Folic acid, also known as folate or Vitamin B9, is a member of the B vitamin family and an essential cofactor for enzymes involved in DNA and RNA synthesis. More specifically, folic acid is required by the body for the synthesis of purines, pyrimidines, and methionine before incorporation into DNA or protein. Folic acid is particularly important during phases of rapid cell division, such as infancy, pregnancy, and erythropoiesis, and plays a protective factor in the development of cancer. As humans are unable to synthesize folic acid endogenously, diet and supplementation is necessary to prevent deficiencies. For example, folic acid is present in green vegetables, beans, avocado, and some fruits.[L5744] In order to function within the body, folic acid must first be reduced by the enzyme dihydrofolate reductase (DHFR) into the cofactors dihydrofolate (DHF) and tetrahydrofolate (THF). This important pathway, which is required for de novo synthesis of nucleic acids and amino acids, is disrupted by anti-metabolite therapies such as [DB00563] as they function as DHFR inhibitors to prevent DNA synthesis in rapidly dividing cells, and therefore prevent the formation of DHF and THF. When used in high doses such as for cancer therapy, or in low doses such as for Rheumatoid Arthritis or psoriasis, [DB00563] impedes the body's ability to create folic acid. This results in a deficiency of coenzymes and a resultant buildup of toxic substances that are responsible for numerous adverse side effects. As a result, supplementation with 1-5mg of folic acid is recommended to prevent deficiency and a number of side effects associated with MTX therapy including mouth ulcers and gastrointestinal irritation. [DB00650] (also known as folinic acid) supplementation is typically used for high-dose MTX regimens for the treatment of cancer. Levoleucovorin and leucovorin are analogs of tetrahydrofolate (THF) and are able to bypass DHFR reduction to act as a cellular replacement for the co-factor THF. There are also several antiepileptic drugs (AEDs) that are associated with reduced serum and red blood cell folate, including [DB00564] (CBZ), [DB00252] (PHT), or barbiturates.[A37004] Folic acid is therefore often provided as supplementation to individuals using these medications, particularly to women of child-bearing age. Inadequate folate levels can result in a number of health concerns including cardiovascular disease, megaloblastic anemias, cognitive deficiencies, and neural tube defects (NTDs). Folic acid is typically supplemented during pregnancy to prevent the development of NTDs and in individuals with alcoholism to prevent the development of neurological disorders, for example.
Iron Aspartate Glycinate and Polysaccharide Complex, Ascorbic Calcium, Vitamin B12, Folic Acid, Calcium Threonate and Succinic Acid
Natelle One
Formula Ch. Les.
Prenatvite Complete
Multivitamin & Multimineral
Fortamines 10 Capsules
Fem - Protect
Vc II
Folcaps
FoliTab
Vp-ggr-B6
Niferex
Supplement De Multivitamines Infusion Arome Fruits Rouges
Se-Natal 19 Chewable
Complete Multivitamins and Minerals for Children
M.V.I. Paediatric
Se-Plete DHA
Formula D.S.
Pediatric Infuvite Multiple Vitamins
Nexa Plus
Vitafol OB Caplet
PNV 27-Ca/Fe/FA
