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Folic Acid

Published: July 26, 2026Updated: August 24, 2026

Folic Acid is a synthetic form of Vitamin B9 (folate), an essential water-soluble vitamin required for DNA synthesis, red blood cell formation, and amino acid metabolism. It is primarily used to treat and prevent folate deficiency anemia, support healthy pregnancy by preventing neural tube defects in developing fetuses, and address folate deficiency caused by poor diet, certain medications, or malabsorption conditions.

Quick summary

Folic Acid is a B-vitamin supplement used to treat folate deficiency and support red blood cell production, particularly important during pregnancy.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 24, 2026Editorial policy

Key facts at a glance

ATC
B03BB01
RxNorm
4511
Generic
Folic Acid
Class
atc-b03
Brands
Ferocon, Ferraplus, Ferrex 150 Forte Plus, Folbecal, Folgard OS, Folivane-F, Hemocyte Plus, Hemax, Icar-C Plus, Folgard, Irospan Tablet, Lactocal, Vitafol-One, NicAzel, MTX Support
Availability
rx
Lactation
unknown
Routes
oral, sublingual
Forms
tablet, capsule, solution, powder
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
1mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
0.5mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
0.8mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Very high single dose that may cause gastrointestinal symptoms; folic acid generally has low acute toxicity
Chronic overdose: Long-term use of 5mg or higher daily may lead to masked vitamin B12 deficiency and potential neurological complications
Immediate actions
Discontinue supplement, gastric decontamination if very large recent dose, monitor vital signs, provide supportive care
Antidote
No specific antidote exists; treat symptomatically(Supportive care is mainstay of treatment)
Poison Control: 1-800-222-1222

Special Populations

8 groups
✓

pregnancy

first trimester
safe
FDA Category
A
Dose Adjustment

no adjustment needed

Key Recommendations

recommended 400-800 mcg daily to prevent neural tube defects

Monitor

routine prenatal care

✓

pregnancy

second trimester
safe
FDA Category
A
Dose Adjustment

no adjustment needed

Key Recommendations

continue supplementation as recommended

Monitor

routine prenatal care

✓

lactation

breastfeeding
safe
FDA Category
A
Dose Adjustment

no adjustment needed

Key Recommendations

continue supplementation, passes into breast milk

Monitor

none required

⚠

pediatric_age

neonates
caution
FDA Category
N
Dose Adjustment

use under medical supervision

Key Recommendations

dosing based on weight and medical indication

Monitor

medical supervision required

Use with caution and monitor for adverse effects.

✓

pediatric_age

children adolescents
safe
FDA Category
N
Dose Adjustment

age-appropriate dosing

Key Recommendations

follow pediatric dosing guidelines

Monitor

routine pediatric care

✓

geriatric

elderly
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

may have increased requirements

Monitor

periodic folate level monitoring

✓

renal_impairment

mild to moderate
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

water-soluble, excreted renally

Monitor

monitor folate levels

✓

hepatic_impairment

any
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

metabolism not primarily hepatic

Monitor

monitor folate levels

Statistics and clinical data

drug_classWHO
2023

Drug class

Value:Vitamin B9 (Folate)

Water-soluble B vitamin essential for DNA synthesis and cell division

usageCDC
2023

Common uses

Value:Folate deficiency, Megaloblastic anemia, Pregnancy supplementation, Neural tube defect prevention

Primary therapeutic applications for folic acid supplementation

prescribingFDA
2023

Prescription status

Value:Over-the-counter (OTC)

Available without prescription in most formulations for nutritional supplementation

dosageNIH
2023

Common adult dosage

Value:400-800 mcg daily

Recommended daily allowance for most adults

Treatment and prevention of folate deficiency anemia, megaloblastic anemia, and folate deficiency due to poor nutrition, alcoholism, or malabsorption. Also used during pregnancy to prevent neural tube defects, and sometimes prescribed alongside certain medications like methotrexate or phenytoin to counteract folate depletion.

Folic acid is converted to its active form, tetrahydrofolic acid, which is essential for the synthesis of DNA, RNA, and amino acids. It supports rapid cell division and red blood cell production in bone marrow, helping to correct the megaloblastic anemia caused by folate deficiency.

Generally well-tolerated with few side effects. May mask vitamin B12 deficiency if not properly diagnosed, so B12 levels should be monitored. High doses may interact with certain medications including anticonvulsants and methotrexate. Pregnant and breastfeeding women have increased folate requirements.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 24, 2026. · Read our editorial policy