GESTICARE DHA DELAYED RELEASE -     
Azur Pharma, Inc.

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Gesticare® DHA
Delayed-Release Prenatal Multi-vitamin/Mineral Tablets with DHA and Choline

DESCRIPTION

Gesticare® DHA includes a light pink coated oblong-shaped tablet with “P-114” debossed on one side of the tablet and a natural DHA softgel capsule containing a pale orange oil. This novel, delayed-release formulation has been designed to avoid interference of calcium and iron absorption by releasing these minerals at different sites within the gastro-intestinal tract. Iron is released in the stomach, while calcium is released after the tablet reaches the small intestine.

Each tablet contains:

IngredientDose
Vitamin B1 (Thiamin Mononitrate)3 mg
Vitamin B2 (Riboflavin Universal)3 mg
Vitamin B6 (Pyridoxine HCl)50 mg
Vitamin B12 (Cyanocobalamin)8 µg
Vitamin C (Ascorbic acid)120 mg
Niacin (Niacinamide)20 mg
Folic acid1 mg
Iron (Ferrous Fumarate)27 mg
Calcium (Calcium Carbonate)200 mg
Vitamin D (Vitamin D3)410 IU
Vitamin E (Vitamin E Acetate)30 IU
Iodine (Potassium Iodide)150 µg
Zinc (Zinc Oxide)15 mg
Choline (Choline Bitartrate)55 mg

Inactive Ingredients:

Croscarmellose Sodium, Colloidal Silicon Dioxide, Silicified Microcrystalline Cellulose, Magnesium Stearate, Citric Acid, Glycerol Monostearate, Triethyl Citrate, Polysorbate 80, Sodium Hydroxide, Methacrylic Acid Copolymer Dispersion, Polyacrylate Dispersion, Talc, Hypromellose, Triacetin, Polydextrose, Maltodextrin, FD&C Red #40 Aluminum Lake, Fractionated Coconut Oil, FD&C Blue #2 Aluminum Lake, Titanium Dioxide, Dextrose Monohydrate, Stearic Acid, Sodium Carboxymethylcellulose.

Each DHA gelatin capsule contains:

DHA is an omega-3 fatty acid. The DHA in Gesticare® DHA is derived from the oils of microalgae.

Other ingredients in the DHA gelatin capsule: Gelatin (bovine), Glycerine USP, High Oleic Sunflower Oil, Ascorbyl Palmitate, Tocopherols.

IngredientDose
Docosahexaenoic Acid (DHA)250 mg
Eicosapentaenoic Acid (EPA)Not more than 0.625mg

Patent Status:

U.S.Patents 5,407,957 & 5,492,938. Patent application #20070128272 pending.

INDICATIONS AND USAGE

Gesticare® DHA is indicated for use in improving the nutritional status of women throughout pregnancy and in the postnatal period for both lactating and nonlactating mothers. Gesticare® DHA is also beneficial in improving the nutritional status of women prior to conception.

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

WARNINGS

Ingestion of more than 3 grams of omega-3 fatty acids per day has been shown to have potential antithrombotic effects, including increased bleeding time and INR. Administration of omega-3 fatty acids should be avoided in patients on anticoagulants and in those known to have an inherited or acquired bleeding diathesis.

PRECAUTIONS

Folic acid in doses above 0.1mg 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 Gesticare® delayed-release tablet and one DHA capsule daily or as directed by a physician.

HOW SUPPLIED

Gesticare® DHA 30 count (6 Blister Cards) is supplied as six child-resistant blister cards containing 5 Gesticare® delayed-release tablets and 5 DHA capsules each (NDC 18860-253-30).

Store at controlled room temperature 20°-25°C (68°-77°F); excursions permitted to 15°- 30ºC (59°-86°F).

KEEP THIS AND ALL DRUGS OUT OF THE REACH OF CHILDREN.

RX only

Distributed by:

Azur Pharma, Inc.

1818 Market Street, Ste 2350

Philadelphia, PA 19103

To report a serious adverse event or obtain product information, contact (800) 890 3098.

lifes-dha-symbol

life’sDHA is a trademark of Martek Biosciences Corporation.

PRINCIPAL DISPLAY PANEL - Carton label for blister cards

Gesticare DHADelayed-Release Prenatal Multi-Vitamin/Mineral Tablets
with DHA and Choline

NDC 18860-253-30 (30 Count)

6 Blister Cards; each containing
5 tablets and 5 capsules

PRINCIPAL DISPLAY PANEL - Carton label for blister cards

PRINCIPAL DISPLAY PANEL - Carton label for physician’s sample

Gesticare DHADelayed-Release Prenatal Multi-Vitamin/Mineral Tablets
with DHA and Choline

Gesticare DHA is indicated for use in improving the nutritional status
of women throughout pregnancy and in the postnatal period for
both lactating and nonlactating mothers.

