L-MethylFolate Ingredients & Drug Interactions
by Klaire Labs
What is this page for?
First and foremost: checking L-MethylFolate 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
L-MethylFolate is a dietary supplement by Klaire 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 Metafolin. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against L-MethylFolate by Klaire Labs
Ask about any prescription or over-the-counter medication and we check it for interactions with L-MethylFolate by Klaire Labs — 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
Ask the Pharmacist
A licensed pharmacist will answer your question by email — free, usually within 24 hours.
Got it — thank you!
A licensed pharmacist will answer within 24 hours. Keep an eye on your email (worth checking spam, just in case).
HelloPharmacist Scorecard of L-MethylFolate by Klaire 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.
What’s inside
Full disclosure
This product contains one active ingredient: Metafolin, a form of folic acid (also called folate or vitamin B9). The inactive ingredients are microcrystalline cellulose, a vegetarian capsule, L-leucine, cellulose, and silicon dioxide.
Does it work?
Strong evidence
The evidence supports folic acid for treating folate deficiency and is likely effective for reducing methotrexate toxicity and preventing neural tube birth defects in pregnancy. It's possibly effective for depression, phenytoin-induced gingival hyperplasia (overgrowth of gum tissue caused by certain seizure medications), and cognitive impairment, though the data here is less complete.
How safe is it?
Well-documented data
Folic acid is generally well tolerated at recommended doses for most adults. At lower doses (under 1 mg daily), side effects are rare.
At 5 mg daily, some people report abdominal cramps, diarrhea, and rash. Higher doses (15 mg daily) can cause bitter taste, confusion, sleep problems, nausea, and irritability.
Rare serious effects with long-term use include seizures, liver injury, and cardiovascular issues. The safety data advises folic acid is recommended during pregnancy at standard prenatal doses to help prevent birth defects, and is considered safe at normal recommended doses while breastfeeding.
One caution: very high doses of folic acid can mask the symptoms of pernicious anemia (a vitamin B12 deficiency condition), delaying treatment and risking nerve damage — so don't self-treat suspected anemia without talking to your pharmacist first.
Meds to double-check
Moderate interaction found
Before taking this product, double-check if you take seizure medications (phenobarbital, phenytoin, primidone), cancer treatments (methotrexate, capecitabine, 5-fluorouracil), or pyrimethamine for infection — folic acid has Moderate interactions with all of these and may reduce their effectiveness or increase side effects.
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.
This product works well for folate deficiency and is likely helpful around pregnancy to prevent birth defects. If you take seizure medications, cancer drugs, or certain antimicrobials, check your specific medications before starting — folic acid can interfere with how they work.
Talk to your pharmacist about your medications and dosing.
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
General information
Key facts about L-MethylFolate, straight from the product label.
| Brand | Klaire Labs |
|---|---|
| Barcode (UPC) | 828054001015 |
| Net contents | 60 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | May 24, 2023 |
| DSLD ID | 295225 |
| Product type | Vitamin |
| Supplement form | Capsule |
| Dietary claims / uses | Nutrient, All Other |
| Intended target group(s) | Adult (18 - 50 Years), Gluten Free, Dairy 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 L-MethylFolate by Klaire Labs, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Folate | 1700 mcg DFE | 425% |
| Metafolin | 1000 mcg | -- |
Other ingredients: Microcrystalline Cellulose, Vegetarian Capsule, L-Leucine, Cellulose, Silicon Dioxide
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.
Suggested/Recommended/Usage/Directions
Suggested Use: 1 capsule daily with food or as directed by a healthcare professional.
Formula
L-MethylFolate contains L-5-methyltetrahydrofolate (L-5-MTHF), the active, methylated form of folate, an essential B-vitamin. L-5-MTHF requires no additional metabolic steps to be used by the body, thus it is often the preferred choice for those with absorption or metabolic defects. Supplies 1 mg (1,700 mcg DFE) folate per capsule.
Brand IP Statement(s)
Metafolin Metafolin is a registered trademark of Merck KGaA, Darmstadt, Germany
SFI
Precautions
Do not use if shrinkwrap is broken or missing.
Caution: If you are pregnant, nursing, have a medical condition, or taking prescription drugs, consult your healthcare professional before using this product.
Keep out of reach of children.
