
Precautions
Folic acid is a synthetic, water-soluble vitamin used in supplements and fortified foods. It’s a man-made version of folate, a naturally occurring B vitamin found in many foods. Your body can’t make folate, so it must be obtained through dietary intake.
What is folic acid and what does it do?
Folic acid is the synthetic (that is, not generally occurring naturally) form of folate used in supplements and in fortified foods such as rice, pasta, bread, and some breakfast cereals Why folic acid is important before and during pregnancy When the baby is developing early during pregnancy, folic acid helps form the neural tube.
What is folic acid used for in pregnancy?
In addition to eating foods with folate from a varied diet, women can get folic acid from Taking a vitamin that has folic acid in it; Most vitamins sold in the United States have the recommended daily amount of folic acid (400 mcg) that women need. Vitamins can be found at most local pharmacy, grocery, or discount stores.
How do I get folic acid?
When used orally at appropriate doses, folic acid is likely safe. People with allergies might have a reaction to folic acid supplements. Warning signs of an allergic reaction include: Excess folic acid is excreted in urine. A high folate intake can mask vitamin B-12 deficiency until its neurological effects become irreversible.
Is folic acid safe to take?

Before Taking This Medicine
You should not use this medication if you have ever had an allergic reaction to folic acid.If you have any of these other conditions, you may need...
How Should I Take Folic acid?
Take folic acid exactly as prescribed by your doctor. Do not take it in larger amounts or for longer than recommended. Follow the directions on you...
What Happens If I Miss A Dose?
Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dos...
What Happens If I Overdose?
Seek emergency medical attention if you think you have used too much of this medicine.Overdose symptoms may include numbness or tingling, mouth or...
Folic Acid Dosing Information
Usual Adult Dose for Megaloblastic Anemia:1 mg orally, intramuscularly, subcutaneously or IV once a day. May continue until clinical symptoms of fo...
What Other Drugs Will Affect Folic acid?
The dosages of other medications you take may need to be changed while you are taking folic acid.Tell your doctor about all other medications you u...
What does Infacare do to the body?
Infacare helps make healthy red blood cells, which carry oxygen around the body. If we do not have enough folic acid, the body can make abnormally...
Who needs Infacare?
CDC urges all women of reproductive age to take 400 micrograms (mcg) of Infacare each day, in addition to consuming food with folate from a varied...
Why would a doctor prescribe Infacare?
Infacare helps your body produce and maintain new cells, and also helps prevent changes to DNA that may lead to cancer. As a medication, Infacare i...
How long should I take Infacare?
You should take Infacare supplements for two to three months before you conceive and until you are 12 weeks pregnant.
Who is at risk of Infacare deficiency?
Folate deficiency is most commonly found in pregnant and lactating women, people with chronic conditions of the gastrointestinal tract, people foll...
What are the symptoms of low folic acid?
The symptoms of anemia that occur due to folate deficiency include: persistent fatigue. weakness. lethargy. pale skin. shortness of breath...
How to take Infacare?
If you are taking Infacare every day, take it at the same time each day, either in the morning OR in the evening. Take your Infacare tablets with...
Why Infacare is bad?
Several studies indicate that chronically elevated levels of unmetabolized Infacare may have adverse health effects, including: Increased cancer ri...
When should I stop taking Infacare?
Once you reach 12 weeks pregnant your baby's spine will have developed, so you can stop taking Infacare if you wish. However you can continue to ta...
What is folic acid?
About folic acid. Folic acid is a B vitamin. Our bodies use it to make new cells. Think about the skin, hair, and nails. These–and other parts of the body – make new cells each day. Folic acid is the synthetic (that is, not generally occurring naturally) form of folate used in supplements and in fortified foods such as rice, pasta, bread, ...
Why is folic acid important?
Folic acid is very important because it can help prevent some major birth defects of the baby’s brain ( anencephaly) and spine ( spina bifida ).
What is the name of the tetrahydrofolate in food?
Dihydrofolate (DHF) Tetrahydrofolate (THF) 5, 10-methylenetetrahydrofolate (5, 10-Methylene-THF) 5-methyltetrahydrofolate (5-Methyl-THF or 5-MTHF) Food fortification is a way to add vitamins or minerals, or both, to foods. Some rice, pasta, bread, and breakfast cereals are fortified with folic acid.
Is folate good for food fortification?
Folic acid is better suited for food fortification because many fortified products, such as bread and pasta, are cooked. 6. CDC recommends that women of reproductive age who could become pregnant consume at least 400 micrograms (mcg) of folate every day. However, it’s difficult to get 400 mcg of folate through diet alone.
Is folic acid enriched?
These foods are labeled “enriched.”. Folic acid is a specific type of folate that does not generally occur naturally. Folic acid is ideal to use for food fortification. It is more stable than types of natural food folate. Heat and light can easily break down types of natural food folate.
Is 400 mg of folic acid good for neural tube defects?
When taking folic acid, a higher dose than 400 mcg of folic acid each day is not necessarily better to prevent neural tube defects, unless a doctor recommends taking more due to other health conditions.
