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.
Children's Chewable Multiple Vitamins With Iron Tablets (chewable Tablets)
OB Complete Gold
Men's 50+
Mi-Omega NF
Isotonix Vitamin B-folic Acid-mineral Supple
Methaver
Vitamin B6 & B12 With Folic Acid
Homosismin
Tozal
Complexe B-75
Natalvirt Ca
Nicazyme
Children's Vitamins W Iron Chewable
Ez-flex
B-complex With Vitamin C, Biotin, Folic Acid
Mega Plex IV - Pck
Lipo-B-C Tab
Cavan One
Relnate DHA
Myhephron Dialysis and Stress Supplement
Vita Vim Multivitamins and Minerals Tab
Vitafol One
TL Gard Rx
Spectrum Performa Multivitamins and Minerals Tablets
Taliva
Multivitamins and Minerals for Young Women
Spectrum 2 Cap
Omega-3 Rx Complete
Nutria
Timed Release B-complex 100
Adult Formula 50+
Ferrex 28
NataChew
PreferaOB One
One A Day Advance Adults
Virt-Care One
Mag-A-folic Tab
Women's Biomultiple Vitamin and Mineral Supplement
Vita Balance 2000
For Kids Only Chewable Multivitamins - Tab
Choice OB DHA
Fortamines-10 Comprimes
Iron Vitamins B6,b12,c,folic Acid Tab
L.C. Supplement
Multivitamin & Minerals (iron Free)
Nicomide
Multi-vitamins
Tricare Prenatal Compleat
Prenatal and Post Partum Supplement
One A Day Tab
Folvite
VP-Vite Rx
Multi Enfants Tab
Pnv-OB-dha
Virt-Vite Forte
hormaSAN forte
Stress B With 1000 Mg Vitamin C
Virt-Tabs
Multivitamins and Minerals Tablets
Vita Vim With Beta Carotene-caplet
Ziphex
Children's Chewable Multivitamins and Minerals
Niaacinamide Azelaic AC TURMER FA B6 Zinc Ox Copper
Natal-V RX Multi-vitamin/Multi-mineral
One A Day Advance Fem
PRENATE Restore
Cardiotek-RX
Multivit with Fluoride
Xvite
Hypnosom
Folite
CitraNatal Bloom DHA
B-plex
Re Kar C Plus
Folika-D
Viva CT Prenatal
FeRiva FA
FeRiva
B.E.T. Complex
Somavit Brand Vitamins and Minerals Complex
Avon Vitadvance Multi-kids Complete
Sun-rype Vitaburst
Puralor
Multivitamins and Minerals for Women
PreTAB
Docosavit
Body Rox
Folic Acid Plus
Restora Rx
Pnv Ob DHA
Centratex
Swiss One Multi Vit & Chel Min Tab
Fibrik
Renal Caps Dialysis/Stress Vitamin Supplement
Divista
High Potency Multivitamins & Minerals Caplets
Children's Chewable Multi Vit W Iron
For-2
Master Key Multi Vitamin Multi Mineral Formula 2
Prenatal Vitamin and Mineral Supplement
RenaPlex
VIL-Rx
B Complex 50+ Caplet
Re Ob 90 DHA
Hi Potency B52 B Complex Tab
Folcyteine
Extra-Virt Plus DHA
Folika-MG
Folic Acid Tab 5mg
Multi-phyto Capsules
Quflora Pediatric
Tandem DHA
Bacmin
INATAL Ultra
Vitamin B Compound W Vit C 250mg Tab
Escavite D
Bal-Care DHA
Men's
Multiple Vitamins With Iron
NicAzelFORTE
Chewable Children's Complete Multivitamins With Essential Minerals
Childrens Chewab Vitamin W Chel Minerals
CitraNatal Medley
Prenatvite Complete
Enrich Core Pack - Children Vitamin and Mineral Supplement
Protect Plus SO 60
PreNatal Vitamins Plus
Vitafol Fe Plus
PreQue 10
Complete-RF Prenatal
Isotonix Advanced B-complex Vitamins With Potassium and Magnesium
Multi-Vitamin With Fluoride
One-A-day Advance Men's
B-Nexa
N.U.T. Complex
PaxLyte
Swiss One
Udamin Sp
O-Cal Prenatal Vitamin
B-100 Hi Potency B Vitamins Tab
Revit Plus Cap
Maintain Multiple Vitamin & Minerals
Multi-kid
Nutrol-B-complex
Balanced B100
Folvite-D
Natalvirt 90dha
Bear Essentials
Complexe B Compose 75
Mega Capsules
Prenatal Formula Tab
HemeNatal OB plus DHA
Formula F L W
RE Prenatal Multivitamin with Iron
For Kids Only Chewable Multivit. Plus Iron
Multiple Vitamins With Iron Tablets
Folditam
VirtPrex
Natavite
Swiss One Multivitamin and Mineral Caplet
C-Nate DHA
Multi II IV Vi Tab
Multi-12/k1 Pediatric
PNV Prenatal Vitamin
Roxifol-D
Multivitamins and Minerals for Men
Supravite Stress Avec Vit E Et Fer
FerroGels Forte
Stress Formula Multivitamin Tablets USP
Vinate AZ
EnLyte
Oncovite
Iron
RediChew
Maxine Vitamin and Mineral Supplement
Vena-Bal DHA
Prenate Essential
Efferlife Multivitamins and Minerals
Folic Acid 1mg With C 20mg
Extra Once A Day
Lorid
PreGenna
Prenatal Plus Multivitamin Plus DHA MiniCaps
Children's Chewable Multivitamin Complete With Minerals
Childrens Chewable Multiple Vitamins Plus Fe
Stress B Complex With C, E & Iron
Prenatal, DHA
Venexa
Virt Nate
Children's Chewable Tab
Formula O.C.
