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Dietary supplement

5-MTHF 1 mg Ingredients & Drug Interactions

by Intelligent Labs

Capsule Category: Vitamin
Most serious interaction: Moderate
The interaction bottom line Most serious interaction: Moderate

5-MTHF 1 mg is a dietary supplement by Intelligent Labs with 1 active ingredient. Its ingredients are commonly taken for preventing neural tube birth defects, treating or preventing folate deficiency, supporting pregnancy health.Based on those ingredients, 40 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Quatrefolic. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

HelloPharmacist Scorecard of 5-MTHF 1 mg by Intelligent Labs

Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.

From our pharmacy team — supplement deep dive

What’s inside

Full disclosure
Ingredient Transparency · database check
Full

Every active ingredient lists its own amount on the label.

Why this rating?
  • The label discloses an exact amount for 1 of its 1 active ingredient.
  • “Folate” is listed as a grouped ingredient — the label gives one combined amount (1,700 mcg DFE) without saying how much of each component you get.

This product contains 1 active ingredient: Quatrefolic, a form of folic acid (also called folate or 5-MTHF), which is a B vitamin your body uses for cell division, DNA synthesis, and reducing a compound called homocysteine. The capsule also contains methylcellulose as an inactive ingredient.

Does it work?

Strong evidence
Evidence for Intended Use · database check
By FDA rules, dietary supplements can’t claim to treat, cure, or prevent disease — so labels speak in careful marketing language. We discern each product’s intended use from its name, label claims, and label statements, then grade the clinical evidence for that use. How these ratings are computed
Strong

Clinical evidence supports at least one of this product's ingredients for its stated purpose.

Why this rating?
  • The label markets this product for: Healthy homocysteine levels and immune system support.
  • We looked for evidence on: Folate deficiency, Neural tube birth defects, Low birth weight, Fetal and premature infant mortality, Anemia, Congenital heart disease — and 4 related terms.
  • The strongest evidence on file: Folic Acid is rated "Effective" for Folate deficiency (Natural Medicines).
  • Also on file: Folic Acid is rated "Likely Effective" for Neural tube birth defects.
  • Also on file: Folic Acid is rated "Possibly Ineffective" for Anemia, Fetal and premature infant mortality.

Folic acid in this form is Effective for treating folate deficiency. It's Likely Effective for reducing the toxic side effects of methotrexate (a drug used for cancer and autoimmune diseases) and for preventing neural tube birth defects when taken before and during early pregnancy.

There's also Possibly Effective evidence for depression, reducing gum overgrowth caused by phenytoin (an anti-seizure drug), and supporting cognitive function, though the data here is less established.

The evidence, ingredient by ingredient Folic Acid

How safe is it?

Well-documented data
Safety Information · database check
Well characterized

Adverse-effect, pregnancy, and general safety data are on file for most of these ingredients.

Why this rating?
  • We hold adverse-effect (side-effect) data for 1 of the 1 matched ingredient.
  • Pregnancy & breastfeeding safety ratings cover 1 of 1.
  • General safety write-ups exist for 1 of 1.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Folic acid at the 1 mg dose in this product is generally well tolerated in most adults. At standard prenatal doses, it's recommended during pregnancy to help prevent birth defects.

It's also considered safe at normal recommended doses while breastfeeding. At higher doses (5 mg daily or above), some people report abdominal cramps, diarrhea, or rash; at 15 mg daily, confusion, sleep problems, and nausea can occur.

Rare serious effects with long-term use include seizures and liver injury. Because high-dose folic acid can mask vitamin B12 deficiency and lead to nerve damage if B12 is low, don't self-treat suspected anemia without medical guidance.

Side effects, ingredient by ingredient Folic Acid

Meds to double-check

Moderate interaction found
Known Interaction Concern · database check
Moderate identified

The most serious documented interaction for these ingredients is Moderate. Check your medications for a personalized result.

Why this rating?
  • 1 of the 1 matched ingredient can interact with medications — Folic Acid.
  • The most serious interaction on file is rated Moderate.
  • For scale: 40 individual medications appear in the full list. A big number alone doesn't make a product dangerous — what matters is whether YOUR medication is on it, so run yours through the interaction checker on this page.

Do not start this product if you take phenobarbital, phenytoin, or primidone (anti-seizure drugs) — folic acid can reduce how well they work and increase seizure risk. Also check with your pharmacist before using it with capecitabine, 5-fluorouracil, or methotrexate (cancer medications), or with pyrimethamine (for parasitic infections).