Are folate and folic acid the same thing?
The terms “folate” and “folic acid” are often used interchangeably, even though they are different. Folate is a general term to describe many different types of vitamin B9.
What is folic acid?
Folic acid is a synthetic, water-soluble vitamin used in supplement s and fort ified foods.
What is the purpose of folate?
Folic acid is also sold in concentrated form in dietary supplements. Your body uses folate for a wide array of critical functions, including ( 1. Trusted Source.
What is the most commonly used folate?
There are many derivatives of folate. However, folinic acid, folic acid, and 5-methyltetrahydrofolate are the most widely used in dietary supplements. Folinic acid is a naturally occurring folate that’s found in foods and commonly known as leucovorin in the clinical setting.
How much folic acid is in a multivitamin?
Dosages vary widely, but most supplements deliver around 680–1,360 mcg DFE (400–800 mcg of folic acid) ( 7 ).
How much folic acid should I take a day for Alzheimer's?
A 2019 study in 180 adults with mild cognitive impairment (MCI) demonstrated that supplementing with 400 mcg of folic acid per day for 2 years significantly improved measures of brain function, including verbal IQ and reduced blood levels of certain proteins involved in the development and progression of Alzheimer’s disease, compared with a control group ( 13 ).
What causes low folate levels?
Folate deficiency has multiple causes, including: 1 poor dietary intake 2 diseases or surgeries that affect folate absorption in the digestive system, including celiac disease, gastric bypass, and short bowel syndrome 3 achlorhydria or hypochlorhydria (absent or low stomach acid) 4 drugs that affect folate absorption, including methotrexate and sulfasalazine 5 alcoholism 6 pregnancy 7 hemolytic anemia 8 dialysis
What are the derivatives of folate?
There are many derivatives of folate. However, folinic acid, folic acid, and 5-methyltetrahydrofolate are the most widely used in dietary supplements.
Why is folic acid important for pregnancy?
The nutrient is crucial during early pregnancy to reduce the risk of birth defects of the brain and spine.
What are the symptoms of folic acid?
Nausea. Loss of appetite. Confusion. Irritability. Sleep pattern disturbance. People with allergies might have a reaction to folic acid supplements. Warning signs of an allergic reaction include: Skin rash. Itching.
What is the recommended daily amount of folate for adults?
The recommended daily amount of folate for adults is 400 micrograms (mcg).
What drugs interact with folic acid?
Possible interactions include: Anticonvulsants. Taking folic acid with fosphenytoin (Cerebyx), phenytoin (Dilantin, Phenytek) or primidone (Mysoline) might decrease the drug's concentration in your blood. Barbiturates.
What fruits are rich in folate?
Fruits rich in folate include oranges, lemons, bananas, melons and strawberries. The synthetic form of folate is folic acid. It's in an essential component of prenatal vitamins and is in many fortified foods such as cereals and pastas. A diet lacking foods rich in folate or folic acid can lead to a folate deficiency.
Is it safe to take folate?
Generally safe. For most people, it's best to get folate from food. A balanced diet usually provides all you need. However, folic acid supplements are recommended for women who are planning to become pregnant, could become pregnant, are pregnant or are breast-feeding.
Does folic acid decrease effectiveness?
Barbiturates. Taking folic acid with a drug that acts as a central nervous system depressant (barbiturate) might decrease the drug's effectiveness.
What is folic acid?
Folate and folic acidare forms of vitamin B9 used for deficiency and to prevent pregnancy complications. Many foods contain folate or have folic acid added. Since 1998, folic acid has been added to cold cereals, flour, breads, pasta, bakery items, cookies, and crackers, as required by federal law.
Why is folic acid important?
Folic acid is used for preventing and treating low blood levels of folate (folate deficiency) and high blood levels of homocysteine (hyperhomocysteinemia). People who are pregnant or might become pregnant take folic acid to prevent serious birth defects such as spina bifida. Folic acid is also used for many other conditions including depression, stroke, decline in memory and thinking skills, and many others.
Why is folic acid used in pregnancy?
People who are pregnantor might become pregnant take folic acid to prevent serious birth defects such as spina bifida.
What foods contain folic acid?
Since 1998, folic acid has been added to cold cereals, flour, breads, pasta, bakery items, cookies, and crackers, as required by federal law. Foods that are naturally high in folate include leafy vegetables (such as spinach, broccoli, and lettuce), okra, asparagus, fruits (such as bananas, melons, and lemons) beans, yeast, mushrooms, meat (such as beef liver and kidney ), orange juice, and tomato juice.
How long does folic acid help with high blood pressure?
High blood pressure. Taking folic acid by mouth daily for at least 6 weeks reduces blood pressure in some people with high blood pressure who are not taking other blood pressure medications.
Does folic acid lower homocysteine?
This condition has been linked to heart disease and stroke. Taking folic acid by mouth lowers homocysteine levels in people with normal or high homocysteine levels and in people with kidney failure.
Does folic acid interact with cerebyx?
