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.
Pre-Tabs DHA Prenatal Multi-vitamin/Mineral Supplement with DHA/EPA
Ribotin-E
EnBrace HR
Energy 80 Prolonged Release Tab
50 Plus Multiple Vitamins & Minerals
Multivitamines Pour Enfants (chewable Tablets)
Mvc 9+4 Inj
natelle COMPLETE
Vitafol Caplet
MultiVitamin with Fluoride Chewable
Tandem Plus
VITAFOL Gummies
Nicazyme
One A Day Multiple Vit W Minerals
Folic Acid Tablets 0.8mg
Re Ob 90 DHA
Duet DHA 400
Onccor
Vasculine
Vol-Tab Rx
Natavite
Vitasure
Tricare Prenatal DHA One
Hi Potency Balanced B-100 Complex - Tab
Multi-force for Adults Tab
PNV-First
Matervia
Prenatal Vitamins Plus Low Iron
Hi Potency Stress B Tension With C
Citranatal B-calm
Lexazin
One Tablet Daily Mens Formula
Daily-Vite
Renate
Virt-Gard
Vitrexyl plus Iron
Stress Formula + Iron
FerraPlus 90
For Men
Dothelle DHA
Formula Hh
Jamp-folic Acid
Childrens Chew Multi Vitamin Tab
Kindervites
Vp-heme Ob
Folcal DHA
H.W. Children's Chewable Multi Vit & Mineral
Ocuvel
Multiple Vitamins
Timed Release B-complex 50
Venexa FE
Supplement De Multivitamines Infusion Arome Fruits Rouges
Co-Veratrol
M-Natal Plus
Keylosa
Multiple Vitamins - Tablet
PNV Prenatal Plus Multivitamin
Teravax Multivitamin
Mycelized Childrens Multi-vitamin Liq
Animal Shapes w/Iron Chewtabs
M.V.I.-12
OB Complete DHA
Stress Vitamin B With C Complex Tablets
Swiss One
Osteo-force
Nutrifer Plus Tablets
Vitamin B Complex W C Tab
Folitin-Z
Niferex
Protect Plus SO 60
WesNatal DHA Complete
Zatean-Pn DHA
Vinacal
Mega Plex III - Pck
Childrens Chewab Vitamin W Chel Minerals
C. Vit-min Formula
Active OB
Feminique W Iron and Calcium Tab
Mebolic
Vitamin B Complex 100 Tab
Vitamin B Compound Tab
Tandem - F
Prenatal and Post Partum Supplement
Balanced B 125 Srt
Dotremin
B-complex
Folic Acid Capsules 1mg
Cholecal DF
Co-Balamin
Sodium polysulthionate and folic acid
Ultimate Tab
A.R.T.H. Away Formula
Children's Chewable Tab
WesCap-C-DHA
Prenatvite Complete
Mnps Formula Supplement
Men's Multi Master Formula
Iron Fumarate and Aspartate, Glycinate, Ascorbic Calcium, Vitamin B12, Folic Acid, Calcium Threonate and Succinic Acid
Prenate Pixie
VirtPrex
Multi 12 Injection
Cda-21 Vitamins With Non-medicinal Probiotic Complex
Nexa Plus
Pnv-dha
CitraNatal 90 DHA
FUSION Sprinkles
Vital-D Rx
Formula Inf
CitraNatal Assure
Paire OB Plus DHA
Nicomide
WesNate DHA
O-Cal Prenatal Vitamin
Avon Vitadvance Multi-kids Complete
B-plex
Mvc 9 Plus 3 Inj
Rulavite DHA
BioFerr 90
Femitab Tab
Tri-Zel
DermacinRx FoliPlus D
Multivitamins and Minerals With Betacarotene Tablets
Childrens Chewable Multiple Vitamins
PRENATE Restore
Neonatal DHA
Stress B Capsules With Vitamin C
Choice OB DHA
Grand Master Formula Tab
Virt-Vite Plus
Vitamin B6 & B12 With Folic Acid