All of these are Moderate-severity interactions.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFully disclosed formula with clinical evidence supporting its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.

If you're pregnant, planning pregnancy, have a folate deficiency, or take methotrexate, this may be worth discussing with your pharmacist. If you're on any seizure medication, cancer drug, or antiparasitic, you need to check your specific medications before starting — folic acid can interfere with how they work.

Talk to your pharmacist or doctor to make sure this is right for your situation.

Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI

Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated May 24, 2023.

This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed

At a glance

General information

Key facts about 5-MTHF 1 mg, straight from the product label.

Brand Intelligent Labs
Barcode (UPC) X001KAWNMX
Net contents 120 Vegetarian Capsule(s)
Market status On market
Date entered into DSLD May 24, 2023
DSLD ID 295223
Product type Vitamin
Supplement form Capsule
Dietary claims / uses Nutrient, All Other, Structure/Function
Intended target group(s) Vegetarian, Adult (18 - 50 Years), Pregnant Women, Gluten Free
From the label
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.

Supplement Facts

The label details for 5-MTHF 1 mg by Intelligent Labs, sourced from the NIH Dietary Supplement Label Database.

Supplement Facts

Daily Value (DV) Target Group(s):
Adults and children 4 or more years of age
Minimum serving Sizes:
1 Capsule(s)
Maximum serving Sizes:
1 Capsule(s)
Servings per container
120
UPC/BARCODE
X001KAWNMX
IngredientAmount% DV
Folate1700 mcg DFE425%
Quatrefolic1000 mcg--

Other ingredients: Methylcellulose

Tap any ingredient to jump to its full detail below.

Label statements
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Suggested/Recommended/Usage/Directions

Suggested use: Take one capsule daily or as directed by a physician or a healthcare provider.

Formulation

This product contains no: Wheat, eggs, yeast, soy, salt, animal derivatives, maltodextrin, magnesium stearate, artificial flavors or preservatives.

It is formulated for superior absorption to help maintain healthy homocysteine levels and support a healthy immune system and heart.

Animal and gluten free Non-GMO

Storage

Two-year shelf life at room temperature.

Store in a cool and dry place. Avoid excessive heat. Tighten cap when not in use.

Formula

Intelligent Labs 5-MTHF is a breakthrough in folate supplementation, supplying the active form of folic acid.

It's also an excellent source of folate for pregnant women.

5-MTHF 1 mg Quatrefolic As L-5 Methyltetrahydrofolate

FDA Disclaimer Statement

These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

Seals/Symbols

Made In USA With Global Ingredients GMP Good Manufacturing Practice Quality Product

General Statements

Four-month supply

FDA Statement of Identity

Dietary Supplement

Brand IP Statement(s)

Quatrefolic is a registered trademark of Gnosis S.p.A. Corp, Patent No. 7.947, 662.

Precautions

Warning: Consult your physician if you are pregnant or nursing, are taking medications, or have any medical condition.

Keep out of the reach of children.

Do not use if seal is damaged or missing.

See for yourself

5-MTHF 1 mg by Intelligent Labs label

The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.

What’s inside

The Ingredients in 5-MTHF 1 mg by Intelligent Labs

This is the 1 active ingredient this product is made of. Select it to open its full monograph.

Serving size1 Capsule(s) Dosage formCapsule Servings per container120 Amounts shown are per serving.

Folate

1700 mcg DFE per serving

Other (inactive) ingredients: Methylcellulose. These complete the product’s ingredient list but are not active constituents.

Interaction report

5-MTHF 1 mg by Intelligent Labs Drug Interactions

Want to check YOUR meds against 5-MTHF 1 mg?

Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.

Go to the checker
40Drugs
40 Moderate

Ingredients driving the most interactions

Each ingredient & the kinds of drugs it affects

For each ingredient in 5-MTHF 1 mg with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.

Quatrefolic7 drug types · 40 drugs

5-Fluorouracil

Theoretically, high doses of folic acid might increase the toxicity of 5-fluorouracil.
Increases in gastrointestinal side effects of 5-fluorouracil, such as stomatitis and diarrhea, have been described in two clinical studies when leucovorin, a form of folic acid, was administered with 5-fluorouracil.

Likelihood Possible Evidence D
Capecitabine (Xeloda)

Use of high-dose folic acid might contribute to capecitabine toxicity.
Clinical research suggests that higher serum folate levels are associated with an increased risk for moderate or severe toxicity during capecitabine-based treatment for colorectal cancer. Additionally, in one case report, taking folic acid 15 mg daily might have contributed to increased toxicity, including severe diarrhea, vomiting, edema, hand-foot syndrome, and eventually death, in a patient prescribed capecitabine.

