Bio-Plus Biotin With Folic Acid Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Bio-Plus Biotin With Folic Acid against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
Bio-Plus Biotin With Folic Acid is a dietary supplement by Douglas Laboratories with 2 active ingredients. 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 Folic Acid. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Bio-Plus Biotin With Folic Acid by Douglas Laboratories
Ask about any prescription or over-the-counter medication and we check it for interactions with Bio-Plus Biotin With Folic Acid by Douglas Laboratories — and tell you which ingredient is responsible.
AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
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HelloPharmacist Scorecard of Bio-Plus Biotin With Folic Acid by Douglas Laboratories
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.
What’s inside
Full disclosure
This product has 2 active ingredients: folic acid and biotin. Folic acid is a B vitamin that helps your body make new cells and is especially important during pregnancy to prevent birth defects.
Biotin is another B vitamin that supports healthy hair, skin, and nails. The capsule also contains inactive ingredients — cellulose, gelatin, and vegetable stearate — which help hold the product together.
Does it work?
Strong evidence
Folic acid is established as effective for folate deficiency and likely effective for preventing methotrexate toxicity and neural tube birth defects during pregnancy. It's possibly effective for depression, gum overgrowth caused by phenytoin, and cognitive impairment, though the evidence is less complete for those uses.
Biotin is likely effective for biotin deficiency. For multiple sclerosis and seborrheic dermatitis, the evidence suggests it's likely ineffective.
For hair loss (alopecia areata), we don't have enough reliable evidence to rate it either way.
How safe is it?
Well-documented data
Folic acid is generally well tolerated at recommended doses for most adults and is safe at standard prenatal doses to prevent birth defects. It's also considered safe at normal recommended doses while breastfeeding.
At higher doses — 5 mg daily or more — abdominal cramps, diarrhea, and rash can occur; at 15 mg daily, some people report bitter taste, confusion, sleep disturbances, nausea, and hyperactivity. Rarely, very large doses may cause seizures or, with long-term use, cardiovascular or liver effects.
Large doses of folic acid can also worsen nerve damage in people who are deficient in vitamin B12, so don't self-treat suspected anemia without checking with your doctor. Biotin is generally well tolerated, even at fairly high doses, because your body removes excess in the urine.
Mild diarrhea has been rarely reported at very high doses. There isn't enough data to know if high-dose biotin is safe in pregnancy or breastfeeding, so discuss any high-dose product with your doctor first.
Meds to double-check
Moderate interaction found
If you take phenobarbital (Luminal), primidone (Mysoline), or phenytoin (Dilantin) for seizures, you must check with your doctor or pharmacist before starting this product — folic acid can lower how well these work and raise seizure risk. Also double-check if you're on capecitabine (Xeloda), 5-fluorouracil, methotrexate (Trexall), or pyrimethamine (Daraprim), as folic acid affects their efficacy or toxicity.
No interactions are documented for the biotin ingredient.
The bottom line
Scorecard at a glanceFully disclosed formula with strong clinical evidence behind its ingredients' uses. Moderate medication interactions have been identified, and safety information is well characterized.
This product is useful if you have a folic acid or biotin deficiency, and folic acid at standard prenatal doses is recommended during pregnancy to prevent birth defects. If you take seizure medications, cancer drugs, or certain antimalarials, you'll need to talk it over with your own doctor or pharmacist before taking it — the folic acid can interfere with how those medications work.
At higher doses, side effects like diarrhea and sleep disturbance become more likely.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jun 1, 2012.
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
General information
Key facts about Bio-Plus Biotin With Folic Acid, straight from the product label.
| Brand | Douglas Laboratories |
|---|---|
| Barcode (UPC) | 310539016978 |
| Net contents | 100 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Jun 1, 2012 |
| DSLD ID | 8883 |
| Product type | Vitamin |
| Supplement form | Capsule |
| Dietary claims / uses | All Other |
| Intended target group(s) | Adult (18 - 50 Years), Gluten Free, Dairy Free, Sugar Free |
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 Bio-Plus Biotin With Folic Acid by Douglas Laboratories, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Folic Acid | 400 mcg | 100% |
| Biotin | 300 mcg | 100% |
Other ingredients: Cellulose, Gelatin, Vegetable Stearate
Tap any ingredient to jump to its full detail below.