Storage
Store in a cool, dry place (59 degrees F-85 degrees F) away from direct light.
Formulation
Produced under a strict quality management system in compliance with Good Manufacturing Practices (GMPs) and third-party quality certifications.
Free of the following common allergens: milk/casein, eggs, fish, shellfish, tree nuts, peanuts, wheat, gluten, soybeans and corn. Contains no artificial colors, flavors, or preservatives.
FDA Statement of Identity
Folate Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
L-MethylFolate by Klaire Labs 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 L-MethylFolate by Klaire 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 container60 Amounts shown are per serving.
Folate
Other (inactive) ingredients: Microcrystalline Cellulose, Vegetarian Capsule, L-Leucine, Cellulose, Silicon Dioxide. These complete the product’s ingredient list but are not active constituents.
L-MethylFolate by Klaire Labs Drug Interactions
HelloPharmacist Interaction Report
Klaire Labs L-MethylFolate contains Metafolin, a form of folic acid that interacts with several medication types.
The most serious concerns involve seizure medications: folic acid can reverse the effects of phenobarbital (Luminal) and primidone (Mysoline), potentially worsening seizure control, and may reduce blood levels of phenytoin (Dilantin), also raising seizure risk — all Moderate severity.
Read the full breakdown — every affected drug type, severity by severity
Folic acid also interacts moderately with cancer medications. It may reduce how well methotrexate (Trexall) works as a cancer treatment, interfere with pyrimethamine (Daraprim) when used against certain infections, and increase the side effects of capecitabine (Xeloda) and 5-fluorouracil — both chemotherapy drugs.
Altogether, these interactions span 40 individual medications. We hold no interaction data for the Folate ingredient listed in the blend.
Before you start this supplement, check your exact medications with the search tool below — especially if you take seizure drugs, cancer treatments, or antimicrobial agents.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against L-MethylFolate?
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 L-MethylFolate interact with 40 drugs. Click any drug to see the details.
1 of the 1 ingredient in L-MethylFolate interact with drugs. Each result below shows which ingredient is responsible. Metafolin
Aprobarbital, Butabarbital, PhenobarbitalTriple Barbital
How Aprobarbital, Butabarbital, Phenobarbital interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Aprobarbital, Butabarbital, Phenobarbital interactionAspirin, Codeine Phosphate, PhenobarbitalPhenaphen
How Aspirin, Codeine Phosphate, Phenobarbital interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Aspirin, Codeine Phosphate, Phenobarbital interactionAtropine, Hyoscyamine, PhenobarbitalHypnaldyne
How Atropine, Hyoscyamine, Phenobarbital interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Atropine, Hyoscyamine, Phenobarbital interactionAtropine, Hyoscyamine, Phenobarbital, ScopolamineBarbidonna No. 2, Belladonna Phenobarbital
How Atropine, Hyoscyamine, Phenobarbital, Scopolamine interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Atropine, Hyoscyamine, Phenobarbital, Scopolamine interactionAtropine, Hyoscyamine, Scopolamine, PhenobarbitalBarbeloid, Donnatal #2, Donphen
How Atropine, Hyoscyamine, Scopolamine, Phenobarbital interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Atropine, Hyoscyamine, Scopolamine, Phenobarbital interactionAtropine, PhenobarbitalAnthrocol
How Atropine, Phenobarbital interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Atropine, Phenobarbital interactionBelladona Extract, PhenobarbitalChardonna-2
How Belladona Extract, Phenobarbital interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + 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 L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Belladonna Alkaloids, Ergotamine Tartrate, Phenobarbital interactionBelladonna Alkaloids, PhenobarbitalBarbidonna, Donnatal
How Belladonna Alkaloids, Phenobarbital interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Belladonna Alkaloids, Phenobarbital interactionBelladonna Extract, PhenobarbitalBelap
How Belladonna Extract, Phenobarbital interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Belladonna Extract, Phenobarbital interactionBelladonna, Ergotamine Tartrate, Phenobarbital
How Belladonna, Ergotamine Tartrate, Phenobarbital interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Belladonna, Ergotamine Tartrate, Phenobarbital interactionBelladonna, Ergotamine, PhenobarbitalBellergal-S
How Belladonna, Ergotamine, Phenobarbital interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Belladonna, Ergotamine, Phenobarbital interactionBelladonna, PhenobarbitalBellophen, Susano
How Belladonna, Phenobarbital interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Belladonna, Phenobarbital interactionBellafoline, PhenobarbitalBelladenal, Belladenal-S
How Bellafoline, Phenobarbital interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Bellafoline, Phenobarbital interactionButabarbital, Phenobarbital, SecobarbitalS.B.P.