Megavite Rx
Prenatal Plus
Viva Kids - Tab
Folvite
Novel Vita
Gestamine Comprimes
Multi Vitamines - Liq
Multi 12 Injection
Vitafol-OB Plus DHA Prenatal Supplement Plus DHA
PNV Tabs 20-1
Ferrex 150 Forte Plus
Hemetab
Spark Cap
Flintstones Multiple Vitamins Plus Iron
Relnate DHA
For Kids Only Chewable Multivitamins
MVC-Fluoride
Spectrum Performa Multivitamins and Minerals Tablets
Hemocyte F
Quflora Pediatric
Rogenic
Iron Folate-F
Nephrocaps-QT
Multivitamin
PramLyte
Swiss One
Vitamin B6 & B12 With Folic Acid
Natalvirt FLT
SetonET-EC
Twin Opti Pwr
Century Complete
Homosismin
FolaMax
V-Natal
Se-Natal One
FE C Tab Plus
Sulfzix
Globucel - Methode
Vita-vim - Tab
Vp-pnv-dha
Multi Vitamin with Fluoride
Folic Acid Injection USP
Body Rox
Virt-Gard
B-100 Vitamin Supplement
Hypo Vites Tab
Vita Day Tab
Cedevita Plus Vitamin Supplement
Integra F
Folic Acid Capsules 1mg
Prenatal and Post Partum Supplement
Virt-Advance
Renate
M.V.I. Adult
Prenatal Vitamins Plus Low Iron
Vol-Tab Rx
Provida DHA
Vitamin B Complex Tab
Nutrol-B-complex
L.C. Supplement
NexoChew
Kimchi Vitamin chewable multivitamin
Nutri-Tab OB plus DHA
Leritone Antistress
Formula Inf
One Tablet Daily Mens Formula
CitraNatal Medley
Duet DHA 400 ec
Foliflex
Multivitamines Et Mineraux Reguliers / Regular Multivitamins and Minerals
One A Day Advance Adults
MagneBind 400 Rx
Folvik-D
Mvc 9 Plus 3 Inj
Multi Pro
Balanced B-50 B-complex Vitamins, Timed Rele
Vege 1 Daily Tab
Cool B
FolaMed DHA
B-100 Complex Tablets
N.U.T. Complex
Innersource Tab
Balanced B-50 B-complex Vitamins Tab
Reno Caps
Hi Potency Stress B Tension With C
Super Vita Vim Multivitamins and Minerals
Vp-heme Ob
Multiple Vitamins Tab
Multiple Vitamins & Minerals Tablets
Chewable Children's Complete Multivitamins With Essential Minerals
Children's Chewable Multivitamin Complete With Minerals
Taliment
Zatean-CH
Genicin Vita-Q
Multiple Vitamins and Minerals
Embriva
Polymine Avec Zinc Et Cuivre
FolaWise
Prenate DHA
TL-Fluorivite
Florraxyl
Cavan-EC SOD DHA
Zintrexyl-C
Bentivite
Prenatal Vitamin and Mineral Supplement Tab
Sandoz Folic Acid
VitaXyme
Fusion Plus
Multivitamin with Fluoride
Right Choice A.M. Multi Formula - Caplet
PaxLyte
Inatal Advance
PNV-First
hormaSAN forte
Folic Acid 1 mg
Vita-Rx Diabetic Vitamin
Multinate DHA
Bev B-150
Tricare Prenatal DHA One Rx Multivitamin
Daily Energy Brand B-complex
Poly Vi Flor Chewable Tab
Folcal DHA
Vitasure
Multipack II
Av-VITE FB
CitraNatal Rx
Daily-Vite
One Per Day Vitamin and Mineral Dietary Supplement
Zavara
Foltabs Prenatal
Vital Be-100
Pretrate
Stress Formula Multi-B Comp + 500mg Vit C Cap
Folvite-D
Lexazin
Vyqua
Duet DHA
Vitaplex
B Complex Tablets
Harvest Of Values All B Complex Tab
DuetDHA Complete
Folvite Inj 5mg/ml
Prena1
Zyvit
Corvita 150
Stress Formula
Falessa
vitaMedMD One Rx
Vitamin B Complex W C Tab
Niva-Fol
CitraNatal 90 DHA
Ultimate OB DHA
Multivitamins and Minerals - Complete
Pre-Tabs DHA Prenatal Multi-vitamin/Mineral Supplement with DHA/EPA
A.R.T.H. Away Formula
Revesta
B-complex Tab
Multi-kid
NeoMaterna
Folic Acid Tablets 0.8mg
Thrivite Rx
Multi Enfants Tab
Folic Acid (1mg Tablet)
Formula F L W
TL Gard Rx
Dr. AVi MULTIVITAMIN with Zinc, Real Ginger, Lemon and Lemongrass
TriStart DHA
Zingiber
FolaPrime
Se-Tan DHA
Formula L.G.I.