Likelihood Possible Evidence D
Methotrexate (Trexall, Others)

Folic acid might reduce the efficacy of methotrexate as a cancer treatment when given concurrently.
Methotrexate exerts its cytotoxic effects by preventing conversion of folic acid to the active form needed by cells. There is some evidence that folic acid supplements reduce the efficacy of methotrexate in the treatment of acute lymphoblastic leukemia, and theoretically they could reduce its efficacy in the treatment of other cancers. Advise cancer patients to consult their oncologist before using folic acid supplements. In patients treated with long-term, low-dose methotrexate for rheumatoid arthritis (RA) or psoriasis, folic acid supplements can reduce the incidence of side effects, without reducing efficacy.

Likelihood Probable Evidence B
Phenobarbital (Luminal)

Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Folic acid can have direct convulsant activity in some people, reversing the effects of phenobarbital and worsening seizure control. Monitor closely for increased seizure activity.

Likelihood Probable Evidence B
Phenytoin (Dilantin)

Folic acid might reduce serum levels of phenytoin in some patients.
Folic acid may be a cofactor in phenytoin metabolism. Folic acid, in doses of 1 mg daily or more, can reduce serum levels of phenytoin in some patients. Increases in seizure frequency have been reported. If folic acid supplements are added to established phenytoin therapy, monitor serum phenytoin levels closely. If phenytoin and folic acid are started at the same time and continued together, adverse changes in phenytoin pharmacokinetics are avoided. Note that phenytoin also reduces serum folate levels.

Likelihood Probable Evidence B
Primidone (Mysoline)

Folic acid might have antagonistic effects on primidone and increase the risk for seizures.
Folic acid can have direct convulsant activity in some people, reversing the effects of primidone and worsening seizure control. Monitor closely for increased seizure activity. Note that primidone also reduces serum folate levels.

Likelihood Probable Evidence B
Pyrimethamine (Daraprim)

Folic acid might antagonize the effects of pyrimethamine.
Folic acid can antagonize the antiparasitic effects of pyrimethamine against toxoplasmosis and Pneumocystis carinii pneumonia. Folic acid doesn't antagonize the effects of pyrimethamine in the treatment of malaria, because malarial parasites cannot use exogenous folic acid. Use folinic acid as an alternative to folic acid when indicated.

Likelihood Probable Evidence D
The maker

Brand information

Manufacturer and brand details for 5-MTHF 1 mg, from the product label.

Intelligent Labs

See all Intelligent Labs products
Name
Intelligent Labs
Street Address
4283 Express Lane Suite 447-067
City
Sarasota
State
FL
ZipCode
34238
Web Address
https://www.intelligentlabs.org
Pharmacist Counseling Corner

5-MTHF 1 mg by Intelligent Labs: Common Questions

Does 5-MTHF 1 mg by Intelligent Labs interact with any medications?
Yes. Based on its ingredients, 5-MTHF 1 mg has a known interaction with 40 medications. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
5-MTHF 1 mg contains a single active ingredient, and that one ingredient can interact with many different medications on its own. We check it against each medication and show the mechanism responsible.
Where does this information come from?
The product label data comes from the NIH Dietary Supplement Label Database (DSLD); the interaction data is built on the Natural Medicines database and reviewed by HelloPharmacist pharmacists.
Is this safe to take if I'm pregnant?
Folic acid at standard prenatal doses is recommended during pregnancy to help prevent birth defects and is considered likely safe. However, some population research has linked folic acid use in late pregnancy to a slightly increased risk of childhood asthma. Talk with your doctor or pharmacist about the right dose and timing for your situation.
Can I take this if I'm breastfeeding?
Yes, folic acid is considered safe at normal recommended doses while breastfeeding.
What's the difference between this product and regular folic acid?
This product contains Quatrefolic, which is a pre-activated form of folic acid (5-MTHF). Your body can use it directly without having to convert it first, which may be useful if you have certain genetic variations that affect folate metabolism. The interactions and effectiveness remain the same as with other folic acid supplements.
Will this help my depression?
There's Possibly Effective evidence that folic acid may help with depression, but the data isn't definitive. It's worth discussing with your doctor or mental health provider as part of a broader treatment plan, not as a standalone treatment.
What side effects should I watch for at this dose?
Folic acid at 1 mg daily is generally well tolerated in most adults. Most people don't experience noticeable side effects at this dose. If you have vitamin B12 deficiency, high-dose folic acid can mask symptoms and lead to nerve damage, so don't self-treat suspected anemia — see your pharmacist first.
Can I take this with vitamin B12 supplements?
The product facts don't contain data on this combination. Check with your pharmacist, especially if you think you might be low in B12 — folic acid alone can hide B12 deficiency symptoms and eventually cause nerve problems.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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Ask a pharmacist

Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.