Adeks Tablets
Docosavit
Folic Acid Ctr Srt 800mcg
Folvitra
Multi-vitamins With Minerals
Multicaps
RenaPlex
Quflora Pediatric
Trinatal Ultra
TL-Select DHA
Vitrax
Iron, Vit & Min Supp
Chela Potassium Plus
Integra F
Vit-HA Multi Vitamin and Zinc Supplement
Reaphirm Plant Source DHA
Viva Kids - Tab
B6, B12 & Folic Acid Multi-vitamin Tablets
Diaplex
Elite OB Prenatal Multivitamin
Micronex Multivitamin
B Complex 50+ Caplet
Nutria
B-complex Tab
TL-Folate
Vitafol Plus
Vp-ggr-B6
Zenvita
Children's Chewable Multi-vitamin
Centratex
Supplement De Vitamines Et Mineraux
Mega Plex IV - Pck
Edge OB
For-2
Daily Energy Brand B-complex
Folic Acid Tablets 5mg
Nutrol-B-complex
Cifrazol
Vege 1 Daily Tab
Vinate Care
Vitafol-OB Plus DHA Prenatal Supplement Plus DHA
NuFera
Vitranol
Tar-end
Maintain Multiple Vitamin & Minerals
Great Day/am Formula Tab
Century Complete
PreferaOB plus DHA
UltimateCare ONE
PreferaOB
Hemetab
OB Complete Prenatal
V-Natal
FeRiva FA
Multivitamins and Minerals for Women
Harvest Of Values All B Complex Tab
Prometa
FaBB
Mvc
Virexa
Q.T. #4 Vitamin and Mineral Dietary Supplement
Multi Vitamin & Minerals
Premium Prenatal
CitraNatal DHA
Tulivite
One A Day Advance Adults
Homosistrox Capsules
Foltabs Prenatal
PreferaOB ONE
Multiple Vitamins and Minerals Capsules
Stress Formula Tab
Doctor's Choice Brand for Men
New Chapter's D'adamo 4 Your Type Multiple for Type O
Virt-Care One
M.V.I. Paediatric
Spectrum 2 Cap
Virt-Nate
Stress Complex 600 Avec Vit E Cuivre Zinc
Virt-Tabs
WesCap-PN DHA
Zoo Chews Plus Iron
VIL-Rx
Ventrixyl Fe
Novel Vita
VP-Vite Rx
Imubolic
Stress Forte Plus Lipotropic Factors
Multivitamins and Multiminerals Formula Regular Tablet
Swiss Total One
Totalvit Plus
Active FE
Vinate AZ
Vita Vim With Beta Carotene-caplet
NicAzel Doxy Kit
Florraxyl
Rocky Mountain Multiple Vit and Min Mega Tab
DuetDHA Balanced
Pro His Mint
TriAdvance
Vimeral Tab
Earthpals Children's Chewables Multi-vitamin & Mineral Tablets
FolateXcel
Sandoz Folic Acid
PRENATE Enhance
Stress B Complex With C, E and Iron Tab
T.R.I. B-plex Src
Ciferex
MVC-Fluoride
Hematogen Forte
PreFol-DHA
Twin Opti Pwr
Cedevita Sugar-free Vitamin Supplement
Super B12 + Folic Acid
Bal-Care DHA Essential
M.V.I. Adult
Re Kar C Plus
Xybiotic Probiotic Support
Focalgin 90 DHA
ProFola
Taliva
Vp-CH-pnv
Timed Release B-complex 100
CitraNatal B-Calm
Multiple Vitamins With Iron
Lipo-B-C Tab
Multi #2
Vitramyn
Vitabanks Vitamin Tab
Mr. Tumee Multi-vitamin
P.N. Vitamin-mineral Drink
Folic Acid 1 mg
FolaWise
Folic acid
Prenatal Vitamin and Mineral Supplement
Renate DHA
Zeldana
Sopalamine 3b Plus
Children's Vitamins Chewable
Vitazyme
Folika-V
Vita-folic-B Caps
Sodium Polysulthionate and Folic Acid
TriphroCaps
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