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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.
Chewable Children's Complete Multivitamins With Essential Minerals
P.N.P. Vitamin Drink
Stresstabs + Zinc-copper
Nata Komplete
ahoSAN
Tricare Prenatal DHA One
Iron With Vitamins Tab
Calcium PNV
Super Kids Chewable Multivitamin Multimineral (chewable Tablets)
TL-Icon
Marnatal F
Multi-Vitamin
Virt-Gard
Stress B Complex With C,e, Zinc and Copper
PreNexa
Triveen-Duo DHA
PrePLUS
Pregnancy Multivitamin
Recal D
One-A-day Advance Men's
Vitaphil 90 DHA
Fem Time Tab
Dexifol
Folcaps Care One
FeRiva
Hemocyte Plus
Prenatvite Plus
B Complex 25mg Vitamin Supplement
Noxifol-D
Liqui Vita
Stress Forte Plus Lipotropic Factors
Davimet
Vitafol-OB Plus DHA Prenatal Supplement Plus DHA
Xvite
Bev B-150
Prenatryl
Lexazin
Folixapure
PureVit DualFe Plus
Prometa
RESTORA Sprinkles
TL-Care DHA
Virt-PN DHA
One A Day Advance Adults
Poly Vi Flor Chewable Tab
Multivitamines Plus Fer Pour Enfants (chewable Tablets)
PaxLyte
Prenatal Vitamins and Minerals Tablets
Dialyvite Supreme D
Tobakient
Vitramyn
Zatean-Pn Plus
Formula Ch. Les.
Bseltzer
Ferralet 90
Multi Vitamines - Liq
Tricare Prenatal DHA One Rx Multivitamin
Trinatal Rx 1
Extra P.N. Vitamin-mineral Drink Mix
Folvik-D
Folplex
Active FE
Total Living Concepts Formula One - Tab
Globucel - Methode
Ply Vi Sol Chewable Tab
Vena-Bal DHA
Elite OB Prenatal Multivitamin
Multi Flow Tablets
Cda-21 Vitamins With Non-medicinal Probiotic Complex
Fortamines 10 Capsules
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Neonatal Plus Vitamin
New Chapter's D'adamo 4 Your Type Multiple for Type O
Co-Veratrol
Zeldana
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Swiss One Multi Vit & Chel Min Tab
WesNate DHA
Folic Acid Tab 0.4mg USP
Xyzmune
Omega-3 Rx Complete
Taron-C DHA
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Folivane-Plus with Ascorbic Acid Precursors
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Folic Acid 800mcg Tab
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Diaplex
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Dr. AVi MULTIVITAMIN with Zinc, Real Ginger, Lemon and Lemongrass
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tensioSAN
Multivitamins and Minerals With Betacarotene Tablets
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Poly-Vi-Flor Gummies
TM-Vite RX
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Renal Caps Dialysis/Stress Vitamin Supplement
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Floradix Formula Liq
Genicin Vita-S
Multra With Iron
Envirocomplex
Feminex 300 Tab
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Master Key Multi Vitamin Multi Mineral Formula 2
Renate
Folic Acid 1 mg
Fibrik
Xyzbac
PNV Prenatal Plus Multivitamin
Zintrexyl-C
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Folic Acid Injection, USP
Foltabs Prenatal
TriStart DHA
Essential Vitamins and Minerals
Hi Potency Balanced B-100 Complex - Tab
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Replavite
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Natavite
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NESTABS Prenatal Multi-vitamin/Mineral Supplement
Bal-Care DHA
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Relnate DHA
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Taron Forte
Folvite Tab 5mg
WellFola
Hsn Formula
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Se-Natal
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Folic Acid Injection USP
Iron Fumarate and Aspartate, Glycinate, Ascorbic Calcium, Vitamin B12, Folic Acid, Calcium Threonate and Succinic Acid
Children's Vitamins Chewable
P.R.O. Complex
Folic Acid 1 Mg - Tablet
One Daily Vitamin and Mineral Dietary Supplement
Super Multi
Pre-Tabs DHA Prenatal Multi-vitamin/Mineral Supplement with DHA/EPA
Multivitamines Pour Enfants (chewable Tablets)
Soluvit N
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C-B Complex
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Multi Plex I - Tab
Tozal
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Children's Chewable Tab
FaBB
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Stress B&c Tab
Amladex
Multi #2
NovaFerrum
Focalgin DSS
Dexivite
Prenatal Vitamin and Mineral Supplement -tab
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RE Nata
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Se-Vate 21/7
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Dialyvite 3000
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Animal Shapes w/Iron Chewtabs
PRENATE Restore
Innersource Tab
Nephrocaps-QT
Vitamin B Compound Tab
Men's
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Nephron FA
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PNV-Omega
Vitasure
Flintstones Multiple Vitamins Tab
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Children's Chewable Vit and Min Tab
Pro His Mint
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Vp-CH-pnv
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Onccor
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Adult Infuvite Multiple Vitamins
Floriva
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Formula U - Tab
Niva-Plus
Paire OB Plus DHA
TL-Fluorivite
Ferrex 150 Forte
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Rocky Mountain Multiple Vit and Min Mega Tab
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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