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.
Storage
For optimal storage conditions, store in a cool, dry place. (59(0)-77(0)F/15(0)-25(0)C) (35-65% relative humidity)
Precautions
Tamper resistant package, do not use if outer seal is missing.
KEEP OUT OF REACH OF CHILDREN.
General
Formula #7515
Formulation
This product contains NO yeast, wheat, gluten, soy protein, milk/dairy, corn, sodium, sugar, starch, artificial coloring, preservatives or flavoring.
Suggested/Recommended/Usage/Directions
Suggested Usage: As a dietary supplement, adults take 1 or more capsules daily or as directed by your healthcare professional.
FDA Statement of Identity
A Dietary Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Bio-Plus Biotin With Folic Acid by Douglas Laboratories label
The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.
Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.
View the full label (PDF)The Ingredients in Bio-Plus Biotin With Folic Acid by Douglas Laboratories
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule Servings per container100 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Folic Acid
Interacts with40 drugs
Folic acid is the man-made form of vitamin B9 and is one of the most well-studied supplements, especially for preventing serious birth defects when ta...
Folic Acid monograph & interactionsBiotin
No knowninteractions
Biotin (vitamin B7) is a water-soluble vitamin your body needs to turn food into energy and to support healthy hair, skin, and nails. Most people get...
Biotin monograph & interactionsOther (inactive) ingredients: Cellulose, Gelatin, Vegetable Stearate. These complete the product’s ingredient list but are not active constituents.
Bio-Plus Biotin With Folic Acid by Douglas Laboratories Drug Interactions
HelloPharmacist Interaction Report
Bio-Plus Biotin With Folic Acid by Douglas Laboratories contains folic acid, which interacts with a number of medications — mainly seizure drugs and certain cancer treatments.
The most serious concern is with seizure medications: folic acid can reverse the effects of phenobarbital (Luminal) and primidone (Mysoline), raising the risk of breakthrough seizures, and it may lower blood levels of phenytoin (Dilantin), also increasing seizure frequency. Monitor closely if you take any of these.
Read the full breakdown — every affected drug type, severity by severity
Folic acid also affects cancer drugs. High-dose folic acid can boost the toxicity of capecitabine (Xeloda) and 5-fluorouracil, causing worse gastrointestinal side effects; it can reduce how well methotrexate (Trexall) works as a cancer treatment; and it may interfere with pyrimethamine (Daraprim), an antiparasitic used for certain infections.
Biotin, the product's other active ingredient, has no interactions documented in our data. Altogether, these interactions span 40 individual medications.
If you take any seizure medication, cancer drug, or antimalarial, check your exact medications with the tool on this page before starting this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Bio-Plus Biotin With Folic Acid?
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 checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Bio-Plus Biotin With Folic Acid interact with 40 drugs. Click any drug to see the details.
