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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.
Super Kids Chewable Multivitamin Multimineral (chewable Tablets)
Energy 80 Prolonged Release Tab
RE Nata
Vitafol One
B-Serene Rx
Vp-CH-pnv
WestGel DHA
Pnv Ob DHA
Formula F L W
Fem - Control
Multi-Vitamin
Moms Choice Rx
Xvite
Macuvex
Folcaps Care One
TL-Care DHA
Derma-force
Xyzbac G
Vita-B
Extra Once A Day
Bev B-150
Supplement De Multivitamines Infusion Arome Fruits Rouges
DermaNIC
One A Day Advance Adults 50+
Multivitamin with Fluoride
Multi-vitamin Dietary Supplement
Natafolik
RE Prenatal Multivitamin with Iron
Card-floe II Tab
Pnv-dha
Timed Release B Complex 100 Srt
Complete Multivitamins and Minerals for Children
Oveeza
Super Stress Mega B Plus 1000mg Vit C Tab
Virt-Caps
Childrens Chewable Multiple Vitamins Tab
Vital Be-100
Mi-Omega NF
Folic acid
Tl-hem 150
Multicaps
Vitafol Caplet
Cavan Heme OB
Rogenic
Tar-end
Liqui Vita
Sopalamine 3b Plus
Duet DHA 400 ec
P.N.P. Vitamin Drink
C. Vit-min Formula
B-complex Tablets
Bio-b12
Diaplex
Formula U - Tab
Nexa Select Rx Prenatal Vitamin with Plant-Based DHA
Prenate Essential
RE FAC-x
Restora Rx
PrimaCare
Tri-Zel
Vita-Rx Diabetic Vitamin
Vitamin & Mineral Formula 1 Dietary Supplement
Am Caps
Folika-NC
PR Natal 430 ec
Cavan Folate OB
Hylavite
PR Natal 400 ec
Stress B & C Caplet
Calcium PNV
Neonatal Fe
Virt-Advance
Hi Potency Stress B Tension With C
Prenatal Vitamins and Minerals Tablets
Formula Inf
Prenatal Plus Iron
Puralor
Folic Acid 0.4mg
Trinatal Rx 1
DaVITE
Virt-Vite Plus
Folvite Inj 5mg/ml
Carbassist Tablets
Ferrex 150 Forte
Hypnosom
C.R.D.-force
Prenatal Vitamin and Mineral Supplement
Flintstones Multiple Vitamins Plus Iron
FolaPrime
Bio-fen
Prenate Mini
Pro His Mint
Folic Acid
Folcyteine
B6, B12 & Folic Acid
Florravite
Multi-Nate 30
Stress Formula B-comp + 500mg Vit C Tab
RediChew
Vp-zel
Iron With Vitamins Tab
Multi-vitamins
Pnv-VP-U
iFerex 150 Forte
VemaVite-PRx 2 with Fish-Based DHA
WesTab Mini
One Daily Vitamin and Mineral Dietary Supplement
Methaver
Myhephron Dialysis and Stress Supplement
Hemetab
Childrens Chewable Multiple Vitamins
Vitafol
Iron Fumarate and Aspartate, Glycinate, Ascorbic Calcium, Vitamin B12, Folic Acid, Calcium Threonate and Succinic Acid
Classic Swiss One 10 Multivitamin and Mineral Tab
Vitamin B12-folic Acid
Folic Acid Tab 0.4mg USP
PNV-Omega
Stress Formula
M.V.I.-12
Megavite Rx
Chewable Children's Complete Multivitamins With Essential Minerals
PNV Ferrous Fumarate Docusate Folic Acid
Stress Vitamin B With C Complex Tablets
Chewable Multiple Vit Plus Iron for Children
Virt-PN Plus
Dexivite
Prenate DHA
B Compound 50mg Tab
FeRiva
NuFera
Flinstones Multiple Plus Iron
Zatean-Pn Plus
Bugs Bunny and Friends Multiple Vitamins
Dotremin
Harvest Of Values All B Complex Tab
Mvc 9 Plus 3 Inj
Spectrum 2 Cap
Keylosa
Prenara
Adeks Tablets
Ocuvel
One Tablet Daily Mens Formula
Cavan Prenatal
For Men
Stressmates
Folic Acid Tab 25mg
Ribotin-E
Vitrexate FE
CitraNatal Rx
Integra F
O-Cal FA multivitamin
WesTab Plus
Inatal Advance
Folic Acid Capsules 1mg
Mnps Formula Supplement
Multi Enfants Tab
Prenatal Supplement - Tab
Folvite Tab 5mg
Reebok
Sopalamine/3b Plus C
Leritone Antistress
Sun-rype Vitaburst
Vol-Care Rx
B-complex With Vitamin C, Biotin, Folic Acid
Stress Ctr Srt
Multiple Vitamins - Tablet
natelle COMPLETE
Multivitamins and Minerals With Betacarotene Tablets
Cavan-EC SOD DHA
Multi II IV Vi Tab
Multivitamin & Minerals (iron Free)
PNV-First
Elite OB Prenatal Multivitamin
TriStart DHA
Dialyvite 5000
Tandem DHA
NicAzelFORTE
PROTECT IRON Liquid
Vit B Complex Ctr
Supravite Stress Avec Vit E
Vitamin B Tablets
Nioxin Recharging Complex
Vitachrom Gc
Animal Shapes
DermacinRx FoliPlus D
Tricare Prenatal DHA One Rx Multivitamin
Nexa Select
Cifrazol
Virt Vite GT
Durachol
Vita B Complex Tab
K.L. Vitamin-mineral
Natavite
Folic Acid & Vitamin C
For Kids Only Chewable Multivit. Plus Iron
Bugs Bunny Chew Multi Vit Plus Iron
Vitaphil DHA
VitaPhil Aide
Roxifol-D
C-Nate DHA
Spd Tab
PureVit DualFe Plus
Balanced B-100 B-complex Vitamins Tab
Folika-V
Super Daily No 2
Virt-Vite
Vp-pnv-dha
Folet DHA
Childrens Chewab Vitamin W Chel Minerals
Zavitrol
Vitamin B Complex Tab
Trinatal GT
Daily Balance Tab
Vitamin B12 Plus Tablets W Folic Acid
Usana Megavitamin Tablets - Tab
Chewable Multivitamins Plus Iron
Taron BC
Prenavite Forte Tablets
Folditam
Cavan X
Stress Formula Vit B With C Complex
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