Potassium W Folic Acid Tab
OB Complete DHA
Virt-Nate DHA
Vinacal
Prenaissance Plus
Pretrate
Mnps Formula Supplement
Folic Acid 800mcg Tab
Niva-Fol
Stress Formula
Milltrium Senior Vitamin and Mineral Supplement
Chewable Multiple Vitamins Plus Extra C
Chromagen
Dexifol
Card-floe II Tab
B Stress C + Iron & Vite
Iron Fumarate and Aspartate, Glycinate, Ascorbic Calcium, Vitamin B12, Folic Acid, Calcium Threonate and Succinic Acid
Animal Shapes w/Iron Chewtabs
Kid's Choice Children's Chewable Vitamins - Tab
Nutrifer Plus Tablets
Stress Vitamin B With C Complex Tablets
Harvest Of Values All B Complex Tab
Vp-ggr-B6
Multivitamines Et Mineraux Junior Regulier
DermaNIC
NESTABS DHA Prenatal Multi-vitamin/Mineral Supplement with DHA/EPA
Folic Acid Tablets 5mg
V-Natal
Grand Master Formula Tab
NESTABS ABC Prenatal Multi-vitamin/Mineral Supplement with DHA/EPA
Pediatric Infuvite Multiple Vitamins
Recal D
Vtb Vitamin and Mineral Supplement
Liqui B Complex
UltimateCare ONE
Complete One A Day Tab
Children's Chewable Multi-vitamin
Neonatal Plus Vitamin
Hylavite
SetonET
Multiple Vit Plus Iron Tab
WesCaps
Prena1 Plus
Folic Acid
Spark Cap
Virt-Select PRENATAL/POSTNATAL
WesCap-C-DHA
Pregvit Folic 5
Acti-folic + Dibencozide Caplets
Multivitamin
Zavara
Bugs Bunny and Friends Multiple Vitamins
Folic Acid Tab 25mg
Mycelized Childrens Multi-vitamin Liq
Animi-3 with Vitamin D
Super Charged Energy
TL-Fluorivite
Xyzbac G
Multi-vitamin Dietary Supplement
Tri-Zel
NicAzel
Complete Mega B
24 Multivitamins + Minerals
Vitaphil DHA
Vitrexate FE
Co-Balamin
FeRiva 21 7
Mvc 9+4 Inj
Complete Natal DHA
B-complex 100
Tandem OB
Av-VITE FB
TM-Vite RX
Strovite Forte Caplet
Nioxin Recharging Complex
Cavan Folate DHA
Thrivite Rx
Vitachrom Gc
Folic Acid Tab 0.4mg USP
Vol-Care Rx
M.V.I. Pediatric
Citranatal B-calm
Se-Natal
Floriva
Bseltzer
Century Complete
BP Vit 3
Methazel
Nutra-Z
Venexa FE
vitaMedMD Rx Plus
CitraNatal 90 DHA
Folic Acid Inj 5mg/ml USP
Hematogen Forte
Pro His Mint
FaBB
Vitranol Fe
BiferaRx
Multivitamins and Minerals for Young Men
G.A.S. Complex
Nata Komplete
Children's Chewable Multiple Vit.plus Iron
CitraNatal Rx
B 50 Capsules
Virt-Nate
Vp-CH-pnv
Ultimate Tab
Earthpals Children's Chewables Multi-vitamin & Mineral Tablets
Se-Tan DHA
Multra With Iron
Duet DHA 400
PreNexa premier
TL-Icon
Ply Vi Sol Chewable Tab
Foltabs Prenatal Plus DHA
Balanced B-50 B-complex Vitamins Tab
Hemocyte Plus
Premium Prenatal
UltimateCare ONE NF
Multivitamins for Children
Se-Care Chewable
Xyzmune
Multi Vitamin Plus Iron
Trinatal Ultra
Twin G.F. Powder Vanilla Flavor
Nicaprin
Florafol FE Pediatric 0.25 mg/mL Multivitamin and Fluoride Liquid Drops
PNV Prenatal Plus Multivitamin
Stress B&c Tab
Zatean-Pn Plus
Multi Vitamin & Minerals
Cavan X
Foltabs 800
Iron 25mg With Vit B-cmplx, Vit C, Cu & Mo
Vita-B-75 Cap
RE Nata OB
Vitaphil 90 DHA
Hemocyte F
Vyqua
Multi 12 Injection
Focalgin 90 DHA
Bio-b12
Se-Tan PLUS
Se-Natal 19
Folixapure
Prenavite Tablets
Dialyvite 3000
Multiple Vitamins and Minerals
Zalvit
Dexivite
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