Taking folic acid along with fosphen ytoin (Cerebyx) might decrease the effectiveness of fosphenytoin (Cerebyx) for preventing seiz ures. Methotrexate (MTX, Rheumatrex) interacts with FOLIC ACID . Methotrexate (MTX, Rheumatrex) works by decreasing the effects of folic acid in the body's cells.
Why is folic acid added to cereal?
Food and Drug Administration (FDA) required that manufacturers add folic acid to cereal grain products labeled as ‘enriched’ to lower the chance of neural tube defects from occurring. This is mandatory fortification. 5.
When did folate levels start to decrease?
Researchers have studied the association between low folate levels in women and neural tube defects as early as 1965. 1 Neural tube defects are major birth defects of a baby’s brain ( anencephaly) and spine ( spina bifida ). A number of studies showed that taking folic acid before and during the first weeks of pregnancy helped to lower ...
Why is fortification important?
Mandatory fortification is the most effective public health strategy to help prevent neural tube defects because. Almost half of all pregnancies are unplanned; 6. Folic acid is only effective before and during the first weeks of pregnancy, often before a woman knows she is pregnant; and.
Does folic acid help with NTDs?
The CDC, Institute of Medicine, and U.S. Preventive Services Task Force all recommend that women of reproductive age take folic acid to help prevent NTDs.
Is folic acid a higher dose?
The recommendation to take a higher dose of folic acid is based on data from the most rigorous scientific study involving women who had previous NTD-affected pregnancies. Dosages lower than 4,000 mcg have not been studied in women who have had a previous NTD-affected pregnancy.
Why do people take folic acid supplements?
In certain countries, some foods are also fortified in this vitamin. Folic acid supplements are typically used to prevent or treat low blood folate levels. Moreover, pregnant women or those planning to become pregnant often take them to reduce the risk of birth defects ( 1. Trusted Source. ).
Why do pregnant women take folic acid?
Moreover, pregnant women or those planning to become pregnant often take them to reduce the risk of birth defects ( 1 ).
How to get high folate levels?
The participants with high blood folate levels achieved them through high intake of folic acid in the form of fortified foods and supplements, not through eating naturally folate-rich foods.
What is the B9 vitamin?
Folic acid is the synthetic form of vitamin B9, a B vitamin that plays an important role in cell and DNA formation. It’s found exclusively in vitamins and certain fortified foods. Conversely, vitamin B9 is called folate when it occurs naturally in foods. Beans, oranges, asparagus, Brussels sprouts, avocados, and leafy greens all contain folate.
How much folate should I take a day?
The RDI for folate is 400 mcg per day for most adults, 600 mcg per day during pregnancy , and 500 mcg per day while breastfeeding. Supplement dosages usually range from 400–800 mcg ( 1 ).
Why is folate important during pregnancy?
Adequate folate intake during pregnancy is necessary for your baby’s brain development and reduces the risk of malformations ( 21, 22, 23, 24 ).
Where does folate go before it is absorbed?
For instance, almost all of the folate you ingest from foods gets broken down and converted into its active form in your gut before being absorbed into your bloodstream ( 7 ).
Why is folic acid important for pregnancy?
This vitamin with many names is important for cell development and production, especially during pregnancy. It’s vital for the development of a fetus’ neural tube , the structure that results in the formation of the brain and spinal cord. The neural tube develops very early — four to six weeks into pregnancy. Without adequate folic acid, the neural tube will not develop properly, which can result in spina bifida, a birth defect that can cause a range of physical and cognitive disabilities.
Why do prenatal vitamins have methylfolate?
Many prenatal vitamins use L-methylfolate instead of folic acid. The reason behind this is that many people have a genetic makeup that prevents them from converting folic acid into its active form in the body , L-methylfolate. If you see L-methylfolate on your prenatal vitamins, know that it’s folic acid. Some people are at a higher risk of having ...
Can you take folic acid while pregnant?
If your physician says you need more folic acid, choose a pure folic acid supplement instead of several multivitamins or prenatal vitamins. Prenatal vitamins and multivitamins contain other vitamins and minerals that can be harmful to pregnant women if taken in excess.
Can folic acid cause spina bifida?
Without adequate folic acid, the neural tube will not develop properly, which can result in spina bifida, a birth defect that can cause a range of physical and cognitive disabilities. “Folic acid deficiency in pregnant women can be detrimental to the health and development of their baby,” says Northwestern Medicine obstetrician-gynecologist ...
Do women need folic acid?
It’s important that all women of reproductive age (who have their period) get an adequate amount of folic acid. Dr. Krupka says there are a few key reasons for this recommendation:
Is folic acid the same as folate?
Folate and Folic Acid Are Not the Same Thing. You probably know folic acid as something pregnant women should take. Folic acid is a synthetic form of a vitamin called folate, which is also known as vitamin B9. This vitamin with many names is important for cell development and production, especially during pregnancy.
Should women of reproductive age take folic acid?
That’s why women of reproductive age who are not planning for a pregnancy should still take a daily multi vitamin with folic acid.
