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.
Chewable Children's Complete Multivitamins With Essential Minerals
Stress Formula + Iron
RE Nata
Folic Acid 1mg
Neonatal Fe
VP-Vite Rx
Tar-end
Childrens Chewable Multiple Vitamins Plus Fe
FerroGels Forte
Folic Acid 0.4mg Dietary Supplement
Davimet
Azesco
For Kids Only Chewable Multivitamins - Tab
PreFol-DHA
Roxifol-D
Folvite
Multi Vitamin Plus Iron
Energy 80 Prolonged Release Tab
B-50 Complex
Kindervites
Timed Release B Complex 100 Srt
Prenatal Plus Vitamins
Virt Vite GT
Duet DHA
Quflora Gummies
Formula Cn
Folic Acid 400mcg Tab
Swiss One Timed Release Tab
Prenatal Vi-min
Multi Flow Tablets
B.E.T. Complex
Balanced B-50 B-complex Vitamins, Timed Rele
Pre-Tabs DHA Prenatal Multi-vitamin/Mineral Supplement with DHA/EPA
Animal Shapes
Children's Chewable Multi Vit W Iron
DermacinRx PureFolix
RenaPlex
Folic Acid 1mg With C 20mg
VemaVite-PRx 2 with Fish-Based DHA
B-Serene Rx
Multi-phyto Capsules
Folic Acid Plus
Folic Acid Tab 0.4mg USP
Multi-Vitamin With Fluoride
Twin G.F. Powder
Vitalife - Capsule
Children's Vitamins Chewable
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Prenavite Forte
Floradix Formula Liq
Tri-Zel
Zoo Chews Plus Iron
Vigo Multivitamins Drops/lozenge
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Balanced B-100 B-complex Vitamins Tab
Magnum-75 Vitamin and Mineral Supplement
Nicotinamide
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RediChew
WesCap-PN DHA
PreQue 10
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KeyFolic
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Cavan Alpha
Natelle One
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Formula L.G.I.
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Nicaprin
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Orange Flavored Crystal Chews Tab
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Prena1 Chew
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Vitranol Fe
Complete One A Day Tab
Folic Acid & Vitamin C
Ventrixyl
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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
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