1 of the 2 ingredients in Bio-Plus Biotin With Folic Acid interact with drugs. Each result below shows which ingredient is responsible. Folic Acid
Aprobarbital, Butabarbital, PhenobarbitalTriple Barbital
How Aprobarbital, Butabarbital, Phenobarbital interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Aprobarbital, Butabarbital, Phenobarbital interactionAspirin, Codeine Phosphate, PhenobarbitalPhenaphen
How Aspirin, Codeine Phosphate, Phenobarbital interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Aspirin, Codeine Phosphate, Phenobarbital interactionAtropine, Hyoscyamine, PhenobarbitalHypnaldyne
How Atropine, Hyoscyamine, Phenobarbital interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Atropine, Hyoscyamine, Phenobarbital interactionAtropine, Hyoscyamine, Phenobarbital, ScopolamineBarbidonna No. 2, Belladonna Phenobarbital
How Atropine, Hyoscyamine, Phenobarbital, Scopolamine interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Atropine, Hyoscyamine, Phenobarbital, Scopolamine interactionAtropine, Hyoscyamine, Scopolamine, PhenobarbitalBarbeloid, Donnatal #2, Donphen
How Atropine, Hyoscyamine, Scopolamine, Phenobarbital interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Atropine, Hyoscyamine, Scopolamine, Phenobarbital interactionAtropine, PhenobarbitalAnthrocol
How Atropine, Phenobarbital interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Atropine, Phenobarbital interactionBelladona Extract, PhenobarbitalChardonna-2
How Belladona Extract, Phenobarbital interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladona Extract, Phenobarbital interactionBelladonna Alkaloids, Ergotamine Tartrate, PhenobarbitalBel Tabs, Bellamine-S, Bellaphen-S, Duragal S, Phenarbal S, Spastrin
How Belladonna Alkaloids, Ergotamine Tartrate, Phenobarbital interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladonna Alkaloids, Ergotamine Tartrate, Phenobarbital interactionBelladonna Alkaloids, PhenobarbitalBarbidonna, Donnatal
How Belladonna Alkaloids, Phenobarbital interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladonna Alkaloids, Phenobarbital interactionBelladonna Extract, PhenobarbitalBelap
How Belladonna Extract, Phenobarbital interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladonna Extract, Phenobarbital interactionBelladonna, Ergotamine Tartrate, Phenobarbital
How Belladonna, Ergotamine Tartrate, Phenobarbital interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladonna, Ergotamine Tartrate, Phenobarbital interactionBelladonna, Ergotamine, PhenobarbitalBellergal-S
How Belladonna, Ergotamine, Phenobarbital interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladonna, Ergotamine, Phenobarbital interactionBelladonna, PhenobarbitalBellophen, Susano
How Belladonna, Phenobarbital interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Belladonna, Phenobarbital interactionBellafoline, PhenobarbitalBelladenal, Belladenal-S
How Bellafoline, Phenobarbital interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Bellafoline, Phenobarbital interactionButabarbital, Phenobarbital, SecobarbitalS.B.P.
How Butabarbital, Phenobarbital, Secobarbital interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Butabarbital, Phenobarbital, Secobarbital interactionButalbital, Phenobarbital, SecobarbitalTribarb
How Butalbital, Phenobarbital, Secobarbital interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Butalbital, Phenobarbital, Secobarbital interactionCamphor, Hyoscyamine, Passif, Phenobarbital, Scopolamine, ValerianNevrotose #3
How Camphor, Hyoscyamine, Passif, Phenobarbital, Scopolamine, Valerian interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Camphor, Hyoscyamine, Passif, Phenobarbital, Scopolamine, Valerian interactionCapecitabineXeloda
How Capecitabine interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidCapecitabine (xeloda) Moderate
Interaction Summary
Use of high-dose folic acid might contribute to capecitabine toxicity.
Read the full Folic Acid + Capecitabine interactionDehydrocholic Acid, Homatropine Methylbromide, PhenobarbitalG.B.S.
How Dehydrocholic Acid, Homatropine Methylbromide, Phenobarbital interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Dehydrocholic Acid, Homatropine Methylbromide, Phenobarbital interactionDicyclomine, PhenobarbitalBentyl w/ Pb
How Dicyclomine, Phenobarbital interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Dicyclomine, Phenobarbital interactionDyphylline, Ephedrine, Guaifenesin, PhenobarbitalLufyllin-EPG
How Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interactionEphedrine, Guaifenesin, Phenobarbital, TheophyllineMudrane GG
How Ephedrine, Guaifenesin, Phenobarbital, Theophylline interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interactionEphedrine, Phenobarbital, Potassium Iodide, TheophyllineMudrane, Quadrinal
How Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interactionEphedrine, Phenobarbital, TheophyllineTedral
How Ephedrine, Phenobarbital, Theophylline interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Ephedrine, Phenobarbital, Theophylline interactionErgotamine, Belladonna, PhenobarbitalBellamine, Bellaspas, Eperbel-S
How Ergotamine, Belladonna, Phenobarbital interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Ergotamine, Belladonna, Phenobarbital interactionFluorouracilEfudex, Tolak
How Fluorouracil interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic Acid5-fluorouracil Moderate
Interaction Summary
Theoretically, high doses of folic acid might increase the toxicity of 5-fluorouracil.