Gesticare DHA is also beneficial in improving the nutritional status of
women prior to conception.

PHYSICIAN'S SAMPLES (NDC 18860-253-00)

Contains 6 Patient Starter packages, each containing 2 tablets and 2 capsules

One tablet and one capsule daily or as directed by physician

PRINCIPAL DISPLAY PANEL - Carton label for physician’s sample

PRINCIPAL DISPLAY PANEL - Blister card label for physician’s sample

Gesticare DHADelayed-Release Prenatal Multi-Vitamin/Mineral Tablets
with DHA and Choline

This novel, delayed-release formulation has been designed to avoid interference of calcium and iron absorption by releasing these minerals at different sites within the gastro-intestinal tract.

Gesticare DHA is also beneficial in improving the nutritional status of
women prior to conception.

PHYSICIAN'S SAMPLES (NDC 18860-253-00)

One Patient Starter Kit containing 2 tablets and 2 capsules.

One tablet and one capsule daily or as directed by physician

PRINCIPAL DISPLAY PANEL - Blister card label for physician’s sample

GESTICARE DHA  DELAYED RELEASE
gesticare dha   kit
Product Information
Product TypeHUMAN PRESCRIPTION DRUGNDC Product Code (Source)18860-253
Packaging
#NDCPackage DescriptionMultilevel Packaging
118860-253-306 BLISTER PACK In 1 CARTONcontains a BLISTER PACK
11 KIT In 1 BLISTER PACKThis package is contained within the CARTON (18860-253-30)
QUANTITY OF PARTS
Part #Package QuantityTotal Product Quantity
Part 1  
Part 2  
Part 3  
Part 4  
Part 1 of 4
GESTICARE 
gesticare   tablet, delayed release
Product Information
Route of AdministrationORALDEA Schedule    
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
THIAMINE MONONITRATE (THIAMINE) THIAMINE MONONITRATE3 mg
RIBOFLAVIN (RIBOFLAVIN) RIBOFLAVIN3 mg
PYRIDOXINE HYDROCHLORIDE (PYRIDOXINE) PYRIDOXINE HYDROCHLORIDE50 mg
CYANOCOBALAMIN (CYANOCOBALAMIN) CYANOCOBALAMIN8 ug
ASCORBIC ACID (ASCORBIC ACID) ASCORBIC ACID120 mg
NIACIN (NIACIN) NIACIN20 mg
FOLIC ACID (FOLIC ACID) FOLIC ACID1 mg
FERROUS FUMARATE (IRON) FERROUS FUMARATE27 mg
CALCIUM CARBONATE (CARBONATE ION) CALCIUM CARBONATE200 mg
CHOLECALCIFEROL (CHOLECALCIFEROL) CHOLECALCIFEROL410 [iU]
VITAMIN E ACETATE (VITAMIN E) VITAMIN E ACETATE30 [iU]
POTASSIUM IODIDE (IODINE) POTASSIUM IODIDE150 ug
ZINC OXIDE (ZINC OXIDE) ZINC OXIDE15 mg
CHOLINE BITARTRATE (CHOLINE) CHOLINE BITARTRATE55 mg
Inactive Ingredients
Ingredient NameStrength
CROSCARMELLOSE SODIUM 
COLLOIDAL SILICON DIOXIDE 
MAGNESIUM STEARATE 
CITRIC ACID 
TRIETHYL CITRATE 
POLYSORBATE 80 
SODIUM HYDROXIDE 
METHACRYLIC ACID - ETHYL ACRYLATE COPOLYMER (1:1) TYPE A 
METHACRYLIC ACID - METHYL METHACRYLATE COPOLYMER (1:1) 
TALC 
HYPROMELLOSE 
TRIACETIN 
POLYDEXTROSE 
MALTODEXTRIN 
FD&C RED NO. 40 
COCONUT OIL 
FD&C BLUE NO. 2 
TITANIUM DIOXIDE 
DEXTROSE MONOHYDRATE 
STEARIC ACID 
Product Characteristics
Colorpink (P-114, light, coated) Score no score
ShapeCAPSULE (oblong) Size19mm
FlavorImprint Code
Contains    
Packaging
#NDCPackage DescriptionMultilevel Packaging
Package Information Not Applicable
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved drug other09/01/2009