How Butabarbital, Phenobarbital, Secobarbital interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Butabarbital, Phenobarbital, Secobarbital interactionButalbital, Phenobarbital, SecobarbitalTribarb
How Butalbital, Phenobarbital, Secobarbital interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Butalbital, Phenobarbital, Secobarbital interactionCamphor, Hyoscyamine, Passif, Phenobarbital, Scopolamine, ValerianNevrotose #3
How Camphor, Hyoscyamine, Passif, Phenobarbital, Scopolamine, Valerian interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Camphor, Hyoscyamine, Passif, Phenobarbital, Scopolamine, Valerian interactionCapecitabineXeloda
How Capecitabine interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinCapecitabine (xeloda) Moderate
Interaction Summary
Use of high-dose folic acid might contribute to capecitabine toxicity.
Read the full Metafolin + Capecitabine interactionDehydrocholic Acid, Homatropine Methylbromide, PhenobarbitalG.B.S.
How Dehydrocholic Acid, Homatropine Methylbromide, Phenobarbital interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Dehydrocholic Acid, Homatropine Methylbromide, Phenobarbital interactionDicyclomine, PhenobarbitalBentyl w/ Pb
How Dicyclomine, Phenobarbital interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Dicyclomine, Phenobarbital interactionDyphylline, Ephedrine, Guaifenesin, PhenobarbitalLufyllin-EPG
How Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interactionEphedrine, Guaifenesin, Phenobarbital, TheophyllineMudrane GG
How Ephedrine, Guaifenesin, Phenobarbital, Theophylline interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interactionEphedrine, Phenobarbital, Potassium Iodide, TheophyllineMudrane, Quadrinal
How Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interactionEphedrine, Phenobarbital, TheophyllineTedral
How Ephedrine, Phenobarbital, Theophylline interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Ephedrine, Phenobarbital, Theophylline interactionErgotamine, Belladonna, PhenobarbitalBellamine, Bellaspas, Eperbel-S
How Ergotamine, Belladonna, Phenobarbital interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Ergotamine, Belladonna, Phenobarbital interactionFluorouracilEfudex, Tolak
How Fluorouracil interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
Metafolin5-fluorouracil Moderate
Interaction Summary
Theoretically, high doses of folic acid might increase the toxicity of 5-fluorouracil.
Read the full Metafolin + Fluorouracil interactionFluorouracil (iv)Fluorouracil
How Fluorouracil (iv) interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
Metafolin5-fluorouracil Moderate
Interaction Summary
Theoretically, high doses of folic acid might increase the toxicity of 5-fluorouracil.
Read the full Metafolin + Fluorouracil (iv) interactionFosphenytoinCerebyx
How Fosphenytoin interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenytoin (dilantin) Moderate
Interaction Summary
Folic acid might reduce serum levels of phenytoin in some patients.
Read the full Metafolin + Fosphenytoin interactionFosphenytoin SodiumSesquient
How Fosphenytoin Sodium interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenytoin (dilantin) Moderate
Interaction Summary
Folic acid might reduce serum levels of phenytoin in some patients.
Read the full Metafolin + Fosphenytoin Sodium interactionHyoscyamine, PhenobarbitalLevsin Pb, Levsinex Pb Timecaps
How Hyoscyamine, Phenobarbital interacts with L-MethylFolate — through 1 ingredient. Tap an ingredient for the detail:
MetafolinPhenobarbital (luminal) Moderate
Interaction Summary
Folic acid might have antagonistic effects on phenobarbital and increase the risk for seizures.
Read the full Metafolin + Hyoscyamine, Phenobarbital interactionEach ingredient & the kinds of drugs it affects
For each ingredient in L-MethylFolate 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.
Metafolin
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 L-MethylFolate, from the product label.