Read the full Folic Acid + Fluorouracil interactionFluorouracil (iv)Fluorouracil
How Fluorouracil (iv) interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic Acid5-fluorouracil Moderate
Interaction Summary
Theoretically, high doses of folic acid might increase the toxicity of 5-fluorouracil.
Read the full Folic Acid + Fluorouracil (iv) interactionFosphenytoinCerebyx
How Fosphenytoin interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenytoin (dilantin) Moderate
Interaction Summary
Folic acid might reduce serum levels of phenytoin in some patients.
Read the full Folic Acid + Fosphenytoin interactionFosphenytoin SodiumSesquient
How Fosphenytoin Sodium interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenytoin (dilantin) Moderate
Interaction Summary
Folic acid might reduce serum levels of phenytoin in some patients.
Read the full Folic Acid + Fosphenytoin Sodium interactionHyoscyamine, PhenobarbitalLevsin Pb, Levsinex Pb Timecaps
How Hyoscyamine, Phenobarbital interacts with Bio-Plus Biotin With Folic Acid — through 1 ingredient. Tap an ingredient for the detail:
Folic AcidPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Folic Acid + Hyoscyamine, Phenobarbital interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Bio-Plus Biotin With Folic Acid 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.
Folic Acid
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.
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.
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.
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.
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.
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.
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.
Brand information
Manufacturer and brand details for Bio-Plus Biotin With Folic Acid, from the product label.
Douglas Laboratories
See all Douglas Laboratories products- Name
- Douglas Laboratories
- Street Address
- 600 Boyce Road
- City
- Pittsburgh
- State
- PA
- ZipCode
- 15205
- Phone Number
- 1.800.245.4440
- Web Address
- www.douglaslabs.com
Bio-Plus Biotin With Folic Acid by Douglas Laboratories: Common Questions
Does Bio-Plus Biotin With Folic Acid by Douglas Laboratories interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Is it safe to take this during pregnancy?
Can I take this while breastfeeding?
What does biotin actually do?
Will this product give me side effects?
What's the difference between folic acid and folate?
Can I take this if I'm being treated for anemia?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Bio-Plus Biotin With Folic Acid is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
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.
The Full Monographs Behind Bio-Plus Biotin With Folic Acid’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Folic Acid
Interacts with 40 drugsFolic acid is the man-made form of vitamin B9 and is one of the most well-studied supplements, especially for preventing serious birth defects when taken before and during early pregnancy. I...
Read the full Folic Acid monograph → Herb & supplement monographBiotin
Biotin (vitamin B7) is a water-soluble vitamin your body needs to turn food into energy and to support healthy hair, skin, and nails. Most people get plenty from a normal diet, and true defi...
Read the full Biotin monograph →Sources & How We Checked
Bio-Plus Biotin With Folic Acid'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.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
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 60 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
- McEvoy GK, ed. AHFS Drug Information. Bethesda, MD: American Society of Health-System Pharmacists, 1998.
- Duhra P. Treatment of gastrointestinal symptoms associated with methotrexate therapy for psoriasis. J Am Acad Dermatol 1993;28:466-9. PubMed
- Morgan SL, Baggott JE, Vaughn WH, et al. Supplementation with folic acid during methotrexate therapy for rheumatoid arthritis. A double-blind, placebo-controlled trial. Ann Intern Med 1994;121:833-41. PubMed
- Froscher W, Maier V, Laage M, et al. Folate deficiency, anticonvulsant drugs, and psychiatric morbidity. Clin Neuropharmacol 1995;18:165-82. PubMed
- Lewis DP, Van Dyke DC, Willhite LA, et al. Phenytoin-folic acid interaction. Ann Pharmacother 1995;29:726-35. PubMed
- Berg MJ, Stumbo PJ, Chenard CA, et al. Folic acid improves phenytoin pharmacokinetics. J Am Diet Assoc 1995;95:352-6. PubMed
- Berg MJ, Fincham RW, Ebert BE, et al. Phenytoin pharmacokinetics: Before and after folic acid administration. Epilepsia 1992;33:712-20. PubMed
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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.
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