Part 2 of 4
DHA 
dha   capsule, gelatin coated
Product Information
Route of AdministrationORALDEA Schedule    
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
DOCONEXENT (DOCONEXENT) DOCONEXENT250 mg
ICOSAPENT (ICOSAPENT) ICOSAPENT0.625 mg
Inactive Ingredients
Ingredient NameStrength
GELATIN 
GLYCERIN 
SUNFLOWER OIL 
ASCORBYL PALMITATE 
Product Characteristics
ColororangeScore no score
ShapeCAPSULESize14mm
FlavorImprint Code
Contains    
Packaging
#NDCPackage DescriptionMultilevel Packaging
Package Information Not Applicable
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved drug other09/01/2009

Part 3 of 4
GESTICARE 
gesticare   tablet, delayed release
Product Information
Route of AdministrationORALDEA Schedule    
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
THIAMINE MONONITRATE (THIAMINE) THIAMINE MONONITRATE3 mg
RIBOFLAVIN (RIBOFLAVIN) RIBOFLAVIN3 mg
PYRIDOXINE HYDROCHLORIDE (PYRIDOXINE) PYRIDOXINE HYDROCHLORIDE50 mg
CYANOCOBALAMIN (CYANOCOBALAMIN) CYANOCOBALAMIN8 ug
ASCORBIC ACID (ASCORBIC ACID) ASCORBIC ACID120 mg
NIACIN (NIACIN) NIACIN20 mg
FOLIC ACID (FOLIC ACID) FOLIC ACID1 mg
FERROUS FUMARATE (IRON) FERROUS FUMARATE27 mg
CALCIUM CARBONATE (CARBONATE ION) CALCIUM CARBONATE200 mg
CHOLECALCIFEROL (CHOLECALCIFEROL) CHOLECALCIFEROL410 [iU]
VITAMIN E ACETATE (VITAMIN E) VITAMIN E ACETATE30 [iU]
POTASSIUM IODIDE (IODINE) POTASSIUM IODIDE150 ug
ZINC OXIDE (ZINC OXIDE) ZINC OXIDE15 mg
CHOLINE BITARTRATE (CHOLINE) CHOLINE BITARTRATE55 mg
Inactive Ingredients
Ingredient NameStrength
CROSCARMELLOSE SODIUM 
COLLOIDAL SILICON DIOXIDE 
MAGNESIUM STEARATE 
CITRIC ACID 
TRIETHYL CITRATE 
POLYSORBATE 80 
SODIUM HYDROXIDE 
METHACRYLIC ACID - ETHYL ACRYLATE COPOLYMER (1:1) TYPE A 
METHACRYLIC ACID - METHYL METHACRYLATE COPOLYMER (1:1) 
TALC 
HYPROMELLOSE 
TRIACETIN 
POLYDEXTROSE 
MALTODEXTRIN 
FD&C RED NO. 40 
COCONUT OIL 
FD&C BLUE NO. 2 
TITANIUM DIOXIDE 
DEXTROSE MONOHYDRATE 
STEARIC ACID 
Product Characteristics
Colorpink (P-114, light, coated) Score no score
ShapeCAPSULE (oblong) Size19mm
FlavorImprint Code
Contains    
Packaging
#NDCPackage DescriptionMultilevel Packaging
Package Information Not Applicable
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved drug other09/01/2009

Part 4 of 4
DHA 
dha   capsule, gelatin coated
Product Information
Route of AdministrationORALDEA Schedule    
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
DOCONEXENT (DOCONEXENT) DOCONEXENT250 mg
ICOSAPENT (ICOSAPENT) ICOSAPENT0.625 mg
Inactive Ingredients
Ingredient NameStrength
GELATIN 
GLYCERIN 
SUNFLOWER OIL 
ASCORBYL PALMITATE 
Product Characteristics
ColororangeScore no score
ShapeCAPSULESize14mm
FlavorImprint Code
Contains    
Packaging
#NDCPackage DescriptionMultilevel Packaging
Package Information Not Applicable
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved drug other09/01/2009


Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved drug other10/01/2008

Labeler - Azur Pharma, Inc. (805611071)
Establishment
NameAddressID/FEIOperations
Keata Pharma Inc243557068manufacture
Establishment
NameAddressID/FEIOperations
Quantofill Inc.251273470manufacture
Revised: 11/2009Azur Pharma, Inc.