Levomefolic acid (INN) is the metabolite of folic acid (Vitamin B9) and it is a predominant active form of folate found in foods and in the blood circulation, accounting for 98% of folates in human plasma [A19276]. It is transported across the membranes including the blood-brain barrier into various tissues where it plays an essential role in the DNA synthesis, cysteine cycle and regulation of homocysteine, where it methylates homocysteine and forms methionine and tetrahydrofolate (THF). Levomefolate is approved as a food additive and is designated a GRAS (generally regarded as safe) compound [L773]. It is available commercially as a crystalline form of the calcium salt (Metafolin(R)), which has the stability required for use as a supplement [A19276]. Supplementation of levomefolic acid is desired over folic acid due to reduced potential for masking vitamin B12 deficiency symptoms.
Levomefolate Calcium, Cyanocobalamin and Pyridoxine Hydrochloride
WestGel DHA
BumP DHA
Tricare Prenatal DHA One With Folate
Zatean-Pn DHA
Hemax
Rulavite DHA
Virt-Pn DHA
Poly-Vi-Flor with Iron
Drospirenone, Ethinyl Estradiol and Levomefolate Calcium and Levomefolate Calcium
Vitafol Nano
Multi-Vit-Flor
Niferex
FolaMax
Puralor
Vitafol Ultra
Yaz Plus
Virt-PN
Tri-Vi-Flor
Obstetrix EC
L-Methyl MC NAC
Levomefolate Calcium Acetylcysteine and Mecobalamin Algal
Folixate
PramLyte
Sodium polysulthionate, 5-methyltetrahydrofolate
L-Methylfolate Calcium
L-Methyl-B6-B12
L-Methyl PNV DHA
Menatrol
Multivitamin with Fluoride
Medi-10
NuFera
Vitafol Fe Plus
Obtrex One
Quflora Pediatric
Tendera-OB
Prenate Mini
Denovo
MaxFe
Virt-PN DHA
PreGenna
Floriva Plus
Virt-PN Plus
Sulfzix
Folene
Drospirenone/ethinyl estradiol/levomefolate calcium and levomefolate calcium
Prenate Elite
PNV Tabs 20-1
Poly-VI-flor
Hematron-AF
Safyral
TL-Folate
Tricare Prenatal Quick Dissolve
Obstetrix DHA Combo Pack
Select OB
Maxaron Forte
Quflora Pediatric Drops
OBTREX DHA Combo Pack
Quflora FE Pediatric Drops
Drospirenone/Ethinyl Estradiol/Levomefolate Calcium and Levomefolate Calcium
L-Methyl-MC
Natal PNV
Biopar delta-FORTE
Levomefolate Calcium, Acetylcysteine, Mecobalamin and Algal
Zatean-Pn
ProFola
L-Methyl MC
Prenate Pixie
Tydemy
Tricare Prenatal 2-part Daily Prenatal Vitamin System
Levomefolate Calcium and Algal
Levomefolate Calcium, Pyridoxal 5-phosphate, Methylcobalamin and Schizochytrium DHA Oil
Indication
For the treatment and prevention of folate deficiency and for use as an antidote against folic acid antagonists. Contained in oral contraceptives to reduce the risk of neural tube defects arising from folic acid deficiency for pregnant women who conceived during use or shortly after the discontinuation of the product. Being studied for use as a treatment for cardiovascular diseases [A19273] and adjunct therapy for patients undergoing antidepressant pharmacotherapy [A19271, A19272].
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