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As folate is vital in the first trimester of pregnancy for healthy fetal development, the use of antifolates is strongly contraindicated in pregnancy and carries significant teratogenic risk. Low doses of methotrexate can deplete folate stores and cause side-effects that are similar to folate deficiency. Both high-folate diets and supplemental ...
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For example, many [citation needed] prescription prenatal vitamins will contain a more bioavailable form of folate, 5-methyltetrahydrofolate (5-MTHF). Doses of folic acid over 1 mg are prescription only. The amount of non-prescription prenatal vitamins needed to achieve this dose may have too much vitamin A and lead to fetal toxicity. [2]
Folinic acid, also known as leucovorin, is a medication used to decrease the toxic effects of methotrexate and pyrimethamine. [2] [3] It is also used in combination with 5-fluorouracil to treat colorectal cancer and pancreatic cancer, may be used to treat folate deficiency that results in anemia, and methanol poisoning.
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Ferrous salt/folic acid is a supplement used to prevent iron deficiency and folic acid deficiency during pregnancy. [1] It can also be used to treat iron deficiency anemia. [1] It is a fixed dose combination of ferrous salt and folic acid. [1] It is taken by mouth. [1] Side effects may include dark stools, constipation, and abdominal pain. [1]
Cerefolin is a prescription medication made by Pamlab that contains 5.635 mg of folate as L-methylfolate, 1 mg of vitamin B 12 as methylcobalamin, 50 mg of vitamin B 2 as riboflavin, and 5 mg of vitamin B 6 as pyridoxine. It is approved by the U.S. Food and Drug Administration for the treatment or prevention of vitamin deficiencies. [1]
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