoxine Hydrochloride, Levomefolate Magnesium, Folic Acid, Cyanocobalamin, Iron Pentacarbonyl, Potassium Iodide, Magnesium Oxide, Doconexent, and Icosapent is a prescription medicine (Vitamin C; Vitamin D; Nicotinic Acid). The sections below reproduce one FDA label for it, named under "Label". Products in other forms, strengths or from other makers have their own labels, which can differ.
- Type
- Prescription only (Rx)
- Brand names
- TriStart DHA
- Drug class
- Vitamin C; Vitamin D; Nicotinic Acid
- Taken
- Oral
- Label
- CarWin Pharmaceutical Associates, LLC, revised January 9, 2024 · full label on DailyMed
- Generic
- No · details
Boxed warning — the FDA's most serious warning for a medicine
WARNING Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6. Keep this product out of reach of children. In case of accidental overdose, call a doctor or poison control center immediately.
What it is used for
INDICATIONS TriStart DHA™ is an orally administered multivitamin/multimineral fatty acid dietary supplement indicated to improve the nutritional status of women throughout pregnancy and in the postnatal period for both lactating and nonlactating mothers. TriStart DHA™ can also be beneficial in improving the nutritional status of women prior to conception. This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent disease.
Who should not take it (contraindications)
TriStart DHA™ is contraindicated in patients with a known hypersensitivity to any of the ingredients.
Warnings
Caution is recommended in patients taking anticonvulsant medications as folate may interfere with anticonvulsant medication, and may lower seizure threshold. Furthermore, anticonvulsant medications may interfere with folate metabolism.
Precautions
Folic acid alone is improper therapy in the treatment of pernicious anemia and other megaloblastic anemias where Vitamin B12 is deficient. Folic acid in doses above 0.1 mg daily may obscure pernicious anemia in that hematologic remission can occur while neurological manifestations progress. Ingestion of more than 3 grams of omega-3 fatty acids (such as DHA and EPA) per day has been shown to have potential antithrombotic effects, including an increased bleeding time and International Normalized Ratio (INR). Administration of omega-3 fatty acids should be avoided in patients taking anticoagulants and in those known to have an inherited or acquired predisposition to bleeding.
Side effects (adverse reactions)
Allergic sensitization has been reported following both oral and parenteral administration of folic acid. You should call your doctor for medical advice about serious adverse events. To report adverse side effects or to obtain product information, contact CarWin Pharmaceutical Associates, LLC at 1-985-288-5122
Is there a generic Ascorbic Acid, Cholecalciferol, .alpha.-Tocopherol Acetate, D-, Thiamine Hydrochloride, Riboflavin, Niacin, Pyridoxine Hydrochloride, Levomefolate Magnesium, Folic Acid, Cyanocobalamin, Iron Pentacarbonyl, Potassium Iodide, Magnesium Oxide, Doconexent, and Icosapent?
No. The FDA has not approved a generic version yet.
Source: Drugs@FDA (via openFDA), checked October 29, 2026. Marketing status is what companies report to the FDA; whether a pharmacy stocks a product, and what your insurance covers, can differ.
Dosage:
we do not reproduce dosing instructions. The right dose depends on the person and the condition and is set by the prescriber or pharmacist. Dosage section of the full label.
Ascorbic acid, cholecalciferol, .alpha.-tocopherol acetate, d-, thiamine hydrochloride, riboflavin, niacin, pyridoxine hydrochloride, levomefolate magnesium, folic acid, cyanocobalamin, iron pentacarbonyl, potassium iodide, magnesium oxide, doconexent, and icosapent in the news
We have not covered this medicine yet. Latest news
Recalls
No recalls matched to this medicine in FDA enforcement reports from the last 3 years (or older ones still open). Search all recalls
Get alerts for Ascorbic Acid, Cholecalciferol, .alpha.-Tocopherol Acetate, D-, Thiamine Hydrochloride, Riboflavin, Niacin, Pyridoxine Hydrochloride, Levomefolate Magnesium, Folic Acid, Cyanocobalamin, Iron Pentacarbonyl, Potassium Iodide, Magnesium Oxide, Doconexent, and Icosapent
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Source: FDA structured product labeling, retrieved through openFDA. Label text is shown as published by the FDA, without editing; long sections are shortened, marked […]. openFDA data are not validated for clinical use — always check the current label and ask a doctor or pharmacist about your own treatment. Set ID 92ccf7d4-4527-49f0-b890-1a11b5a10086.