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
Davimet-M
Chromagen
Sulfzix
Multivitamin
Hormon Balance
Quflora Pediatric
Safyral
FolaMax
Drospirenone, Ethinyl Estradiol and Levomefolate Calcium and Levomefolate Calcium
Prenate Essential
Prenate Mini
Obtrex One
Natal PNV
L-Methyl MC
Menatrol
Levomefolate Calcium, Pyridoxal 5-phosphate, Methylcobalamin and Schizochytrium DHA Oil
TL-Folate
Yasmin Plus
EnLyte
Tricare Prenatal Quick Dissolve
Drospirenone/Ethinyl Estradiol/Levomefolate Calcium and Levomefolate Calcium
Virt-PN DHA
TriStart DHA
Tri-Vi-Flor
Levomefolate Calcium and Algal
Hematron-AF
EnBrace HR
BumP DHA
Prenatol-M
Davimet with Fluoride
Rulavite DHA
Obstetrix EC
L-Methyl-B6-B12
Biopar delta-FORTE
Folixate
PramLyte
Niferex
Levomefolate Calcium and Schizochytrium DHA
Rajani
Virt-Pn DHA
Virt-Pn
Multi-Vit-Flor
Levomefolate Calcium, Acetylcysteine, Mecobalamin and Algal
Folene
Livita Adults
WellFola
Tricare Prenatal DHA One With Folate
Puralor
PNV Tabs 20-1
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