5-MTHF 1 mg label
Sources

Sources & How We Checked

5-MTHF 1 mg's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

The 56 references behind this product’s interaction data

Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.

Folic Acid 56 references
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  8. Shafer RB, Nuttall FQ. Calcium and folic acid absorption in patients taking anticonvulsant drugs. J Clin Endocrinol Metab 1975;41:1125-9. PubMed
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  10. Morgan SL, Baggott JE, Lee JY, Alarcón GS. Folic acid supplementation prevents deficient blood folate levels and hyperhomocysteinemia during longterm, low dose methotrexate therapy for rheumatoid arthritis: implications for cardiovascular disease preventi
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  33. Whitrow, M. J., Moore, V. M., Rumbold, A. R., and Davies, M. J. Effect of supplemental folic acid in pregnancy on childhood asthma: a prospective birth cohort study. Am J Epidemiol. 12-15-2009;170(12):1486-1493. PubMed
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  36. Fonseca VA, Lavery LA, Thethi TK, et al. Metanx in type 2 diabetes with peripheral neuropathy: A randomized trial. Am J Med 2013;126(2):141-9. PubMed
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  47. Van Der Woude DA, De Vries J, Van Wijk EM, Verzijl JM, Pijnenborg JM. A randomized controlled trial examining the addition of folic acid to iron supplementation in the treatment of postpartum anemia. Int J Gynaecol Obstet. 2014;126(2):101-5. PubMed
  48. Vila-Nova C, Wehby GL, Queirós FC, Chakraborty H, Félix TM, Goco N, Moore J, Gewehr EV, Lins L, Affonso CM, Murray JC. Periconceptional use of folic acid and risk of miscarriage - findings of the Oral Cleft Prevention Program in Brazil. J Perinat Med. 201 PubMed
  49. Vollset SE, Clarke R, Lewington S, Ebbing M, Halsey J, Lonn E, Armitage J, Manson JE, Hankey GJ, Spence JD, Galan P, Bønaa KH, Jamison R, Gaziano JM, Guarino P, Baron JA, Logan RF, Giovannucci EL, den Heijer M, Ueland PM, Bennett D, Collins R, Peto R; B-V
  50. Wehby GL, Félix TM, Goco N, Richieri-Costa A, Chakraborty H, Souza J, Pereira R, Padovani C, Moretti-Ferreira D, Murray JC. High dosage folic acid supplementation, oral cleft recurrence and fetal growth. Int J Environ Res Public Health. 2013 4;10(2):590-6 PubMed
  51. Fanidi A, Carreras-Torres R, Larose TL, et al. Is high vitamin B12 status a cause of lung cancer? Int J Cancer. 2019 Sep 15;145(6):1499-1503. PubMed
  52. Liu J, Li Z, Ye R, Liu J, Ren A. Periconceptional folic acid supplementation and risk of parent-reported asthma in children at 4-6 years of age. ERJ Open Res. 2020;6(1):00250-2019. PubMed
  53. Houghton LA, Sherwood KL, Pawlosky R, Ito S, O'Connor DL. [6S]-5-Methyltetrahydrofolate is at least as effective as folic acid in preventing a decline in blood folate concentrations during lactation. Am J Clin Nutr. 2006 Apr;83(4):842-50. PubMed
  54. Houghton LA, Yang J, O'Connor DL. Unmetabolized folic acid and total folate concentrations in breast milk are unaffected by low-dose folate supplements. Am J Clin Nutr. 2009 Jan;89(1):216-20. PubMed
  55. Chan SL, Chan AWH, Mo F, et al. Association Between Serum Folate Level and Toxicity of Capecitabine During Treatment for Colorectal Cancer. Oncologist. 2018 Dec;23(12):1436-1445. PubMed
  56. Sarris J, Ravindran A, Yatham LN, et al. Clinician guidelines for the treatment of psychiatric disorders with nutraceuticals and phytoceuticals: The World Federation of Societies of Biological Psychiatry (WFSBP) and Canadian Network for Mood and Anxiety T

See these in context on the Folic Acid monograph →

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

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