Klaire Labs
See all Klaire Labs products- Name
- SFI USA
- City
- Reno
- State
- NV
- ZipCode
- 89521
- Web Address
- Klaire.com
L-MethylFolate by Klaire Labs: Common Questions
Does L-MethylFolate by Klaire Labs interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this while I'm pregnant?
Is this safe while breastfeeding?
What dose should I take?
Can this help my depression?
What if I have anemia?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if L-MethylFolate 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 L-MethylFolate’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
L-MethylFolate'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 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
- 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
- Shafer RB, Nuttall FQ. Calcium and folic acid absorption in patients taking anticonvulsant drugs. J Clin Endocrinol Metab 1975;41:1125-9. PubMed
- Leeb BF, Witzmann G, Ogris E, et al. Folic acid and cyanocobalamin levels in serum and erythrocytes during low-dose methotrexate therapy of rheumatoid arthritis and psoriatic arthritis patients. Clin Exp Rheumatol 1995;13:459-63.
- 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
- Dijkmans BA. Folate supplementation and methotrexate. Br J Rheumatol 1995;34:1172-4. PubMed
- Segal S, Kaminski S. Drug-nutrient interactions. American Druggist 1996 Jul;42-8.
- Lambie DG, Johnson RH. Drugs and folate metabolism. Drugs 1985;30:145-55. PubMed
- Amer College of Rheumatology ad hoc committee on clinical guidelines. Guidelines for monitoring drug therapy in rheumatoid arthritis. Arthritis Rheum 1996;39:723-31. DOI
- Suitor CW, Bailey LB. Dietary folate equivalents: interpretation and application. J Am Diet Assoc 2000;100:88-94. PubMed
- Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline (2000). Washington, DC: National Academy Press, 2000. Available at: http://b
- Sandoval M, Charbonnet RM, Okuhama NN, et al. Cat's claw inhibits TNFalpha production and scavenges free radicals: role in cytoprotection. Free Radic Biol Med 2000;29:71-78.
- Antony AC. Megaloblastic Anemias. In: Hoffman R, Benz Jr EJ, Shattil SJ, et al. Hematology: Basic Principles and Practice. 3rd ed. New York, NY: Churchill Livingstone 2000: 451-79.
- Reynolds EH. Neurological aspects of folate and vitamin B12 metabolism. Clin Haematol 1976;5:661-96. DOI
- Reynolds EH. Folate metabolism and anticonvulsant therapy. Proc R Soc Med 1974;67:68.
- Ortiz Z, Shea B, Suarez Almazor M, et al. Folic acid and folinic acid for reducing side effects in patients receiving methotrexate for rheumatoid arthritis (Cochrane Review). Cochrane Database Syst Rev 2000;2:CD000951. PubMed
- Van Delden C, Hirschel B. Folinic acid supplements to pyrimethamine-sulfadiazine for Toxoplasma encephalitis are associated with better outcome (letter). J Infect Dis 1996;173:1294-5. PubMed
- Schroder H, Clausen N, Ostergard E, Pressler T. Folic acid supplements in vitamin tablets: a determinant of hematological drug tolerance in maintenance therapy of childhood acute lymphoblastic leukemia. Ped Hematol Oncol 1986;3:241-7. PubMed
- Lange H, Suryapranata H, De Luca G, et al. Folate therapy and in-stent restenosis after coronary stenting. N Engl J Med 2004;350:2673-81. PubMed
- Morris MC, Evans DA, Bienias JL, et al. Dietary folate and vitamin B12 intake and cognitive decline among community-dwelling older persons. Arch Neurol 2005;62:641-5. PubMed
- Bonaa KH, Njolstad I, Ueland PM, et al. NORVIT: Homocysteine lowering and cardiovascular events after acute myocardial infarction. N Enlg J Med 2006;354:1578-88. PubMed
- Lawson KA, Wright ME, Subar A, et al. Multivitamin use and risk of prostate cancer in the National Institutes of Health-AARP Diet and Health Study. J Natl Cancer Inst 2007;99:754-64. PubMed
- Figueiredo JC, Grau MV, Haile RW, et al. Folic acid and risk of prostate cancer: Results from a randomized clinical trial. J Natl Cancer Inst 2009;101:432-5. PubMed
- Clippe C, Freyer G, Milano G, Trillet-Lenoir V. Lethal toxicity of capecitabine due to abusive folic acid prescription. Clin Oncol (R Coll Radiol) 2003;15:299-300. PubMed
- Bedford Laboratories. Leucovorin calcium [package insert]. Bedford, OH. September 2008. Available at: http://www.bedfordlabs.com/BedfordLabsWeb/products/inserts/LCV-P02.pdf.
