- Generic name
- Folic Acid
- Class
- B vitamin (folate)
- Mechanism
- Precursor of tetrahydrofolic acid, a cofactor in purine and thymidylate synthesis; converts megaloblastic to normoblastic marrow.
- Used for
- Megaloblastic anemia from folate deficiency; Nutritional anemia (pregnancy, infancy, childhood)
- Common side effects
- Allergic sensitization, reported rarely; Anorexia reported with 15 mg/day for one month; Nausea reported with 15 mg/day for one month; Abdominal distention reported with 15 mg/day for one month; Bitter or bad taste reported with 15 mg/day for one month
- Warnings
- Previous intolerance to folic acid; Folic acid alone is inadequate treatment for pernicious anemia or other B12-deficiency megaloblastic anemia; Anemia can improve while B12-related neurologic injury continues, masking the underlying deficiency
- Interactions
- Phenytoin (antagonized anticonvulsant action); Methotrexate / pyrimethamine (folate antagonists); Primidone, barbiturates
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