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.
NESTABS ABC Prenatal Multi-vitamin/Mineral Supplement with DHA/EPA
Vitasure
Zatean-Pn
M.V.I. 12
Pnv-OB-dha
Dialyvite Supreme D
Leritone Antistress
Nephron FA
Vitafol OB Caplet
Multinate DHA Extra
Vitamin B Complex Suppl
B-100 Hi Potency B Vitamins Tab
Docosavit
Se-Tan PLUS
Ultimate OB DHA
B6, B12 & Folic Acid Multi-vitamin Tablets
Premium Prenatal - Tablets
Integra Plus
Multivitamines Plus Fer Pour Enfants (chewable Tablets)
Stress Formula Vit B With C Complex
Focalgin B
Folvite
Dexivite
Hsn Formula
Kanga-V Multivitamins & Minerals
Virt-Nate
Liquid B Complex 50
Folic Acid Tablets 5mg
NEONATAL Complete
Bugs Bunny Chew Multi Vit Plus Iron
B-complex-50 Tab
Prenate DHA
Folcal DHA
Swical-energy 3e Age
Iron
Chewable Multivitamins Plus Iron
Harvest Of Values All B Complex Tab
Nutra Boost
Children's Chewable Multivitamins and Minerals
NataChew
Multi-actin
Niaacinamide Azelaic AC TURMER FA B6 Zinc Ox Copper
Ortho DF
Flintstones Multiple Vitamins
Nu-folic
Recal D
Hemocyte Plus
Super Multi
HemeNatal OB
UltimateCare ONE
Vitrexate FE
Folditam
Multra With Iron
High Potency Multivitamins & Minerals Caplets
Foltabs Prenatal Plus DHA
Iron Polysaccharides Folic Acid DHA
PureFe Plus
Timed Release B Complex 100 Srt
Vitramyn
CitraNatal Harmony 3.0
Children's Chewable Multiple Vit.plus Iron
Cavan Folate OB
Folic Acid Tab 1mg
Formula L.G.I.
Reaphirm Plant Source DHA
Natal-V RX Multi-vitamin/Multi-mineral
Sopalamine 3b Plus
Vita Day Tab
Vitalife - Capsule
Iron Vitamins B6,b12,c,folic Acid Tab
RayaVit
Prenate Elite
Prenavite Forte Tablets
Corvite
Preplus
M-Natal Plus
Childrens Chew Multi Vitamin Tab
Advanced AM PM
Maxi 10 Tab
Multi Pro
Childrens Chewable Multiple Vitamins
OB Complete Prenatal
Nestabs ONE
Children's Vitamins W Iron Chewable
Homosistrol Capsules
Multiple Vitamins Tab
Multi-vitamins
CitraNatal DHA
Vitamin B Compound W Vit C 250mg Tab
Nephrocaps
50 Plus Multiple Vitamins & Minerals
Multi-force for Adults Tab
Supravite Stress Avec Vit E Cuivre Et Zinc
Virt-Vite Forte
Multivitamins and Minerals for Men
For Men
Mega Capsules
Mi-Omega NF
Multi-12 Pediatric
Classic Swiss One 10 Multivitamin and Mineral Tab
Balanced B-50 B-complex Vitamins Tab
PNV Tabs 29-1
Kids Stuff With Iron Tablets
CitraNatal Bloom
Lexazin
Vp-CH-pnv
Provida OB
Prenate AM
Super Stress Capsules
B-100 Complex Tablets
One Daily Vitamin and Mineral Dietary Supplement
Multi-12/k1 Pediatric
Nitro Vites - Tab
Virt-PN Plus
One A Day Tab
Venexa
Vitrexate
Azesco
Ply Vi Sol Chewable Tab
Cardiotek-RX
Stress Formula + Iron
RenaPlex
Prenate Chewable
C.R.D.-force
Amladex
Formula O.C.
OB Complete 400
Childrens Chewable Tab
One-A-day Advance Fem - Tablets
Children's Vitamins Chewable
V & M Vitamin and Mineral Supplement
Concept OB
Se-Vate 21/7
Nicadan
Myhephron Dialysis and Stress Supplement
Rocky Mountain Multiple Vit and Min Mega Tab
MaxFe
Folica BE
Corvite 150
Formula Ch. Les.
Stress Forte Plus Lipotropic Factors
Vitaflex Dietary Suplement
Multivitamin & Multimineral
Balanced B-100 B-complex Vitamins Tab
OB Complete DHA
Amerix Multivitamin
Vinate AZ
SetonET-EC
Multitam
Reliv So Sense Daily Vitamin Supplement
Xyzbac G
Vitamin B + C Cap
Bacmin
Duet DHA
Fortamines-10 Comprimes
B-complex 50
PreferaOB plus DHA
AxiFol
Vege Swiss One Multivitamin W Chel Mins Tab
Dotremin
Osteo Formula
Multi-vitamins With Minerals
Thrivite 19
RE Prenatal Multivitamin with Iron
WesCap-PN DHA
Stress B With 1000 Mg Vitamin C
Supplement De Vitamines Et Mineraux
Mnps Formula Supplement
Q.T. Vitamin and Mineral Drink Mix
Vol-Nate
Multivitamines Pour Enfants (chewable Tablets)
Multi Vitamin Plus Iron
Dayavite
Spd Tab
Quflora Pediatric
Choice OB DHA
NovaFerrum
PM Caps
Integra F
Av-VITE FB
Chewable Children's Complete Multivitamins With Essential Minerals
Natalvirt Ca
Isotonix Advanced B-complex Vitamins With Potassium and Magnesium
Vita-vim - Tab
Palm Springs Multvit and Min Tab
Hi Potency Multi Tab
Iron Plus Tab
Multi Plex I - Tab
PreferaOB
Fizz Multivitamins for Kids W C Loz
Grand Master Formula Tab
PreNatal 19
Pregvit Folic 4
Ferrex 150 Forte Plus
Virt-PN
Prenatryl
Vita-vim With Beta-carotene - Tab
Balanced B-complex Vit + Vit C&e Tab
B-complex Tablets
Virt-Bal DHA Plus
Complete One A Day Tab
Ferrex 150 Forte
50 Plus
Fortamines 10 Capsules
Enrich Core Pack - Children Vitamin and Mineral Supplement
DuetDHA Balanced
M.V.I. Paediatric
Vitabanks Vitamin Tab
Oveeza
Chela Iron Plus C,b Complex
Dothelle DHA
Vinate Care
Folbic
Ventrixyl Fe
Chewable Adult Multivitamins With Minerals
Folivane-F
Childrens Chewable Multiple Vitamins Tab
Folic Acid 0.8mg
B-50 Complex
Childrens Chewable Multiple Vitamins Plus Fe
Onccor
Xvite
Daily Supplement Packs
RE FAC-x
Vita-B-75 Cap
PreNexa
Folivane-OB
Multivitamins and Minerals - Complete
Vitafol-OB Plus DHA Prenatal Supplement Plus DHA
Myferon 150 Forte
Zatean-Pn Plus
FeRiva 21 7
Tricare Prenatal DHA One Rx Multivitamin
Fib-C Melts
Vitaphil DHA
Formula Gly
One A Day Advance Adults 50+
Mega Balance
Vitaphil 90 DHA
CitraNatal B-Calm
Mega 13 Multivitamin Formula
Sandoz Folic Acid
Folic Acid 1 mg
Formula Cp Cap
Se-Natal
Mebolic
Multi-Vitamin
PreferaOB ONE
Sodium polysulthionate and folic acid
DermacinRx Purefoltin
NephPlex Rx
B-100 Vitamin Supplement
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