- Ebbing M, Bonaa KH, Nygard O, et al. Cancer incidence and mortality after treatment with folic acid and vitamin B12. JAMA 2009;302:2119-26.
- Haberg, S. E., London, S. J., Stigum, H., Nafstad, P., and Nystad, W. Folic acid supplements in pregnancy and early childhood respiratory health. Arch Dis.Child 2009;94(3):180-184. PubMed
- 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
- Collin, S. M., Metcalfe, C., Refsum, H., Lewis, S. J., Zuccolo, L., Smith, G. D., Chen, L., Harris, R., Davis, M., Marsden, G., Johnston, C., Lane, J. A., Ebbing, M., Bonaa, K. H., Nygard, O., Ueland, P. M., Grau, M. V., Baron, J. A., Donovan, J. L., Nea
- Baggott, J. E., Oster, R. A., and Tamura, T. Meta-analysis of cancer risk in folic acid supplementation trials. Cancer Epidemiol. 2012;36(1):78-81. PubMed
- 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
- Hankey GJ, Eikelboom JW, Yi Q, et al. Treatment with B vitamins and incidence of cancer in patients with previous stroke or transient ischemic attack: Results of a randomized placebo-controlled trial. Stroke 2012;43(6):1572-7. PubMed
- Taneja S, Strand TA, Kumar T, et al. Folic acid and vitamin B-12 supplementation and common infections in 6-30-mo-old children in India: a randomized placebo-controlled trial. Am J Clin Nutr 2013;98(3):731-7. PubMed
- van Wijngaarden JP, Swart KM, Enneman AW, et al. Effect of daily vitamin B-12 and folic acid supplementation on fracture incidence in elderly individuals with an elevated plasma homocysteine concentration: B-PROOF, a randomized controlled trial. Am J Clin
- Qin X, Fan F, Cui Y, Chen F, Chen Y, Cheng X, Li Y, Wang B, Xu X, Xu X, Huo Y, Wang X. Folic acid supplementation with and without vitamin B6 and revascularization risk: a meta-analysis of randomized controlled trials. Clin Nutr. 2014;33(4):603-12. PubMed
- Crider KS, Cordero AM, Qi YP, Mulinare J, Dowling NF, Berry RJ. Prenatal folic acid and risk of asthma in children: a systematic review and meta-analysis. Am J Clin Nutr. 2013;98(5):1272-81. PubMed
- Matsubara S, Imai K, Murayama K, Higashizawa T. Severe liver dysfunction during nausea and vomiting of pregnancy: folic acid supplement as a suggested culprit. J Obstet Gynaecol. 2012;32(7):701-2. PubMed
- Qin X, Cui Y, Shen L, Sun N, Zhang Y, Li J, Xu X, Wang B, Xu X, Huo Y, Wang X. Folic acid supplementation and cancer risk: a meta-analysis of randomized controlled trials. Int J Cancer. 2013 1;133(5):1033-41. PubMed
- Tio M, Andrici J, Cox MR, Eslick GD. Folate intake and the risk of prostate cancer: a systematic review and meta-analysis. Prostate Cancer Prostatic Dis. 2014;17(3):213-9. PubMed
- Tomaszewski JJ, Richman EL, Sadetsky N, O'Keefe DS, Carroll PR, Davies BJ, Chan JM. Impact of folate intake on prostate cancer recurrence following definitive therapy: data from CaPSURE. J Urol. 2014;191(4):971-6. PubMed
- Valera-Gran D, García de la Hera M, Navarrete-Muñoz EM, Fernandez-Somoano A, Tardón A, Julvez J, Forns J, Lertxundi N, Ibarluzea JM, Murcia M, Rebagliato M, Vioque J; Infancia y Medio Ambiente (INMA) Project. Folic acid supplements during pregnancy and ch
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
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