Pregvit Folic 4
WesTab Plus
Great Day/am Formula Tab
Prenatal Vitamin and Mineral Supplement -tab
Prefera OB plus DHA
Dialyvite 3000
L.I.P. Complex
Solivite
Pregnancy Multivitamin Folic 5
SiderAL Folic
Children's Chewable Multi Vit W Iron
Swiss One Timed Release Tab
Multra With Iron
Multivitamines Plus Fer Pour Enfants (chewable Tablets)
E.S.T. Complex
Children's Chewable Multivitamin and Multimineral
Revit Plus Cap
Multi Plex II - Tab
Multiple Vitamins and Minerals Capsules
Imubolic
Davimet
Vinate Care
RayaVit
Florafol FE Pediatric 0.25 mg/mL Multivitamin and Fluoride Liquid Drops
Pnv Ob DHA
Ferrex 28
B-complex Tablets
Omnivex
Dialyvite with Zinc
C.R.D.-force
Vol-Care Rx
B-complex 50
Prenate Elite
Se-Tan PLUS
B Stress C + Iron & Vite
Children's Chewable Multivitamins and Minerals
Multi-vitamin Dietary Supplement
Trinatal Ultra
Phytopure
Foltrexyl
RE Prenatal Multivitamin with Iron
Vital-D Rx
Niron Komplete
Natalvirt 90dha
Prenatal, DHA
Bugs Bunny and Friends Multiple Vitamins
Select OB
Multi Vitamin - Mineral
One-A-day Advance Fem - Tablets
VirtPrex
Complexe B-75
Neomultivite
Children's Chewable Multiple Vitamins With Iron Tablets (chewable Tablets)
Folite
Formula Cp Cap
M.V.I. Pediatric
One Daily VITES
MI-Vite RX
PreferaOB One
One-A-day Advance Men's
B Complex 50 Vitamin Cap
Twin G.F. Powder Vanilla Flavor
WesNate DHA
Active FE
Virt Nate
Prenatal Formula Tab
Vitrexate FE
Foltabs 800
Carbassist Tablets
Flintstones W Extra C Tab
Animi-3 with Vitamin D
Multi-vitamins With Minerals
NESTABS ABC Prenatal Multi-vitamin/Mineral Supplement with DHA/EPA
Taron Forte
Onccor
Mini-B Tab
Multi Vitamin-mineral Formula
Myferon 150 Forte
Multivitamins and Minerals for Young Women
Re Kar C Plus
NuFera
Sun-rype Vitaburst
Vitamin B + C Cap
Infuvite Pediatric
Classic Swiss One 10 Multivitamin and Mineral Tab
Folvite-FE
Nexalife
Wellness Formula
Tandem DHA
Liqui B Complex
Super Stress Mega B Plus 1000mg Vit C Tab
Childrens Chewable Multiple Vitamins Plus Fe
Cavan Folate DHA
Nexa Select
Cavan X
Folika-T
Folic Acid Inj 5mg/ml USP
Hematogen FA
Metavite
Vitafol Ultra
Paire OB Plus DHA
WesCap-PN DHA
Hi Potency B Complex W Chelated Minerals
Floriva
Balanced B-100 Timed Release
Potassium W Folic Acid Tab
FeRivaFA
Nutra-Z
Prenatal
Mvc 9+4 Inj
Allevia
Corvite 150
FeRiva 21 7
Folivane-Plus with Ascorbic Acid Precursors
MYNEPHROCAPS DIALYSIS/STRESS Vitamin Supplement
Children's Vitamins Chewable
Time Release B 100 Compound - Tablet
Tricare Prenatal Compleat
Master Key Multi Vitamin Multi Mineral Formula 2
Vita Vim With Beta Carotene-caplet
Vita-Pac
Calcium PNV
Folet One
Stress B Complex With C,e, Zinc and Copper
Complexe B 75mg
Prenavite Tablets
Vit B Complex Ctr
Foltx
Flintstones Multiple Vitamins
Multi-phyto Capsules
RediChew
Women's Change Formula
Natural Source Spectrum With Beta Carotene
Multi Plex I - Tab
Rulavite DHA
Tobakient
Children's Chewable Multi-vitamin
A/o-26 - Caplet
Prenatal Mega Antioxidant
Folic Acid 0.4 Mg Tablet
Matronex
BP Vit 3
Zoo Chews
Sodium polysulthionate and folic acid
Micronex Multivitamin
Nutrilite Double X
Olympian Multi Vit Plus Minerals Tab
Multi-actin
TriAdvance
Active OB
Chewable Adult Multivitamins With Minerals
RenaPlex
EnLyte
PreferaOB plus DHA
Teravax Multivitamin
Complete One A Day Tab
Bugs Bunny Chew Multi Vit Plus Iron
Indication
Folic acid is indicated for the treatment of folic acid deficiency, megaloblastic anemia, and in anemias of nutritional origins, pregnancy, infancy, or childhood.
Drug Info/Drug Targets: DrugBank 3.0: a comprehensive resource for 'omics' research on drugs. Knox C, Law V, Jewison
T, Liu P, Ly S, Frolkis A, Pon A, Banco K, Mak C, Neveu V, Djoumbou Y, Eisner R, Guo AC, Wishart DS.
Nucleic Acids Res. 2011 Jan; 39 (Database issue):D1035-41. | PMID:21059682