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.
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Children's Chewable Multivitamins With Minerals
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PrePLUS
Multiple Vitamins - Tablet
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Multiple Vitamins With Iron
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Vita-B
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Select OB
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Zatean-Pn DHA
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B Complex 50 Vitamin Cap
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Women's Change Formula
Essential Vitamins and Minerals
Classic Swiss One 10 Multivitamin and Mineral Tab
FolaMax
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Amladex
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TL-Fol 500
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Folet One
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M.V.I. Adult
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Palm Springs Multvit and Min Tab
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Select-OB Plus DHA Prenatal Supplement Plus DHA
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Vita Vim With Beta Carotene-caplet
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Folic Acid Tab 1mg USP Chewable
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24 Multivitamins + Minerals
Femitab Tab
One-A-day Advance Fem - Tablets
Preplus
Ply Vi Sol Chewable Tab
Vege Swiss One Multivitamin W Chel Mins Tab
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VP-HEME One
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Renate
Provida DHA
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Vita-vim With Beta-carotene - Tab
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B-50 Hi Potency B Vitamins Tab
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Isotonix Vitamin B-folic Acid-mineral Supple
Materna-tab
Tandem DHA
Harvest Of Values All B Complex Tab
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Florafol Pediatric 0.25 mg/mL Multivitamin and Fluoride Liquid Drops
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Vitamin B Complex 100 Tab
CitraNatal Medley
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Bev 29 Tab
Neonatal Vitamin
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DermaNIC
Multipack II
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N.U.T. Complex
PreFol-DHA
Materna
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Reno Caps
Se-Plete DHA
Se-Vate 21/7
PNV Ferrous Fumarate Docusate Folic Acid
Flintstones W Extra C Tab
Spark Cap
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Natural Source Spectrum With Beta Carotene
Mini-B Tab
Sopalamine 3b Plus
Super Daily No 2
Multivitamins and Multiminerals Formula Regular Tablet
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Prenatal
Ferrex 150 Forte Plus
Liquid B Complex 50
Vitramyn
M.V.I.-12
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B-100 Hi Potency B Vitamins Tab
Extra-Virt Plus DHA
Se-Natal 19
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Tri-Zel
Gestamine Comprimes
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Iron Plus Tab
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Bugs Bunny Chew Multi Vit Plus Iron
Children's Chewable Vit and Min Tab
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Ventrixyl Fe
One A Day Advance Fem
Multiple Vitamins and Minerals Capsules
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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Nucleic Acids Res. 2011 Jan; 39 (Database issue):D1035-41. | PMID:21059682